Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

ception and thinking about the environment that a diagnosis of interfere with an individual’s ability to function within age-Undoubtedly, these clients represent the ultimate challenge for ventions may be used in other types of treatment settings as well. these disorders are included in this chapter; however, these inter-these reasons, suggestions for inpatient care of individuals with is made that psychiatric intervention may be helpful. Because of ized as an alternative to imprisonment when a legal determination vidual with antisocial personality disorder also may be hospital-client, hospitalization is necessary from time to time. The indi-acute care settings, but because of the instability of the borderline in all types of treatment settings. They are not often treated in personality disorder is assigned.ity disorders may be manifested by clients with virtually every psychiatric diagnosis, as well as by those individuals described as “healthy.” It is only when personality traits or styles repetitively^278 appropriate cultural and developmental expectations, disrupt interpersonal relationships, and distort a person’s pattern of per-the psychiatric nurse.Individuals with personality disorders may be encountered Many of the behaviors associated with the various personal-^ ●disorder in childhood or adolescence is a predisposing ity, dependency, and low self-esteem. Oppositional defifactor.procrastination, stubbornness, intentional ineffidawdling, “forgetfulness,” criticism of persons in author-^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION ciency, ant

2 2506_Ch16_275-309.indd 0278 506 Ch 16 275 - 309 .indperiods of extreme stress. The disorder is more commonly diag-nosed in women than in men.and psychotic. Transient psychotic symptoms appear during Personality Disorder 1. This personality disorder is characterized by instability of affect, behavior, object relationships, and self-image. The term “borderline” came into being because these clients’ emotionally unstable behavior seems to fall Defi● Predisposing Factors to Borderline d 0 PhysiologicalBORDERLINE PERSONALITY DISORDER a. 27 ned 8 derline personality demonstrated signifiαreflpersonality disorder. In positron emission tomography Biochemical. a possible serotonergic defect in clients with borderline using -[ ects serotonergic synthesis capability, clients with bor-^11 C]MTrp in medial frontal, superior temporal, and α-[^11 C]methyl-Cummings and Mega (2003) have suggested l-tryptophan (on the borderα-[ between neurotic^11 cantly decreased C]MTrp), which 1 10/1/10 9:36:56 AM 0 / 1 / 10 9 : 36 : 56 AM