NCP 2 in RLE 117
NCP 2 in RLE 117
NCP 2 in RLE 117
Subjective cues: P Impaired verbal Within the span Independent: After the span of care the
When talked to, he S communication of care the client Attempt to decode incomprehensible communication patterns, seek client able to express
would not answer Y related to will be able to validation and clarification. ideas, needs concerns as
but was observed C neurologic express ideas, R. These techniques reveal how the client is being perceived by others. evidenced by minimal
mumbling H impairement. needs concerns. Maintain non-verbal communication is not very successful looseness of association,
incomprehensible O R. Presence of nurse is a contact with reality for the client and can also neologisms and concrete
sounds to self. L Schizophrenia demonstrate the nurse’s interest and care for the client. thinking.
O refers to a group of Call client by name, make reference to the day and time and
Objective cues: G severe, disabling comment on the environment.
Poorly I psychiatric R. They’re all helpful ways to continue to contact with a client having
groomed, C disorders marked problems with reality orientation and verbal communication.
NEED by withdrawal from Maintain frequent contact and spent time with client.
Poor eye reality, illogical R. Clients who are left alone for long periods of time become more deeply
contact Safety and thinking, possible involved in their psychosis.
security delusions and Listen for themes, or recurrent statements, ask clarifying questions
Refuses to eat hallucinations, and or cues.
Maslow's emotional, R. To promote increased understanding.
Answered hierarchy of behavioral, or Let client know that her meaning is not clear.
questions with needs intellectual R. It is never useful to pretend to understand: it violates the trust
looseness of disturbance. The relationship between client and nurse.
assocation. most common early
warning signs of Ref: Psychiatric Mental Health Nursing by: Sheila Videbeck page
Noted with schizophrenia are 313
thought usually detected
blocking ( as until adolescence.
evidence by These include
past 3 mos, he depression, social
has been withdrawal, unable
observed to to concentrate,
be always hostility or
staring blankly suspiciousness,
in space) poor expressions of
emotions,
insomnia, lack of
Difficulty in
personal hygiene,
falling asleep
or odd beliefs.
(as admitted
by the
Ref.
patient)
Paul Martin, BSN,
R.N., 2019
He denied
https://nurseslabs.c
any forms of
om/schizophrenia-
hallucinations
nursing-care-plans/