signs and symptoms, nursing diagnosis, and outcomes for bipolar disorders – Flashcards
Unlock all answers in this set
Unlock answersquestion
Nursing diagnosis: wandering, risk for injury
answer
-signs and symptoms: hyperactivity, locomotion into unauthorized spaces, pacing, poor judgement -outcomes: remains in secure area when unaccompanied, can be redirected from unsafe activities, free from injury
question
Nursing diagnosis: risk for other-directed violence
answer
-signs and symptoms: loud, profane, hostile, combative, aggressive, demanding behaviors -outcomes: refrains from harming others, controls impulses, avoids violating others' space
question
Nursing diagnosis: sleep deprivation
answer
-signs and symptoms: anxiety, agitation inability to concentrate, restlessness, prolonged periods of time without sleep -outcomes:sleeps 5-8 hours a night, reports feeling rejuvenated after sleep
question
Nursing diagnosis: defensive coping, ineffective coping
answer
-signs and symptoms: poor reality testing, grandiosity, denial of problems, difficulty organizing and attending to information, poor concentration, inability to meet basic needs -outcomes: reports an increase in concentration, refrains from manipulative behavior, uses effective coping strateigies
question
Nursing diagnosis: self-care deficit (feeding, bathing, dressing)
answer
-signs and symptoms: minimal nutritional intake, poor hygiene, clothing unclean -outcomes: returns to precrisis level of care: completes means, tends to hygiene, dresses in clean clothing
question
Nursing diagnosis: interrupted family processes, caregiver role strain
answer
-signs and symptoms: giving away of valuables, neglect of family, impulsive major life changes (divorce, career changes), stress and frustration of family members -outcomes: family obtains adequate resources to meet the needs of members; family routine is reestablished
question
Nursing diagnosis: impaired verbal communication, impaired social interaction
answer
-signs and symptoms: pressured speech, flight of ideas, going from on person or event to another, annoyance or taunting of others, loud and crass speech, provocative behaviors -outcomes: initiates and maintains goal-directed and mutually satisfying verbal exchanges