Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(^60) 1. Client is able to accomplish daily activities within the envi-Outcome Criteria 5. Teach prospective caregivers methods that have been successful 4. Use tranquilizing medications and soft restraints, as pre- 3. Frequently orient client to reality and surroundings. 2. Prospective caregivers are able to verbalize means of provid-^ of excessive hyperactivity. f. Pad side rails and headboard of client with seizure disor-ronment without experiencing injury.successful interventions may be helpful. g. If client is prone to wander, provide an area within which for client’s safety after discharge from the hospital. Sharing d. Remove potentially harmful articles from client’s room: in preventing client injury. entation may endanger client safety if he or she unknowingly wanders away from safe environment. c. Store items that client uses frequently within easy access.scribed by physician, for client’s protection during periods e. Remain with client while he or she smokes.to provide for client safety.they can increase agitation. They may be required, however, ●^ wandering can be carried out safely. manual of individual institution.der. Institute seizure precautions as described in procedure cigarettes, matches, lighters, sharp objects.ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONThese caregivers will be responsible Use restraints judiciously, because Disori-

2 2506_Ch03_054-070.indd 60 506 Ch 03 054 - 070 .indstrates that he or she can be physically, emotionally, and/or sexually ●[Chronic alteration in structure or function of brain tissue, Related/Risk Factors (“related to”)harmful [either to self or to others]. dDefi 6 secondary to the aging process, multiple infarcts, HIV dis-ease, head trauma, chronic substance abuse, or progressively dysfunctional physical condition resulting in the following symptoms: RISK FOR SELF-DIRECTED OR 0 ing safe environment for client.OTHER-DIRECTED VIOLENCE nition: IllusionsDelusional thinkingHallucinationsSuspiciousness of othersAt risk for behaviors in which an individual demon- 10/1/10 9:33:40 AM 10 / 1 / 10 9 : 33 : 40 AM