cues diagnosis reference outcome "Ganahan -wearing a Disturbed One hallmark nako ninja-like thought symptom of That after 3 weeks Independent: Mugawas outfit processes schizophrenic of Nursing Care . Patient was diri, kay -with the related to psychosis is Management, 1. Interact with -interacting able to mangtapas visual psychological hallucinations. Patient will be able the client on about reality is recognize the nako ug hallucination and cognitive Hallucination to: the basis of healthy for the presence of tubo sa -limited disturbances as can involve real things; client hallucinations, amu" as attention manifested by the five senses 1. Demonstrate do not dwell and verbalized verbalized span limited and bodily behavior/ on the feelings of by the -laughing and attention span, sensation. lifestyle hallucination comfort, patient talking to hallucination , They can be changes to al material. wanted to go himself and laughing threatening prevent, 2. Assess -determines home and without and talking to and minimize attetntion ability to continue his apparent himself without frightening for changes in span/distrac participate in work reason any reason the client ; mentation tibility and planning/ less 2. Respond to ability to executing care Definition: frequently, reality-based make disruption in client's report interactions decisions/ cognitive hallucinations initiated by problem operation and as pleasant. others solution -provides activities Initially client 3. Sustain 3. Schedule stimulation perceives attention and structured while reducing Source: hallucinations concentration activity and fatigue Doenges , M.E. as real, but to complete rest periods et a.l.(2008) later in the tasks and 4. Reduce -to avoid Nurses Pocket illness ,he or activities provocative triggering fight/ Guide, she may 4. Verbalize stimuli, fight responses Diagnosis, recognize recognition of negative Prioritized them as hallucinations criticism, interventions hallucination. if they persist arguments and Rationales . Hallucinations, and 11th edition however, have confrontatio - Client Disturbed no such basis ns may feel Thought and reality. 5. Refrain from threaten Process pages Source: forcing ed and 696-700 Videbecks, S. activities may L.(2006). and withdraw Psychiatric communicat /rebel Mental Health ion Nursing #rd Edition Dependent: - to treat Sensorium and psycholo intellectual 1. Administer gical and page 288 antipsychoti cognitive c med as disturban prescribed ce Collaborative: - to 1. Assist in maintain identifying gains ongoing and treatment continue needs/ progress rehabilitatio if able n program for the individual .