ASSESSMENT DIAGNOSIS
Review program rules, philosophy
Ineffective Coping related to Previous
Objective Cues: ineffective/inadequate coping skills with
substitution of drug(s)
PLANNING
After Rendering nursing intervention the
Patient will Identify ineffective
coping behaviors/consequences, including use
of substances as a method of coping.
IMPLEMENTATION
expectations
 Having information provides
opportunity for patient to cooperate and
function as a member of the group or
milieu, enhancing sense of control and
sense of success.
Encourage verbalization of feelings, fears,
and anxiety.
 May help patient begin to come to terms
with long-unresolved issues.
Based on standard hospital policy, institute
appropriate measures.
 To avoid suicide attempts
Assist patient to learn and encourage use
of relaxation skills, guided imagery,
visualizations.
 Helps patient relax, develop new ways
to deal with stress, problem-solve.
Discuss patient’s plans for living without
drugs
 Provide opportunity to develop and
refine plans.
 ASSESSMENT
Objective Cues:
Verbal dictation of taking one’s own life-
history of suicide attempt-hopelessness-
impulsiveness-disrupted family life
DIAGNOSIS
Risk for suicidal tendency related to History or
threats of violence toward self.
PLANNING IMPLEMENTATION
After 4-8 hours of nursing intervention ,patient Determine history of suicide attempts
will be involved in planning course of action to  If present, suicide risk is increased.
correct existing problems and verbalize control Observe for suicidal behaviors: verbal
of impulses statements, such as "I'm going to kill myself
 Clients who are contemplating suicide
often give clues regarding their
potential behavior
Develop therapeutic nurse-patient
relationship.
 Promotes sense of trust allowing patient
to discuss feelings openly.
Encourage expression of feelings and make
time to listen for concerns.
 Helps individual sort outthinking and
begin to develop understanding of
situation
Determine suicidal intent and available
means.
 The risk of suicide is greatly increased
if the client has developed a plan and
particularly if the client has means to
execute the plan
ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION