Mrs. B denies feelings of wanting to harm anyone.
Mrs. B expresses feelings of anger towards others.
Mrs. B requests cigarettes at appropriate times.
Mrs. B tells the nurse about wanting to burn herself.
Avoiding direct expressions of problems with family
Changing Mary Ann’s problem behaviors
Supporting Mary Ann’s defenses.
Intense fear of being alone
Evidence of self-mutilating attempts
Evidence of suspiciousness and mistrust of others
Indifferent attitude toward approval of criticism
Unstable moods with impulsive behaviors
Presence of odd mannerisms, speech, and behaviors
Ask the client to think about the consequences of behavior.
Allow the client time to perform specific rituals.
Develop a consistent team approach to handle the client’s behaviors.
Help the client to express anxiety verbally rather than with specific symptoms.
Provide immediate feedback concerning the client’s specific behaviors.
Set limits in a clear, direct manner.
Point out how angry Barbara is becoming.and confront the behavior.
Take a calm.quiet.and nonconfrontational approach.and avoid arguing with Barbara.
Tell Barbara to calm down and to avoid becoming explosive or restraints will be used.
Use a gentle touch and a caring approach to calm Barbara.
Active listening techniques
Challenging the client’s assertions
Forming social relations
Seeking peer or supervisor direction
“Why did you take the money?”
“Let’s talk about how you felt when you took the money.”
“The consequences of stealing are a loss of privileges.”
“This client is defenseless against you.”
Establish a therapeutic relationship in which the nurse uses role-modeling and role-playing for appropriate behaviors.
Help the client to select friends who are kind and extra caring.
Point out that the client acts in ways that alienate others.
Recognize that this client is unlikely to change and therefore intervention is inappropriate.
Inflexible behaviors.along with the use of rigid defense mechanisms.are characteristic.
Judgmental behavior.including self-insight.is common.
Religious fanatics often have personality disorders.
Strong belief systems are common and can help identify evidence of instability.
Psychotic behavior is common during acute episodes.
Prognosis for recovery is good with therapeutic intervention.
The individual typically remains in the mainstream of society.although he has problems in social and occupational roles.
The individual usually seeks treatment willingly for symptoms that are personally distressful.