Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^290) 6. Help client understand how these behaviors interfere with (^) 7. Assist the client to work toward achievement of object con- 5. Explore with client feelings that relate to fears of abandon- 1. Client is able to interact with others in both social and thera-Outcome Criteriaand the impressions they have of others as either “good” or “bad” are a manifestation another. Remember that splitting is a primary defense mechanism of these individuals, CLINICAL PEARL of this defense. Do not listen as the client tries to degrade other staff members. Suggest that the client discuss the problem directly with the staff person involved.abandonment.may help client resolve fears of abandonment and develop peutic activities in a socially acceptable manner.ment and engulfment. Help client understand that cling-ing and distancing behaviors are engendered by these fears. stancy. Be available, without promoting dependency. client come to terms with unresolved issues.the ability to establish satisfactory intimate relationships.effort to decrease use of splitting and to diminish fears of satisfactory relationships.acceptable to others.perception of him or her and why these behaviors are not Exploration of feelings with a trusted individual may help^ ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONRecognize when the client is playing one staff member against (^) Client may be unaware of others’ This

2 2506_Ch16_275-309.indd 0290 506 Ch 16 275 - 309 .ind 2. Client does not use splitting or clinging and distancing be-Defi[Underdeveloped ego][Unmet dependency needs][Absence of, or rejection by, parental sex-role model]Possible Etiologies (“related to”)[Failure to complete tasks of separation/individuation stage of [Excessive use of projection][Vague self-image]●ception of self.Defid 0 development]DISTURBED PERSONAL IDENTITY behaviors to failure of past relationships. haviors in relationships and is able to relate the use of these 2 nition: ning Characteristics (“evidenced by”) 90 Inability to maintain an integrated and complete per- 1 10/1/10 9:37:00 AM 0 / 1 / 10 9 : 37 : 00 AM