NURSING CARE PLAN FOR

SCHIZOPRENIA
NURSING DIAGNOSIS: Impaired Social Interaction
CUES
Possibly evidenced by
Appears upset, agitated, or
anxious when others come
too close in contact or try to
engage him/her in an
activity.
Dysfunctional interaction
with others/peers.
Inappropriate emotional
response.
Observed use of unsuccessful
social interactions behaviors.
Spends time alone by self.
Unable to make eye contact,
or initiate or respond to
social advances of others.
Verbalized or observed
discomfort in social
situations.
OBJECTIVES FOR
CARE
Patient will attend
one structured group
activity within 5-7
days.
Patient will seek out
supportive social
contacts.
Patient will
improve social
interaction with
family, friends, and
neighbors.
Patient will use
appropriate social
skills in interactions.
Patient will engage in
one activity with
a nurse by the end of
the day.
Patient will maintain
an interaction with
another client while
doing an activity (e.g.,
simple board game,
drawing).
INTERVENTION RATIONALE EVALUATION
Assess if Many of the positive symptoms of
Patient was able to
the medication has schizophrenia (hallucinations,
reached therapeutic delusions, racing thoughts) will subside respond to the
levels. with medications, which will facilitate
medication within
interactions.
the therapeutic
Identify with client Increased anxiety can intensify levels.
symptoms he agitation, aggressiveness, and
experiences when suspiciousness. Patient was able to
he or she begins to sustain optimum
feel anxious about
others health through
Client might respond to noises and
medication
Keep client in an crowding with agitation, anxiety, and
environment as free increased inability to concentrate on management and
of stimuli (loud outside events.
therapeutic
noises, crowding) as
possible. Touch by an unknown person can be regimen.
misinterpreted as a sexual or
Avoid touching the threatening gesture. This particularly Patient is able to
client. true for a paranoid client.
take short voluntary
Avoids pressure on the client and rest periods during
sense of failure on part of
Ensure that the nurse/family. This sense of failure can the day
goals set are lead to mutual withdrawal
realistic; whether in Patient was free of injury
the hospital or within 2 to 3 weeks:
community.
 Stable cardiac

status.

Skin free of

abrasions and

scrapes.
Well dehydrated