beautiful mind
Nursing Process
Assessment:
• An inability to communicate, which takes its toll on interpersonal relationships and intimacy. Evidenced by Nash’s relationship with his wife and other people.
• Nash exhibits many of the key symptoms of the disease: hallucinations (he has a roommates but he lives in a single dorm room)
• Nash exhibits delusions (thinks he works for the government)
• He has ideas of reference, poor social skills (mumbles, doesn’t talk much to strangers), awkward gestures and facial expressions.
Nursing diagnosis:
Disturbed Sensory Perception (Auditory)
Expected Outcomes
• Demonstrate decreased hallucinations
• Interact with others in the external environment
• Verbalize knowledge of hallucinations or illness and safe use of medications
• Participate in the real environment
• Make sound decisions based on reality
• Participate in community activities or programs
Nursing Interventions
NURSING INTERVENTIONS RATIONALE
Be sincere and honest when communicating with the client. Avoid vague or evasive remarks. Delusional clients are extremely sensitive about others and can recognize insincerity. Evasive comments or hesitation reinforces mistrust or delusions.
Be consistent in setting expectations, enforcing rules, and so forth. Clear, consistent limits provide a secure structure for the client.
Do not make promises that you cannot keep. Broken promises reinforce the client’s mistrust of others.
Encourage the client to talk with you, but do not pry for information. Probing increases the client’s suspicion and interferes with the therapeutic relationship.
Explain procedures, and try to be sure the client understands the procedures before carrying them out. When the client has full knowledge of procedures, he or she is less likely to feel tricked by the staff.
Give positive feedback for the client’s successes. Positive feedback for genuine success enhances the client’s sense of well-being and helps make non-delusional reality a more
Assessment:
• An inability to communicate, which takes its toll on interpersonal relationships and intimacy. Evidenced by Nash’s relationship with his wife and other people.
• Nash exhibits many of the key symptoms of the disease: hallucinations (he has a roommates but he lives in a single dorm room)
• Nash exhibits delusions (thinks he works for the government)
• He has ideas of reference, poor social skills (mumbles, doesn’t talk much to strangers), awkward gestures and facial expressions.
Nursing diagnosis:
Disturbed Sensory Perception (Auditory)
Expected Outcomes
• Demonstrate decreased hallucinations
• Interact with others in the external environment
• Verbalize knowledge of hallucinations or illness and safe use of medications
• Participate in the real environment
• Make sound decisions based on reality
• Participate in community activities or programs
Nursing Interventions
NURSING INTERVENTIONS RATIONALE
Be sincere and honest when communicating with the client. Avoid vague or evasive remarks. Delusional clients are extremely sensitive about others and can recognize insincerity. Evasive comments or hesitation reinforces mistrust or delusions.
Be consistent in setting expectations, enforcing rules, and so forth. Clear, consistent limits provide a secure structure for the client.
Do not make promises that you cannot keep. Broken promises reinforce the client’s mistrust of others.
Encourage the client to talk with you, but do not pry for information. Probing increases the client’s suspicion and interferes with the therapeutic relationship.
Explain procedures, and try to be sure the client understands the procedures before carrying them out. When the client has full knowledge of procedures, he or she is less likely to feel tricked by the staff.
Give positive feedback for the client’s successes. Positive feedback for genuine success enhances the client’s sense of well-being and helps make non-delusional reality a more