Behavioral Objectives



| Behavioral Objectives |Content Outline |Clinical Objectives |Learning opportunities |

|Apply the terms listed in the content column |Application of terms |Evaluate the learning needs of self, |Review Defense Mechanisms from |

|appropriate to the client’s situations. |Abuse |peers, or others and intervene to assure |Level I, II. |

| |Codependency |quality of care. | |

| |Confabulation | |READ: |

| |Dependence |Use communication techniques and |Varcolis and Halter 6th ed. (2010) |

| |Detoxification |management skills to maintain professional| |

| |DSM-IV |boundaries between clients and individual |Lewis (2011) |

| |Hallucination |health care team members. | |

| |Illusion | |Adams (2011) |

| |Passive-aggressive |Recognize and communicate repetitive | |

| | |client care problems that might warrant |McKinney (2009) |

|Compare and contrast the neuro | |investigation. | |

|anatomy and physiology of the brain |Psychosocial assessment | | |

|in relation to maladaptive disorders. |Mental status exam |Interpret verbal and non-verbal |MEDCOM ONLINE FILMS: |

| |Interview |communication. |Antianxiety Agents |

| |Chief complaint | | |

| |Precipitating event |Provide holistic care that addresses the |Antidepressant Agents |

| |Medical history |needs of diverse individuals across the | |

| |Social/occupational history |life span. |Abuse Part 1: Physical Abuse |

| |Medication history (prescription/nonprescription) | | |

| |Knowledge of health maintenance |Utilize therapeutic communication skills |Child Abuse Part 2: Neglect and Emotional Abuse |

| |Family history |when interacting with clients. |Physical |

| |Genogram | |Abuse |

| | |Initiate nursing interventions to promote | |

| |Laboratory Studies & Brain Imaging |client’s psychosocial well-being. |Child Abuse Part 3: Sexual Abuse |

| |Drug Testing | | |

| |Thyroid function tests |Facilitate the development of client |Recognizing Elder Abuse: Working Together to Keep |

| |Liver function tests |coping mechanisms during alterations in |Residents Safe |

| |Brain Scans |health status. | |

| |Polysomnography | | |

| |Cultural influences |Use knowledge of societal trends to | |

| |Hereditary |identify and communicate client care | |

| |Environmental |problems. | |

| |Health beliefs/practices | | |

| | | | |

| |Developmental | | |

| |Age specific assessment data | | |

| |Behavioral/emotional response to health care providers | | |

| | | | |

| |Complex Maladaptive Disorders | | |

|Analyze factors included in the |Anxiety disorders | | |

|assessment of the client with |Panic disorders | | |

|maladaptive disorder, including the |Phobias | | |

|developmental and cultural |Obsessive compulsive disorder (OCD) | | |

|considerations. |Post traumatic stress syndrome (PTSD) | | |

| |Generalized anxiety disorders (GAD) | | |

| |Somatoform Disorders and Factitious Disorders | | |

|Differentiate between the etiology, |Complex Maladaptive Disorders | | |

|pathophysiology, and clinical |Anxiety disorders | | |

|manifestations of selected complex |Panic disorders | | |

|maladaptive disorders. |Phobias | | |

| |Obsessive compulsive disorder (OCD) | | |

| |Post traumatic stress syndrome (PTSD) | | |

| |Generalized anxiety disorders (GAD) | | |

| |Somatoform Disorders and Factitious Disorders | | |

| |Eating disorders | | |

| |Anorexia nervosa | | |

| |Bulimia | | |

| |Substance abuse | | |

| |Domestic Violence | | |

| |Intimate Partner Violence | | |

| |Child abuse | | |

| |Elderly abuse | | |

| |Rape | | |

| |Suicide | | |

| | | | |

|Discuss analysis, planning, implementation and |Selected nursing diagnoses/nursing implementation/evaluation | | |

|evaluation for the nursing management of clients with|Ineffective individual coping | | |

|complex maladaptive disorders. |Independent interventions | | |

| |Establish nurse-client relationship | | |

| |Provide for client safety | | |

| |Physiological | | |

| |Psychological | | |

| |Set limits | | |

| |Teach effective coping skills | | |

| |Anxiety/stress reducing techniques | | |

| |Support systems | | |

| |Community support groups | | |

| |Teach self-care (activities of daily living) | | |

| |Nutrition | | |

| |Exercise | | |

| |Sleep | | |

| |Acknowledge nurses feelings about individuals with mental illness | | |

| |Assist in building self-esteem | | |

| |Collaborative interventions | | |

| |Collaborate with mental health providers | | |

| |Treatment modalities | | |

| |Milieu | | |

| |Individual | | |

| |Group | | |

| |Family | | |

| |Behavioral | | |

| |Administer medications and monitor for desired effects/adverse| | |

| |effects/side effects | | |

| |Selective Serotonin Reuptake Inhibitors (SSRI) | | |

| |Benzodiazepine (Bz) | | |

| |Alcohol deterrent | | |

| |Methadone | | |

| |Hormones | | |

| |Vitamins/minerals | | |

| |Assess for complications | | |

| |Withdrawal | | |

| |Somatic complaints | | |

| |Altered lifestyles | | |

| |Homeless | | |

| |Prison | | |

| |Institutionalized | | |

| |Evaluation Outcomes | | |

| |a. The client will exhibit individual | | |

| |coping as evidenced by: | | |

| |Ability to verbalize feelings related to emotional state | | |

| |Identify coping patterns and the consequences of the behavior that | | |

| |results | | |

| |Identify personal strengths and accept support through the nursing | | |

| |relationship | | |

| |Making decisions and following through with appropriate actions to | | |

| |change situations in personal environment | | |

| |Compliance with prescribed medication regime | | |

| |Utilizing community resources | | |

| |Altered family process | | |

| |Independent interventions | | |

| |Identify causative and contributing factors | | |

| |Acknowledges nurse’s feelings about | | |

| |the family and their situation | | |

| |Provides ongoing information | | |

| |Promote family cohesiveness | | |

| |Assist family with appraisal of | | |

| |situation | | |

| |Initiate health promotion activities and | | |

| |referrals | | |

| |Alcoholics Anonymous | | |

| |Al-Anon | | |

| |Narcotics Anonymous | | |

| |Suicide Hotline | | |

| |Rape Crisis Center | | |

| |Women’s Shelter | | |

| |Evaluation Outcomes | | |

| |The family will have improved | | |

| |family processes as evidenced by: | | |

| |Participating in care of ill family member. | | |

| |Verbalizing feelings to nurse and each other | | |

| |Maintaining functional system of mutual support for each member | | |

| |Utilizing appropriate community resources | | |

| |High risk for violence: directed at self or | | |

| |others | | |

| |Independent functions | | |

| |Assessment (verbal/nonverbal) | | |

| |Suicide | | |

| |History of violence at others | | |

| |Provide safe environment for nurse | | |

| |and client | | |

| |Identify and contact support systems | | |

| |Evaluation Outcomes | | |

| |The client will demonstrate decreased | | |

| |harm to self or others as evidenced | | |

| |by: | | |

| |No acts of violence towards self or others | | |

| |Verbalize feelings of anger, loneliness, hopelessness | | |

| |Utilize alternative coping mechanisms | | |

| |Engaging in activities appropriate for age, interest, condition, and| | |

| |cognitive level | | |

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n:soph/fall Unit VI Maladaptive Revised 7/2012

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