Professional Documents
Culture Documents
Disampaikan dalam mata kuliah Mental Health Nursing pada Program Studi Ilmu
Keperawatan Fakultas Kedokteran Universitas Brawijaya Malang
Learning Ojectives
After studying this chapter the student should be able to :
1. Describe the continuum of adaptive and maladaptive cognitive responses
2. Indentify behavior associated with cognitive responses
3. Analyze predisposing factors, precipitating stressor and appraisal of stressors
related to cognitive responses
4. Describe coping resources and coping mechanisms
5. Formulate nursing diagnoses
6. Identify expected outcome and short-term nursing goal with maladaptive
cognitive responses
7. Analyzes nursing intervention
8. Evaluation nursing care
Define of Cognitive
Abilities in reasoning, memory, judgment, orientation, perception
and attention
A. Assessment
1. Behavior
a. Associated with Dellirium
Define & Behavior Selected Nursing Diagnoses
Is the behavioral response to widespread Hyperthermia related to
disturbances in cerebral metabolsm; it infection
usually represents a sudden decline from a Fluid volume deficit related
previous level of functioning, and is usually to decreased fluid intake
considered a medical emergency Risk for injury realted to fear
It is a syndrome with many possible causes and disorientation as
Results : evidenced by agitated
disturbances in conciousness (reduced behavior
clarity or awareness of the environment) Impared verbal
Attention (impaired ability to direct and communication related to
maintain mental focus, resulting in altered brain cheistry as
problems with processing stimuli into evidenced by incoherent
information) speech
Cognition (recent memory impairment, Sensory-perceptual alteration
disorientation to time and person, or (visual) related to altered
language disturbance) brain chemistry, as
Perception (misinterperception, illusion, evidenced by the
hallucinations). hallucination
Altered thought process
related to brain chemistry, as
evidenced by disorientation
2. Predisposing Factors
Aging
Neurobiological
Genetic
3. Precipitating Stressors
a. Associated with delirium
Central nervous system disorder
Metabolic disorder
Cardopulmonary disorder
System illness
Sensory deprivation or stimulation
4. Appraisal of Stressors
5. Coping Resources
6. Coping Mechanisms
B. Nursing Diagnoses
C. Goal
E. Evaluation