Psychiatric Mental Health Nursing by Videbeck

NURSING CARE PLAN CONDUCT DISORDER

Nursing Diagnosis

➤Ineffective Coping

Inability to form a valid appraisal of the stressors, inadequate choices of practiced

responses, and/or inability to use available resources.

ASSESSMENTDATA

• Few or no meaningful peer
  relationships


• Inability to empathize with others


• Inability to give and receive affection


• Low self-esteem masked by
  “tough” act

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EXPECTEDOUTCOMES

Immediate

The client will:

• Engage in social interaction


• Verbalize feelings


• Learn problem-solving skills
  Stabilization
  The client will:


• Demonstrate effective problem-
  solving and coping skills


• Assess own strengths and weak-
  nesses realistically
  Community
  The client will:


• Demonstrate development of rela-
  tionships with peers


• Verbalize real feelings of self-worth
  that are age appropriate


• Perform at a satisfactory academic
  level

IMPLEMENTATION

Nursing Interventions *denotes collaborative interventions Rationale

Verbalizing feelings is an initial step toward deal-

ing with them in an appropriate manner.

Positive feedback increases the likelihood of

continued performance.

Clients with conduct disorders frequently experi-

ence rejection. The client needs support to

increase self-esteem, while understanding that

behavioral changes are necessary.

The client may have been receiving the majority

of attention from others when he or she was en-

gaged in problematic behavior, a pattern that

needs to change.

Encourage the client to openly discuss his or her

thoughts and feelings.

Give positive feedback for appropriate discussions.

Tell the client that he or she is accepted as a per-

son, although a particular behavior may not be

acceptable.

Give the client positive attention when behavior

is not problematic.

500 Unit 4 NURSINGPRACTICE FORPSYCHIATRICDISORDERS