Assessment Subjective: -Wala akong kausap sa loob ng ward.

Objective: -The client will develop trusting relationship with nurse within reasonable period of time.

Nursing Diagnosis -Impaired Social Interaction related to absence of available significant others or peers as evidenced by dysfunctional interaction with peers, family, and others.

Planning - Encourage

Interventions -Spend time with client. This may mean just sitting in silence for a while. -Develop a therapeutic nurse-client relationship through frequent, brief contacts and an accepting attitude. Show unconditional positive regard. -Provide positive reinforcement for client's voluntary interactions with others. -Teach assertiveness techniques. Interactions with others may be negatively affected by client's use of passive or

Rationale -Your presence may help improve client's perception of self as a worthwhile person. -Your presence, acceptance, and conveyance of positive regard enhance the client's feelings of self-worth.

Evaluation -Client demonstrates willingness and desire to socialize with others. -Client voluntarily attends group activities. -Client approaches others in appropriate manner for oneto-one interaction.

client to express honest feelings in relation to loss of prior level of functioning. Acknowledge pain of loss. Support client through process of grieving. - Encourage client's attempts to communicate. If verbalizations are not understandable, express to client what you think he or she intended to say. It may be necessary to reorient client frequently.

-Positive reinforcement enhances selfesteem and encourages repetition of desirable behaviors. -Knowledge of assertive techniques could improve client's relationships with others.

aggressive behaviors.