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Disturbed Thought Process

The document outlines a nursing care plan for a client experiencing delusional thoughts. The short-term goal is for the client to recognize and verbalize that false ideas occur during times of increased anxiety. Long-term goals include experiencing no delusional thoughts and differentiating between delusional and realistic thinking by discharge. Interventions include not arguing about delusions, helping connect false beliefs to anxiety, focusing discussions on reality, and assisting with verbalizing feelings. The plan aims to help the client manage anxiety and reduce delusional thinking.

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JessieRamosAniceto
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3K views4 pages

Disturbed Thought Process

The document outlines a nursing care plan for a client experiencing delusional thoughts. The short-term goal is for the client to recognize and verbalize that false ideas occur during times of increased anxiety. Long-term goals include experiencing no delusional thoughts and differentiating between delusional and realistic thinking by discharge. Interventions include not arguing about delusions, helping connect false beliefs to anxiety, focusing discussions on reality, and assisting with verbalizing feelings. The plan aims to help the client manage anxiety and reduce delusional thinking.

Uploaded by

JessieRamosAniceto
Copyright
© Attribution Non-Commercial (BY-NC)
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

NCP Assessment Diagnosis Planning Short-Term Goal After 6 hour of nursing intervention the client will recognize and

verbalize that false ideas occur at times of increased anxiety. Long-Term Goa 1. By time of discharge from treatment, client will experience (verbalize evidence of) no delusional thoughts. 2. By time of discharge from treatment, client will be able to differentiate between delusional thinking and reality. Intervention Independent: 1. Convey your acceptance of client's need for the false belief, while letting him or her know that you do not share the belief. It is important to communicate to the client that you do not accept the delusion as reality. 2. Do not argue or deny the belief. Use reasonable doubt as a therapeutic technique: "I find that hard to believe." Goal met: After 6 hour of nursing intervention the client will recognized and verbalized false ideas occur at times of increased anxiety Evaluation

Subjective: Galing ako dumagute kaso walang trabaho dito sa Manila .kaya pagala gala ako ayaw din ako tulungan ng kamag anak ko dito as verbalized by the patient.

Disturbed thought process related to stress & weak ego.

Objective:

-Delusional thinking -Inability to concentrate -Inaccurate interpretation of the environment -Impaired ability to make decisions, problem-solve, reason, abstract or conceptualize, calculate -Inappropriate non-reality-based thinking

Arguing with the client or denying the belief serves no useful purpose, because delusional ideas are not eliminated by this approach, and the development of a trusting relationship may be impeded. 3. Help client try to connect the false beliefs to times of increased anxiety. Discuss techniques that could be used to control anxiety (e.g., deep breathing exercises, other relaxation exercises, thought stopping techniques). If the client can learn to

interrupt escalating anxiety, delusional thinking may be prevented. 4. Reinforce and focus on reality. Discourage long ruminations about the irrational thinking. Talk about real events and real people. Discussions that focus on the false ideas are purposeless and useless, and may even aggravate the psychosis. 5. Assist and support client in his or her attempt to verbalize feelings of anxiety, fear, or insecurity. Verbalization of

feelings in a nonthreatening environment may help client come to terms with long unresolved issues. Dependent: Administer medication as per doctors order

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