Nursing Diagnosis / Scientific Explanation Expected Outcomes/ Nursing Interventions Rationale of the Evaluation

Problems in Nursing Objectives Interventions

Risk for Suicide r/t Clients who express feeling of The patient will be Assessment: The patient was able to
Mood Alteration worthlessness, helplessness, able to: 1. Check the client’s 1. The nurse first priority
Secondary to hopelessness, and other - Demonstrate absence room for potentially is provide for the client’s - Demonstrate absence
Bipolar Disorder feelings associated with of suicidal attempts. destructive implements: safety and protect the of suicidal attempts.
depressive states are at - Display consistent, sharp objects, belt, client from self-inflicted - Display little
increased risk for suicide. optimistic, and chemicals, hoarded life threatening injury or optimistic, and hopeful
Depressed person sees suicide hopeful attitude. medications; and take death. attitude.
as a means of escaping from - Express desire to steps to protect client - Express desire to live.
anxiety provoking and live. through appropriate
intensely frightening situations. therapeutic 2. Allowing the client to Goal partially met as
They are frightened by their interventions. verbalize helps the client the patient clearly
over whelming anxiety, 2. Listen actively to the relieve pent-up thoughts, express her desire to
isolation hopelessness, and client’s story regarding feelings and emotions live and avoid suicidal
helplessness. Clients how the client came to related to suicide and is attempt. Additionally,
considering suicide may also the point of suicide, in itself therapeutic. It her depression
experience feeling of excessive using therapeutic skills also gives the nurse decreased, however,
guilt, self-blame, and such as reflection, information about the she displayed little
frustration. Suicidal clients clarification, and critical events that optimistic. The plan is
often experience severe anger. validation, and indicate influenced the client’s to continue the
acceptance of the story promotes trust and treatment and
client’s thought and in still hope. attending therapy
feelings. sessions (CBT and
3. Tell the client to 3. Constant staff support DBT) until the patient
come to staff whenever and protection reduce is achieved with best
the client experiences the client’s fear outcome.
such thoughts or of suicidal impulses and
feelings. offer hope for survival.
4. Help the client to see 4. Educating the client
that suicide is not an about the temporary
alternative to life’s nature/experience
problems but is rather a of suicide and
temporary experience depression promotes the
often brought by an client’s insight about the
actual illness and threat ability of the
exacerbated by life disease process and
stressors. offers hope for the
5. Administer future.
medications as ordered 5. To stabilize the mood
(Lithium, Xalipro, of the patient.
Prozac).
6. Check the patient has 6. To verify the patient
medications. is swallowing tablets.
7. Continue to support 7. Prevent anxiety from
and monitor escalating to
psychosocial treatment unmanageable levels.
 plans. 8. To improve wellbeing
8. Continue to support, (mental and physical)
attending therapy and prevent anxiety from
sessions (DBT and escalating to
CBT) and monitor unmanageable level
psychosocial treatment
plans.

Updated by V.G Fall 2017 Page 19