Let's think about the nursing diagnosis of ineffective
Which, ineffective coping really applies to multiple
patients that we see in a psychiatric unit.
So, ineffective coping can be reflective of that person's
sense of powerlessness or vulnerability.
What might we want to do with a person who has ineffective
Well, we want to be able to encourage a safe and accepting
We want to provide facts related to the situation.
We want to educate related to the diagnosis.
We want to make sure the - that person is understanding of
what treatments are available,
as well as other things that might be contributing to why
they're feeling powerless and vulnerable.
We want to be able to talk to our patients and examine what
Ask. So, were there coping strategies you've engaged in in
the past that have been successful?
And we want to encourage that person to verbalize,
talk about how they're feeling and what they are afraid of.
We want to help them identify their own strengths.
And by doing so, we can explore those possible methods
that they might feel comfortable with in order to deal with
Another nursing diagnosis that we are able to use with
who come to us is impaired social interactions.
We want to assist our patients to be able to identify an
to combat their desire or their need to withdraw.
We might be able to tell them, if it's uncomfortable for you
to sit so close to people,
you might want to move your chair a bit and let's see how
Engage them in assessing new ways to reduce that fear or
that need to withdraw.
We want to slowly increase their contact with others on the
We don't want to throw them right into the community meeting
but maybe let them listen to the community meeting,
standing around in the hallway with us, or have them meet
with one or two people
who went to the community meeting and have them discuss what
was stated in the meeting.
Also, we want to include them in activities that will focus
on increasing social skills.
And one of the activities that I most enjoy is having one
person turn to the person on their left
and simply find something to compliment.
Usually, it is I like your smile, or I like your jacket.
And so, they say I like your smile, and the other person
says, thank you very much.
And the first person says you're welcome and can look away.
That's it. That's all they have to do.
If you are not even at that level yet, and there will be
times that you're not even at that level,
I sometimes just have the person look, smile, see the other
person smile back, and look away.
It's a very quick group activity.
Most people enjoy it even when they don't like having eye
The amount of eye contact and the fact that they smile,
and the other person smiles back, that's what the
requirements are, and then they look away.
What we're doing in that activity is mirror neurons.
So, when you see someone smile, you usually want to smile
For some of our clients, they don't want to smile back.
Having smiling back as part of the interaction helps them
understand what it feels like.
It is called behavioral rehearsal.