CUES NURSING DIAGNOSIS BACKGROUND GOAL AND NURSING

KNOWLEDGE OBJECTIVES INTERVENTION AND

RATIONALE

Subjective: Impaired social interaction Insufficient or excessive NOC: Social Interaction NIC: Socialization
r/t altered thought process quantity or ineffective Skills Enhancement
“The prescription he gave, I evidenced by verbalization quality of social exchange.
threw away, in the dark old of his discomfort in social Goal: The patient will be
room I didn’t want to stay” situations. able to improve and use
appropriate social skills in
Discomfort in social interactions.
interaction
Objectives: After nursing The nurse will:
Objective: intervention, the patient will INDEPENDENT
be able to:
Fear of isolation
1. Identify barriers that 1. Monitor patient
Do not attend to the impair social feelings relative to
instructions given interaction. impaired social
interaction and
establish therapeutic
nurse-client
relationship. To
promote trust and
allows clients to
discuss sensitive
matters freely and
help to identify
precipitating
factors/stressors.

2. Verbalize
willingness to be 2. Ask the client to
 involved with others. prepare a list of
people in the
community with
whom he must have
contact. This allows
clients to practice
making clear and
logical requests to
obtain community
services. Develop
trusting and
nonjudgmental
relationships and
provide positive
reinforcement for
client’s voluntary
interactions with
others.
Unconditional
acceptance
increases feeling of
self-worth and
positive
reinforcement
enhances self-
esteem and
encourages
repetition of
desirable behaviors.
3. Demonstrate and
report improved 3. Assist client to
attention span and decrease stimulation
increase ability to and distraction by an
improve tasks. altering environment
 to reduce distraction
like social skills
training, or help him
relax and try
exercises like yoga.
Decrease in
environmental
distractive stimuli
will decrease
client’s
distractibility and
increase attention
span.

4. comply/voluntarily DEPENDENT
take his medications
as prescribed and 4. Administer
have one on one medications as
interaction with ordered. To help
nurses. subside
hallucinations which
will facilitate
interactions.

5. Participate in the COLLABORATIVE

interventions to be
given by the 5. Collaborate with a
professionals. Psychologist.
Psychologists
understand how the
brain works but
cannot prescribe
medications. Thus,
he/she will have the
 authority to refer the
patient to either a
medical doctor or a
psychiatrist.

5.a Initiate conduct of social

skills training with the
patient and social worker. It
will help the client talk
clearly with others and to
reduce bizarre conversations
when discussing unusual
beliefs as the focus of
nursing care with clients
with schizotypal personality
disorder is development of
social skills and improve
functioning in the
community.