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    Cues Inference Nursing Diagnosis Objectives & Interventions: Objective: Sto

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    Nickha Lazo
    - The client has a history of violence, including punching his son and a fellow patient. He becomes violent when things are unorganized or messy. - The nursing objectives are for the client to recognize signs of increasing anxiety and agitation and report to staff for assistance within 45 minutes, and to not harm self or others within 3 days. - Interventions include maintaining a calm attitude, observing the client frequently, redirecting violent behavior with physical outlets, maintaining a low-stimulus environment, removing dangerous objects, and having sufficient staff available if needed.

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    Cues Inference Nursing Diagnosis Objectives & Interventions: Objective: Sto

    Uploaded by

    Nickha Lazo
    36 views3 pages
    - The client has a history of violence, including punching his son and a fellow patient. He becomes violent when things are unorganized or messy. - The nursing objectives are for the client to recognize signs of increasing anxiety and agitation and report to staff for assistance within 45 minutes, and to not harm self or others within 3 days. - Interventions include maintaining a calm attitude, observing the client frequently, redirecting violent behavior with physical outlets, maintaining a low-stimulus environment, removing dangerous objects, and having sufficient staff available if needed.

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    Cues

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    - The client has a history of violence, including punching his son and a fellow patient. He becomes violent when things are unorganized or messy. - The nursing objectives are for the client to recognize signs of increasing anxiety and agitation and report to staff for assistance within 45 minutes, and to not harm self or others within 3 days. - Interventions include maintaining a calm attitude, observing the client frequently, redirecting violent behavior with physical outlets, maintaining a low-stimulus environment, removing dangerous objects, and having sufficient staff available if needed.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    36 views3 pages

    Cues Inference Nursing Diagnosis Objectives & Interventions: Objective: Sto

    Uploaded by

    Nickha Lazo
    - The client has a history of violence, including punching his son and a fellow patient. He becomes violent when things are unorganized or messy. - The nursing objectives are for the client to recognize signs of increasing anxiety and agitation and report to staff for assistance within 45 minutes, and to not harm self or others within 3 days. - Interventions include maintaining a calm attitude, observing the client frequently, redirecting violent behavior with physical outlets, maintaining a low-stimulus environment, removing dangerous objects, and having sufficient staff available if needed.

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    CUES INFERENCE NURSING DIAGNOSIS OBJECTIVES &

    INTERVENTIONS
    Objective: - Risk for violence directed to others OBJECTIVES:
    - History of violence -The client always hurt his son or STO:
    Punched his own son for not keeping punching him when his room is not Within 45 minutes of nurse-client
    his things organized clean and after a week he punched his interactions, the client will recognize
    fellow patient at a Male psychward signs of increasing anxiety and
    because of unorganized things agitation and report to staff for
    assistance with intervention.
    LTO:
    Within 3 days of nurse-client
    interactions, the client will not harm
    self or others.
    INTERVENTIONS
    - Maintain and convey a calm attitude
    toward client.
    - Observe clients behavior frequently
    (every 15 minutes).

    - Try to redirect the violent behavior


    with physical outlets for the clients
    anxiety.

    - Maintain low level of stimuli in clients


    environment (low noise level).

    - Remove all dangerous objects from


    clients environment

    - Have sufficient staff available to


    indicate a show of strength to client if it
    becomes necessary.

    Subjective: According to Kubler Rosss stages of Ineffective coping related to situational OBJECTIVE:
    Yung lola ko (cries) nasunog kasi grief and loss, the patient may not crisis.
    yung lola ko have overcome the loss of his STO: Within 45 minutes of nurse-client
    grandmother that may be a interactions,the client will Verbalize
    contributory factor. feelings congruent with behavior.

    LTO: Within 3 days of nurse-client


    interactions, the client will Identify
    ineffective coping behaviors and
    consequences.

    INTERVENTIONS:
    - Assess level of anxiety and coping
    on an ongoing basis.

    -Note speech and communication


    patterns.

    - Ascertain clients understanding of


    current situation and its impact.

    - Active-listen and identify clients


    perceptions of what is happening.
    -Evaluate clients decision-making
    ability.

    - Determine previous methods of


    dealing with life problems to identify
    successful techniques that can be
    used in current situation.

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