7. Offer self to client during times of increasing anxiety, 2. A helmet may be used 1. Anxiety is maintained at a level at which client feels no need 1. Intervene to protect client when self-mutilative behaviors, Outcome Criteria 2. Client demonstrates ability to use adaptive coping strategies Interventions with 6. Encourage client to discuss feelings, particularly anger,^ 3. Try to determine if self-mutilative behaviors occur in re- 5. Assist with plan for behavior modifi 4. Work on one-to-one basis with client may be attributed. mitts such as head-banging or hair-pulling, become evident. rage that may be triggering self-mutilative behaviors.effort to confront unresolved issues and expose internalized for self-mutilation.nurse is responsible for ensuring client safety.tect extremities from injuryteach the client more adaptive ways of responding to stress.in the face of stressful situations. sponse to increasing anxiety, and if so, to what the anxiety behaviors.vide feelings of security and decrease need for self-mutilative if the cause can be determined.to prevent hair Selected RationalesSelf-mutilative behaviors may be averted -pullingto protect against head-banging during hysterical movements., and appropriate padding Impulse Control Disorders cation to establish trust.in an effort to to pro-to pro-●, hand in an^ The^261
2 2506_Ch14_256-263.indd Sec1:261 506 Ch 14 256 - 263 .indd Possible Etiologies (“related to”)[Possible hereditary factors][Brain trauma or dysfunction]available resources.[Dysfunctional family system, resulting in behaviors such as the Defi● Sadequate choices of practiced responses, and/or inability to use [Mental retardation]ecfollowing: 1 INEFFECTIVE COPING: nition: 2 Harsh or inconsistent disciplineEmotional deprivationParental rejection or abandonmentChild abuse or neglectParental substance abuseParental unpredictability] 61 Inability to form a valid appraisal of the stressors, in- 1 10/1/10 9:36:30 AM 0 / 1 / 10 9 : 36 : 30 AM
