Problem

Nursing Diagnosis Fear r/t phobic stimulus as manifested by: • Diminish ed activity • Avoidanc e • Narrowe d focus on the source of fear • Tachycar dia • Pallor • Increase d perspirat ion

Backgroun d Knowledge Response to perceived threat that is consciousl y recognized as a danger

Goal and Objectives After 3 hours of nursing intervention the client will acknowledge and discuss fears, recognizing healthy versus unhealthy fears as manifested by: 1. State at least 3/5 example of fears 2. Understa nding of what have discussed by summariz ation

Nursing Intervention Independent: 1. Establish rapport 2. Discuss client’s perception/ fearful feelings. Listen to client’s concern 3. Provide information in verbal and written form. Speak in simplest sentences. 4. Provide opportunity for questions and answer honestly Dependent: 5. Administer alprazolam as ordered by physician

Rationale

Evaluation

Social Phobia S: “Whenever I’m surrounded with too many people either I know them or not I still feel scared and restless” as verbalized by the patient O: • Diminish ed activity • Avoidan ce • Narrowe d focus on the source of fear • Pulse of

➢ To gain client’s cooperation ➢ Promote atmosphere of caring and permits explanation/ correction of mispercepti on ➢ Facilitates understandi ng and retention of information

➢ Enhance sense of trust and nurse-client relationship

After 3 hours of nursing intervention the client was able to acknowledge and discuss fears and recognized healthy vs. unhealthy fears as manifested by: 1. Stated 5/5 examp le of fears 2. Summ arized the whole discus sion Goal partially met due to lack of time.

➢ Depresses subcortical levels of CNS; drug of

• •

110 Pallor Increase d perspira tion

choice for agoraphobia

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