Disturbed thought The patient will be able to process related to SUBJECTIVE: DX. verbalize recognition of schizophrenia delusional thoughts if they “ I can see shadowy Identified factors present persist and that the patient DEFINITION figures, and I can hear to know the static whispers in my will perceive the causative/contributing environment correctly while Describes an ears, and I can visually factors. she demonstrates satisfying individual see a clowns and spiders, with altered percepti I feel like there is a girl Reviewed laboratory relationships with real on and cognition that stabbing me “ values for abnormalities people. Patient will interferes with daily such as metabolic demonstrate decrease living. Causes are alkalosis, hypokalemia, an anxiety level and lastly the OBJECTIVE: emia, elevated ammonia biochemical or patient will be able to sustain psychological levels, and signs attention and concentration Patient has an disturbances like of infection. to complete task or increased anxiety depression and when telling what Assessed attention activities. personality disorders. she’s been span/distractibility and The focus of nursing experiencing. ability to make decisions Patient says she or problem solve. is to feels pain when reduce disturbed thin she experienced TX king and promote them reality orientation. Repressed fears Assisted with Overwhelming testing/review results describes stressful life evaluating mental status events she according to age and experienced developmental capacity. Provided baseline for comparison of patients usual thinking ability, changes in behavior, length of time problems has existed and other pertinent information. Maintained interaction with the patient by talking to help lessen the feeling of anxiety and fear
EDX
Encouraged healthy habits
to optimize functioning: Maintained medication regimen. Maintained regular sleep pattern. Maintained self-care. Reduced alcohol and drug intake.
Discussed clients coping
skills that help minimize “worrying” thoughts. Coping skills include: Going to a gym. Phoning a helpline. Singing or Listening to a song. Talking to a trusted friend. Thought-stopping techniques.
Explained the procedures
to the client and made sure the client understands the procedures before carrying them out.