Scribd Logo
Upload

Welcome to Scribd!

  • 75 views

    Assessment Explanation of The Problem Objectives Intervention Rationale Evaluation

    Uploaded by

    Dyanne Bautista
    The patient has schizophrenia and is at risk of violence. The objectives are to recognize increased anxiety and maintain reality orientation within 2 weeks. The interventions are to keep a low stimulus environment, observe the patient closely every 15 minutes, and remove harmful objects. The rationales are that anxiety increases in stimulating environments, close observation allows for prompt intervention, and removing objects prevents self-harm. The evaluations are that anxiety is maintained at a non-aggressive level and the patient maintains reality orientation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Assessment Explanation of The Problem Objectives Intervention Rationale Evaluation

    Uploaded by

    Dyanne Bautista
    75 views2 pages
    The patient has schizophrenia and is at risk of violence. The objectives are to recognize increased anxiety and maintain reality orientation within 2 weeks. The interventions are to keep a low stimulus environment, observe the patient closely every 15 minutes, and remove harmful objects. The rationales are that anxiety increases in stimulating environments, close observation allows for prompt intervention, and removing objects prevents self-harm. The evaluations are that anxiety is maintained at a non-aggressive level and the patient maintains reality orientation.

    Original Description:

    Original Title

    NCPCase-Study.docx

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    The patient has schizophrenia and is at risk of violence. The objectives are to recognize increased anxiety and maintain reality orientation within 2 weeks. The interventions are to keep a low stimulus environment, observe the patient closely every 15 minutes, and remove harmful objects. The rationales are that anxiety increases in stimulating environments, close observation allows for prompt intervention, and removing objects prevents self-harm. The evaluations are that anxiety is maintained at a non-aggressive level and the patient maintains reality orientation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    75 views2 pages

    Assessment Explanation of The Problem Objectives Intervention Rationale Evaluation

    Uploaded by

    Dyanne Bautista
    The patient has schizophrenia and is at risk of violence. The objectives are to recognize increased anxiety and maintain reality orientation within 2 weeks. The interventions are to keep a low stimulus environment, observe the patient closely every 15 minutes, and remove harmful objects. The rationales are that anxiety increases in stimulating environments, close observation allows for prompt intervention, and removing objects prevents self-harm. The evaluations are that anxiety is maintained at a non-aggressive level and the patient maintains reality orientation.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    ASSESSMENT EXPLANATION OBJECTIVES INTERVENTION RATIONALE EVALUATION

    OF THE
    PROBLEM
    o objective: Schizophrenia In 2 weeks 1.Keep the patient 1. Anxiety level o Anxiety is
    is a mental the patient environment at low will increase in an
    Walking back maintained
    disease in can recognize stimulus levels environment full of
    and forth. which patient signs of (low irradiation, stimulus. at a level
    o Increased experiences increased little people, the Individuals that where the
    motor symptoms such anxiety and decor is simple, there might be patient does
    activity, as delusions, report to the low noise level). perceived as a not become
    hallucination nurse to be threat because of
    footsteps, and given suspicious, so aggressive
    arousal, disorganized intervention eventually make the
    irritability behaviors. as needed. patient agitation. o The patient
    and 2.Observe the maintains
    behavior of the 2.Close observation
    restlessness patient closely is important, the reality
    (every 15 because then orientation.
    NURSING DIAGNOSIS: minutes). Do this appropriate
     Risk of violence as a routine interventions can be
    related to activity to avoid given immediately
    schizophrenia suspicion in the and to always make
    patient. sure that patients
    are safe.
    3. Remove any
    objects that could 3.If the patient is
    harm the in a state of
    environment around agitated, confused,
    the patient patients will not
    use these objects to
    harm themselves or
    others.
    ASSESSMENT EXPLANATION OBJECTIVES INTERVENTION RATIONALE EVALUATION
    OF THE
    PROBLEM
    Objective: Schizophrenia STO:  Observe patient  Close observation STO:
    Restlessness is a mental  After 4 reactions during necessary to protect After the
    Panic disease in hours of routine patient care. self from harm. nursing
    Delirium which patient nursing intervention,
    Self experiences intervention  Assess congruency of  To determine the need patient would
    mutilation symptoms such the patient behaviours. of prompt intervention. not have
    as delusions, will not himself.
    hallucination harm  Self esteem
    and himself. enhancement-self  To improve self esteem LTO:
    NURSING disorganized esteem journal give and avoid risk for  After the
    DIAGNOSIS: behaviors. positive feed back. suicidal ideations. nursing
    Risk for LTO: interventions
    injury: self  After 2 days the patient
    directed of nursing would have
    related to intervention refrain form
    command the patient suicidal
    hallucination will refrain threats or
    from behaviour
    suicidal gestures.
    acts or
    gestures.

    You might also like