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The nurse must analyze assessment data for clients with schizophrenia to determine priorities and establish an effective plan of care. Not all clients have the same problems and needs, nor is it likely that any individual client has all the problems that can accompany schizophrenia. Levels of fam-ily and community support and available services also vary, all of which influence the client’s care and outcomes.
The analysis of assessment data generally falls into two main categories: data associated with the positive signs of the disease and data associated with the negative signs. The North American Nursing Diagnosis Association’s nursing diagnoses commonly established based on the assessment of psychotic symptoms or positive signs are as follows:
· Risk for Other-Directed Violence
· Risk for Suicide
· Disturbed Thought Processes
· Disturbed Sensory Perception
· Disturbed Personal Identity
· Impaired Verbal Communication
The North American Nursing Diagnosis Association’s nursing diagnoses based on the assessment of negative signs and functional abilities include the following:
· Self-Care Deficits
· Social Isolation
· Deficient Diversional Activity
· Ineffective Health Maintenance
· Ineffective Therapeutic Regimen Management
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