Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

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Interventions with Client will progress satisfactorily through the grieving process.Client will verbalize feelings of grief related to loss of freedom.Long-term GoalGoals/ObjectivesShort-term Goal 4. Anger may be displaced onto the nurse or therapist, and cau- 1. Convey an accepting attitude—one that creates a nonthreat- 2. Identify the function that anger, frustration, and rage serve 3. Encourage the client to discharge pent-up anger through^366 countertransference. These are very diffition must be taken to guard against the negative effects of ening environment for the client to express feelings. Be hon-est and keep all promises. and effective method for discharging pent-up tension.the client that you believe he or she is a worthwhile person. volleyball, punching bag). from the therapist. These feelings must be acknowledged but for the client. Allow the client to express these feelings within reason. participation in large motor activities (e.g., physical exercises, ronment may help the client come to terms with unresolved grief.the capacity for eliciting a whole array of negative feelings Trust is enhanced.^ ●^ SPECIAL TOPICS IN PSYCHIATRICVerbalization of feelings in a nonthreatening envi- Selected RationalesAn accepting attitude conveys to Physical exercise provides a safe cult clients who have

2506_Ch22_358-369.indd Sec1:366 2506 Ch 22 358 - 369 .ind 7. Set limits on acting-out behaviors and explain consequences 6. Help the client understand appropriate ways to express anger.^ 5. Explain the behaviors associated with the normal grieving d Syou. Role-modeling ways to express anger in an appropriate manner is a powerful learning tool.cilitate the client’s progression toward resolution of grief.of violation of those limits. Be supportive, yet consistent and fiprocess. Help the client to recognize his or her position in this process. Give positive reinforcement for behaviors used to express an-control to limit maladaptive behaviors; therefore, assistance is required from staff. Without consistency on the part of all staff members working with the client, a positive outcome will not be achieved.ger appropriately. Act as a role model. not allowed to interfere with the therapeutic process.enhances self-esteem and encourages repetition of desirable behaviors. It is appropriate to let the client know when he or she has done something that has generated angry feelings in e rm in working with this client. c 1 : 366 This knowledge about normal grieving may help fa-Client lacks suffiPositive reinforcement cient self- 1 10/1/10 9:38:17 AM 0 / 1 / 10 9 : 38 : 17 AM

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