Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

[Manipulation of one staff member against another in an Goals/Objectives[Lack of positive feedback][Unmet dependency needs][Retarded ego development][Repeated negative feedback, resulting in diminished self-[Dysfunctional family system][Fixation in earlier level of development]DefiPossible Etiologies (“related to”)[DiffiHesitancy to try new things or situations [because of fear of [Self-destructive behavior][Frequent use of derogatory and critical remarks against the Lack of eye contactShort-term Goals[Inability to form close, personal relationships][Inability to tolerate being alone][Degradation of others in an attempt to increase own feelings failure]of self-worth]self ]worth]attempt to gain special privileges] ning Characteristics (“evidenced by”) culty accepting positive reinforcement]Personality Disorders ●^293

2506_Ch16_275-309.indd 0293 2506 Ch 16 275 - 309 .indd Interventions with 1. Client will discuss fear of failure with nurse or therapist. 1. Ensure that goals are realistic. It is important for client to 1. Client will exhibit increased feelings of self-worth as evi- 2. Client will verbalize things he or she likes about self. 0 2. Client will exhibit increased feelings of self-worth by setting Long-term Goals 2. Convey unconditional positive regard for client. Promote 3. Set limits on manipulative behavior. Identify the consequences 293 of self-worth.denced by verbal expression of positive aspects about self, achieve something, so plan for activities in which success is for violation of those limits. Minimize negative feedback to while human being. realistic goals and trying to reach them, thereby demonstrat-past accomplishments, and future prospects.ing a decrease in fear of failure. likely. understanding of your acceptance for him or her as a worth-Success increases self-esteem.Selected RationalesAcceptance by others increases feelings 1 10/1/10 9:37:00 AM 0 / 1 / 10 9 : 37 : 00 AM