Cues

Subjective—

Nursing Diagnosis
DISTURBED THOUGHT PROCESSES related to Unresolved grief-denial of depression evidenced by Impaired ability to make decisions, problem solve, reason

Analysis

Goals and Objectives
Short-Term Goal : Within 1 week, client will be able to recognize and verbalize when thinking is non--reality based Long-Term Goal Client will experience no delusional thinking by discharge from treatment.
Objectives:

Interventio ns

Rationale

Evaluation

“ kasi yung babaeng gusto ko, hindi ako gusto, si Jackylou. Eh kasi pauwi na kami noon, tapos ihahatid ko sana sya gamit ang motor ko, eh sabi nya may sundo daw sya” “kaya ayun, nalungkot ako ng sobra, naginom ako, tapos nagwala ako sa bahay dahil sa pagibig k okay Jackylou” Objective:

Grief affects all aspects of one's life. Most often, it is the response to loss of a loved one through death or separation. It may also follow the loss of something that is highly valued, such as a job, an object, or status. People often have emotional, physical, and behavioral reactions to an irrevocable loss. Grief usually lessens over time.

The client was able to experience no delusional thinking by discharge from treatment

1. Let the client express or
verbalized what he/she feels.

1. Do not argue or deny the belief. Use reasonable doubt as a therapeutic technique: "I find that hard to believe."

Mood and facial expressio n: happy and smiling face • VS T-35.6 Bp-120/80 Pr-76 RR-18 2. Teach client to intervene, using thoughtstopping

1. Arguing with the client or denying the belief serves no useful purpose, because delusional ideas are not eliminated by this approach, and the development of a trusting relationship may be impeded

.

2. Tell the client to
minimize the time that he talks too much. Like when he seeks attention

2. This noise or command Distracts the individual from