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Cues for Managing Violent Behavior

- 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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Nickha Lazo
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81 views3 pages

Cues for Managing Violent Behavior

- 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.

Uploaded by

Nickha Lazo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

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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