NURSING DIAGNOSIS: DISTURBED THOUGHT PROCESS

CUES OBJECTIVES FOR CARE INTERVENTION RATIONALE EVALUATION

Possibly evidenced by Patient will be able to:

Be sincere and honest Illusional clients are After nursing
when communicating with extremely sensitive interventions,
Be free from injury the client. Avoid vague or about others and patient was able
Delusions.
evasive remarks can recognize to establish
Inaccurate Demonstrate insincerely. methods of
interpretation of decreased anxiety communication
level. in which needs
environment. Be consistent in setting Evasive comments can be
Inappropriate non- Respond to reality- expectations, enforcing or hesitation expressed.
based interactions rules, and so forth. reinforces mistrust
reality-based initiated by others. or delusions. After nursing
thinking. interventions,
Verbalized recognition Encourage the client to Clear, consistent patient appeared
Memory
to delusional thought talk with you, but do not limits provide a relaxed and the
deficit/problems. if they persist. pry for information. secure structure for level of anxiety
Be free from the client. was reduced to
Self-centeredness.
delusions or Broken promises manageable
demonstrate the reinforce the clients level.
ability to function mistrust of others.
without responding to
persistent delusional Probing the clients
thoughts. suspicion and
interferes with the
therapeutic
relationship.
 Explain procedures and try Explain
to be sure the client procedures and
understands the try to be sure the
procedures before client
carrying them out. understands the
procedures
before carrying
them out.