A client's nursing diagnosis of risk for self-directed violence ...

[kwoodring]

A client's nursing diagnosis of risk for self-directed violence has been identified because of her recent history of cutting and self-mutilation.
 
  Which of the following expected outcomes is most appropriate for this client's plan of care during inpatient treatment?
 
  A) The client will demonstrate resolution of her psychiatric diagnosis.
  B) The client will demonstrate better coping skills.
  C) Staff will observe the client for signs of self-mutilation.
  D) The client will refrain from cutting or self-mutilation.

Question 2

A 33-year-old female client with a diagnosis of bipolar I disorder has a history of having reckless, frequent, and anonymous sexual encounters during manic periods. As a result, she has recently tested positive for a chlamydial infection.
 
  What is the most appropriate outcome for this client?
 
  A) The client will demonstrate three positive coping strategies when feeling the impulse to seek new sexual encounters.
  B) The client will comply with antibiotic therapy for the treatment of chlamydial infection.
  C) The client will learn to control mood and behavior in a more effective manner during manic episodes.
  D) The client will exhibit better self-control and more responsible behavior.

[hugthug12]

Answer to Question 1

Ans: D
An expected outcome is a measurable, client-oriented goal, such as the goal of abstaining from self-harm. Resolution of her psychiatric diagnosis and better coping skills do not meet these criteria of attainability and measurability. An expected outcome should not be framed in terms of the care providers' actions or interventions.

Answer to Question 2

Ans: A
Outcome must be measurable and specific in order to be clinically useful. The demonstration of coping skills meets these criteria. Complying with treatment may be necessary but does not address the core diagnosis. Showing better self-control and controlling mood are less measurable outcomes.

[kwoodring]

TYSM

[cam1229]

Excellent