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The patient verbalized thoughts of violence towards others. The nursing diagnosis is risk for violence or aggression. Short term goals are for the patient to verbalize feelings and impulses without injury and identify impulsive behaviors. Long term goals within 3 weeks to 1 month are for the patient to display non-aggressive behavior, refrain from provoking harm, and avoid threats. The nursing intervention is to regularly assess for agitation, use a calm firm approach, redirect to physical outlets, and encourage verbalization in a non-judgmental environment.
The patient verbalized thoughts of violence towards others. The nursing diagnosis is risk for violence or aggression. Short term goals are for the patient to verbalize feelings and impulses without injury and identify impulsive behaviors. Long term goals within 3 weeks to 1 month are for the patient to display non-aggressive behavior, refrain from provoking harm, and avoid threats. The nursing intervention is to regularly assess for agitation, use a calm firm approach, redirect to physical outlets, and encourage verbalization in a non-judgmental environment.
The patient verbalized thoughts of violence towards others. The nursing diagnosis is risk for violence or aggression. Short term goals are for the patient to verbalize feelings and impulses without injury and identify impulsive behaviors. Long term goals within 3 weeks to 1 month are for the patient to display non-aggressive behavior, refrain from provoking harm, and avoid threats. The nursing intervention is to regularly assess for agitation, use a calm firm approach, redirect to physical outlets, and encourage verbalization in a non-judgmental environment.
CUES/CLUES OBJECTIVE RATIONALE EVALUATION DIAGNOSIS RATIONALE INTERVENTION Patient Risk for violence aggression Short term: Assess the Early detection and intervention verbalized towards others After the nursing patients of mania will prevent the After the nursing “sinusuntok ko refers to a interaction: possibility of harm towards interaction: behavior yung pader range of the patient will be regularly for others and decrease the the patient is kapag nagagalit behaviors comfortable enough agitation or possibility of needing comfortable ako” to verbalize feelings hyperactivity restraints enough to that can and impulses verbalize Relative of the result in both the patient will be Use a calm and Provide control and structure to feelings and patient physical and free from injury firm approach the patient who is out of impulses verbalized psychologica the patient will be control and manipulative the patient is “nanakit, able to identify free from pinagbabantaan l harm to The patient has a short attention impulsive behaviors Use short and injury kaming yourself, the patient will be simple span and understanding is the patient is papatayin kami” others, or able to demonstrate statements limited able to self control identify according to the objects in To relieve stored feelings and let Redirect impulsive patient, he got the Long term: agitation and the patient express agitation in behaviors into fights which environment. After 3 weeks-1 month of violent a non violent way the patient is may imply nursing interactions: behaviors to able to This type of impulsiveness the patient will physical outlets demonstrate behavior in an area of self control display a non centers on aggressive behavior low stimulation the patient harming towards others (punching bag, displays a non the patient will counting 1-10, aggressive another refrain from writing your behavior person either provoking others to feelings them towards others physically or physical harm crumpling the the patient mentally. It the patient will paper) refrains from avoid verbal threats provoking can be a sign and loud profane Encourage The patient is able to release others to speech towards patient to tension and build up of physical harm of an others verbalize feelings within him. He is also the patient underlying feelings and able to reflect upon his avoids verbal mental assure a non impulses threats and judgmental loud profane health environment speech disorder, a when talking to towards others substance the patient use disorder, or a medical disorder.
Jean Pearl R. Caoili Bsn3 NCB Diagnosis: Paranoid Schizophrenia Psychiatric Nursing Care Plan Assessment Explanation of The Problem Goals/ Objectives Interventions Rationale Evaluation