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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