Risk for Violent Behavior
General goals :
The client can control violent behavior
Specific goals :
1. The client can build a trusting relationship
Expected outcomes:
The client shows signs of believing in the nurse:
Bright face, smiling.
Want to get acquainted.
No eye contact.
Willing to share feelings.
Nursing Inerventions :
Develop a relationship of trust with:
Greet each interaction.
Introduce the names, nicknames nurses and nurses interact purposes.
Ask and call the name of the client's favorite.
Show empathy, honesty and keeping promises whenever interacting.
Ask the client's feelings and problems faced by the client.
Create a clear interaction contract.
Listen attentively to client's expression of feelings.
2. The client can identify the causes of violent behavior accomplishments
Expected outcomes:
The client tells the causes of violent behavior is doing; tells cause annoyance / upset either of themselves or their environment
Nursing Intervetions :
Help clients express feelings of anger:
Motivation client to tell the cause of resentment or annoyance
Listen without interrupting or give an assessment of each client's expression of feelings
3. The client can identify signs of violent behavior
Expected outcomes:
The client tells the signs of violent behavior occurs when:
Physical signs: red eyes, hands clenched, tense expression, and others.
Signs of emotional: feelings of anger, resentment, spoke harshly.
Social sign: hostile experienced during a violent behavior.
Nursing Interventions :
Help the client revealed signs of violent behavior that happened:
Motivation of the client communicating the physical condition (physical signs) when the violent behavior happened
Motivation of the client to share his emotional condition (signs of emotional) during a violent behavior
Motivation of the client to tell the condition of relationship with others (social signals) during a violent behavior
4. The client can identify the type of violent behavior has ever done
Expected outcomes:
The client explained:
The types of anger expression that had been done
Felt when violence
Nursing Interventions :
Discuss with the client violent behavior is usually done:
Motivation of the client to tell the kinds of violence that had been done.
Motivation of the client communicating the client's feelings after the incident of violence occurred
Discuss whether the acts of violence that can overcome the problems experienced.
5. The client can be identified as a result of violent behavior
Expected outcomes:
The client explained that due to the violence that is done
Self: wounds, shunned friends, etc.
Another person / family: wound, irritability, fear, etc.
Environment: goods or broken objects, etc.
The effectiveness of the methods used in solving problems
Nursing Interventions :
Discuss with the client due to the negative (losses) on how that is done:
Self
Others / family
Environment
6. The client can identify constructive ways of expressing anger
Expected outcomes:
Explaining healthy ways of expressing angry
Nursing Interventions :
Discuss with the client:
Does the client want to learn a new way of expressing anger that healthy
Explain the various alternative options to express angry besides the known violent behavior by the client.
Explain healthy ways to express angry:
Ø physical way: a deep breath, hit a pillow or mattress, sports.
Ø Verbal: revealed that he was upset to others.
Ø Social: assertiveness training with others.
Ø Spiritual: prayer, meditation, etc according their religious beliefs
7. The client can demonstrate how to control violent behavior
Expected outcomes:
The client demonstrates how to control violent behavior:
Physical: take a deep breath, hit the pillow / mattress
Verbal: express the feeling irritated / annoyed at others without hurting
Spiritual: prayer, meditation accordance religion
Nursing Interventions :
Discuss ways that may be selected and encourage clients choose the possible ways to express anger.
Train showcase selected clients: demonstrate how to implement the chosen method, explain the benefits of this way, encourage clients imitating the demonstration that has been done, give reinforcement to the client, correct way is still not perfect.
Encourage clients to use tools already trained when angry / annoyed
8. The client has a family support to control violent behavior
Expected outcomes:
Explain how to care for a client with violent behavior
Expressed pleasure in caring for the client
Nursing Interventions :
Discuss the importance of the role of the family as a supporter of the client to address violent behavior.
Discuss potential families to help the client resolve violent behavior
Explain the meaning, causes, consequences and how to care for the clients of violent behavior that can be carried out by the family.
Demonstrate how to care for the clients (to handle violent behavior)
Give the family the opportunity to demonstrate again.
Give praise to the family after the demonstration
9. The client uses the appropriate therapy program that has been set
Expected outcomes:
The client explained:
Benefits of taking medication
Losses do not take medication
Medicine name
The shape and color of drugs
The dose given
time usage
How to use
Effects felt
Nursing Interventions:
Explain the benefits of using the medication regularly and damages if the client does not use medication
Explain to the client: the type (name, color and form of the drug), the dose is right for the client, time of use, how to use, the effect will be felt by the client.
Advise the client: Ask for and use of medication on time, Report to the nurse / physician if the client is experiencing unusual effects, Give praise to discipline the client using the drug, Ask the family feeling after trying ways trained.
