Short-term GoalDemonstrated lack of adaptive behaviors to environmental 1. The triage nurse in the emergency department, street clinic, Interventions with 2. Client will adopt lifestyle changes that support individual Unachieved developmental tasksInsuffi 1. Client will assume responsibility for own health-care needs Long-term GoalsInability to make appropriate judgmentsIneffective individual copingDefiClient will seek and receive assistance with current health matters.History of lack of health-seeking behaviorImpairment of personal support systemsDemonstrated lack of knowledge about basic health practices^344 Goals/ObjectivesInability to take responsibility for meeting basic health practiceschangeshomeless client. or shelter will begin the biopsychosocial assessment of the within level of ability.health-care needs.^ ning Characteristics (“evidenced by”)● cient resources (e.g., equipment, fi^ SPECIAL TOPICS IN PSYCHIATRICAn adequate assessment is required to en-Selected Rationales nances)
2 2506_Ch20_341-347.indd 0344 506 Ch 20 341 - 347 .ind6. Assess client’s ability to make decisions. 2. Assess developmental level of functioning and ability to com- 5. Assess oral hygiene practices, 7. It is important to ask the following basic questions of the 4. Assess sexual practices, 3. Assess client’s use of substances, including use of tobacco.^ d 0 sure appropriate nursing care is provided.contributing to current health problems.sistance in determining the type of care that is required, how to determine the most appropriate time to seek that care, and where to go to receive it.information is essential to ensure that client achieves an ac-homeless client: a. Do you understand what your problem is? b. How will you get your prescriptions ficurate understanding of information presented and that the nurse correctly interprets what the client is attempting to convey.municate. Use language that the client can comprehend. needs.Discuss eating and sleeping habits. 344 to determine level of personal risk.to determine specifiThese actions may be Client may need as- lled? c self-care This 1 10/1/10 9:37:52 AM 0 / 1 / 10 9 : 37 : 52 AM