His symptoms are replaced by indifference to his feelings
He participates in diversionary activities.
He learns to verbalize his feelings and concerns
He states that his behavior is irrational.
“I feel envious of mothers who have toddlers”
“I haven’t been able to open the door and go into my baby’s room “
“I watch other toddlers and think about their play activities and I cry.”
“I often find myself thinking of how I could have prevented the death.
Ineffective individual coping related to loss.
Impaired verbal communication related to inadequate social skills.
Low esteem related to failure in role performance
Impaired social interaction related to repressed anger.
Observe for confusion
Monitor respiratory status
Reorient to time. place and person
Document the client’s response to the treatment
Set realistic limits to the client’s behavior
Repeat verbal instructions as often as needed
Allow the client to get out feelings to relieve tension
Assign a staff to be with the client at all times to help maintain control
Agree on a consistent approach among the staff assigned to the client.
Suggest that the client take a leading role in the social activities
Provide the client with extra time for one on one sessions
Allow the client to negotiate the plan of care
Taking a directive role in verbalizing feelings
Using an authoritarian. confrontational approach
Putting the client in a seclusion room
Applying mechanical restraints
Recognize this as a drug interaction
Give the client Cogentin
Reassure the client that these are common side effects of lithium therapy
Hold the next dose and obtain an order for a stat serum lithium level