Cues Subjective: “Kasi napaaway ako noon eh, nakainom kasi yung mga kabarkada ko tapos inaway nila ako

kaya dinala ako dito para makaiwas sa away.” “Nanunuod ng TV, nakikipagkwent uhan sa mga nandito, yung ibang nandito kasi may mga problema sa pag-iisip, o yung iba dahil sa drugs.” “Pero ako kasi nandito ako dahil pinapalamig pa ako ng Kuya ko dahil nga napaaway ako dati.”

Nursing Diagnosis Deficient Knowledge related to information misinterpretati on as manifested by delusion

Analysis A person diagnosed with schizophrenia may experience hallucinations (most commonly hearing voices), delusions (often bizarre or persecutory in nature), and disorganized thinking and speech. A delusion is a fixed belief that is either false, fanciful, or derived from deception. In psychiatry, it is defined to be a belief that is pathological (the result of an illness or illness

Goals and Objectives Goal: After 2 hours of nursing intervention the client will be able to verbalize understanding of his condition and treatment. Objectives: The client will assume responsibility for own learning by beginning to look for information and ask questions.

Nursing Intervention


Evaluation After 2 hours of nursing intervention, did the client able to verbalize understanding of his condition and treatment?

Ascertain level of knowledge, including anticipatory need. Determine client’s ability and barriers to learning. Be alert to signs of avoidance. Client may need to suffer sequences of lack of knowledge before he is ready to accept information.

YES ____ NO ____

physical factors. Provide information relevant only Provide positive reinforcement s Discuss one topic at a time. Identify motivating factors for the individual. stupidity.Objective: height of 5’7 weighs 130lbs slouched posture process) and is held despite evidence to the contrary. dogma. Assess the level of the client’s capabilities and the possibilities of the situation. illusion.wikip e dia. Delusion Determine blocks to learning: language barriers. apperception. Prevent overload Can encourage continuaton of efforts. The client will be able participate in learning process. Can arouse interest/ limit sense of being . or other effects of perception. Motivation may be a negative or positive stimulus. As a pathology. avoid giving too May need of caregivers to learn. it is distinct from a belief based on false or incomplete information.

To answer questions or validate information postdischarge.much information in one session. The client will initiate necessary lifestyle changes and participate in treatment regimen Client feels competent and respected. Discuss client’s perception of need. . Identify information that needs to be remembered. Relate information to client’s personal desires or needs and values. Provide mutual goal setting and overwhelmed. Clarifies expectations of teacher and learner. progressing from simple to complex. Begin with information the client already knows and move to what the client does not know.

learning contracts. Provide access information for contact person .

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