Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^284) 8. Have suffi 9. Administer tranquilizing medications as ordered by physi- 10. Use of mechanical restraints or isolation room may be 7. Try to redirect violent behavior with physical outlets for the^ care of the patient) be conducted within 1 hour of initiat-cise is a safe and effective way of relieving pent-up tension.restraints every 4 hours for adults and every 1 to 2 hours other licensed independent practitioner responsible for the to the client if necessary. person evaluation (by a physician, clinical psychologist, or of control over the situation and provides some physical security for staff.The physician must reevaluate and issue a new order for cian or obtain an order if necessary. Monitor the client for effectiveness of the medication and for the appearance of ing restraint or seclusion (The Joint Commission, 2010). Healthcare Organizations [JCAHO]) requires that an in-anxiolytics or antipsychotics may have a calming effect on the client and may prevent aggressive behaviors.for children and adolescents. client’s anxiety (e.g., punching bag, jogging). required if less restrictive interventions are unsuccessful. Follow policy and procedure prescribed by the institu-tion in executing this intervention. The Joint Commis-sion (formerly the Joint Commission on Accreditation of adverse side effects. ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION cient staff available to indicate a show of strength Tranquilizing medications such as This conveys to the client evidence Physical exer-
2506_Ch16_275-309.indd 0284 2506 Ch 16 275 - 309 .ind 11. Observe the client in restraints every 15 minutes (or 1. Client has not harmed self or others. 2. Anxiety is maintained at a level in which client feels no need 12. May need to assign staff on a one-to-one basis if warranted 3. Client denies any ideas of self-harm.^ Outcome Criteria 4. Client verbalizes community support systems from which as-d 0 are unsuccessful.for aggression.sistance may be requested when personal coping strategies 2 safety is a nursing priority.fort is facilitated and aspiration can be prevented. hydration, and elimination. Position the client so that com-pulses). Assist the client with needs related to nutrition, of anxiety and agitation.them alone at such a time may cause an acute rise in level ity disorder have extreme fear of abandonment; leaving extremities is not compromised (check temperature, color, 8 by acuity of the situation. according to institutional policy). Ensure that circulation to 4 Clients with borderline personal-Client 1 10/1/10 9:36:58 AM 0 / 1 / 10 9 : 36 : 58 AM