CENTRO ESCOLAR UNIVERSITY

SCHOOL OF NURSING
MANILA*MAKATI*MALOLOS

NURSING CARE PLAN

ASSESSMENT NURSING SCIENTIFIC PLANNING INTERVENTIONS SCIENTIFIC EVALUATION

DIAGNOSIS EXPLANATION (IMPLEMENTATION) RATIONALE
Subjective cue/s: Decisional conflict Lack of decision support Short Term Goal: Independent Nursing Short Term
related to support systems affects to Actions: Goal was met, afte
“I have group of system deficit as support the decision- After 2 hours of 1. Note expressions of 1. It helps to determine 2 hours of nursin
friends in school evidenced by loss making process by nursing indecision, dependence on objectively the expression intervention, th
but recently had a of a father, recent helping the user explore intervention, the others, toward current situation of client verbalize
breakup with breakup, secondary and analyze alternatives client will be able availability/involvement of available support person. awareness o
boyfriend and feels to no idea of what through different to verbalize support persons. (e.g., 2. Helps client to clarify positive an
I will not meet to study, and modeling techniques lead awareness of client may have lack problem and work toward negative aspects o
another boy that I worried about fitting to decisional conflict is positive and of/conflicting advice). a solution. Also, to help choices, discusse
will like,” as into social scene in manifested by verbalized negative aspects 2. Active-listen/identify reason compare the reasons to importance o
verbalized by the college. uncertainty about choices of for indecisiveness. support decision making. support system
patient. or of undesired choices, discuss 3. Knops et al (2013) shared fears an
consequences of importance of 3. Provide emotional support evaluated associations concerns regardin
Mrs. Austria has alternative actions being support system, as a nurse. between decisional choices an
been a widow for References: considered. share fears and conflict and emotions and responses o
many years. M. Doenges, M. concerns found a decrease in others, and sough
Moorhouse, A. The idea of getting into regarding choices decisional conflict leads to resources an
“I am thinking Murr, (2008). another stage in life in and responses of less decision postponing information
“What if I go to Decisional Conflict: which the patient is others, and seek behavior and anxiety. necessary fo
college? In Nurse’s Pocket having a conflict in resources and 4. Accept verbal expressions 4. This promotes client’s making a
What if I don’t?” I Guide: Diagnoses, deciding whether she will information of anger or guilt, setting safety and could informed choice.
am concerned Prioritized take college is an necessary for limits on maladaptive encourage them to share
because I have no Interventions, and evidence of potential for making an behavior. relevant information that Long Term
idea what I want to Rationales (11th personal development. informed choice. may help in making
study in college,” edition, pages 306- Making it as a choice is decision. Goal was met, afte
as verbalized by 309). Barnes & what makes it a potential 5. Communicate regarding the 1 day of nursin
the patient. Noble because there is a Long Term Goal: possible outcome of the 5. This will help to make a intervention, th

Cuñ ada, Clarisse Gemrose D. – BSN2B2 Submitted to: Joy P. Delen

 CENTRO ESCOLAR UNIVERSITY
SCHOOL OF NURSING
MANILA*MAKATI*MALOLOS

NURSING CARE PLAN

chance and the patient decisions and the impact to decision as emphasizing client understoo
“I am worried about B. Ackley, G. was just worried and has After 1 day of her life. (Positive and outcome and impact to self the consequence
fitting into the social Ladwig, and M. no idea of it. nursing negative) and others are factors if of the choices an
scene at college,” Makic. (2017). intervention, the the decision will be good or the importance o
as verbalized by Decisional Conflict; client will be able 6. Explain the importance of not. support system i
the patient. In Nursing References: to understand the support system in decision decision-making,
Diagnosis consequences of making especially she still 6. This will help the patient made a decisio
Objective cue/s: Handbook: An P. Mantri (2010). the choices and has her mother and to consider the people and was satisfie
evidenced-based Decisional Conflict. the importance of encourage to communicate around her and could lead with the choice.
Uneasiness guide to planning Retrieved from support system in with her and friends. her to listen to them and
expression care (11th Edition, http://nursing- decision-making, the information they have
regarding fitting into pages 317-320). dx.blogspot.com/2011/07/ make a decision, Importance of support as her guide in making a
social scene in Elsevier decisional-conflict- and express system are: decision.
college as specify.html satisfaction with  Can help in giving
observed the choice. information and advice
about choices such as
about the college
courses and the
situation of college
students socially.
 Higher levels of well-
being, better coping
skills, and a longer and
healthier life.
  Can reduce depression
and anxiety.
7. Provide positive feedback
for efforts and progress
noted.
7. It helps to provide

Cuñ ada, Clarisse Gemrose D. – BSN2B2 Submitted to: Joy P. Delen

 CENTRO ESCOLAR UNIVERSITY
SCHOOL OF NURSING
MANILA*MAKATI*MALOLOS

NURSING CARE PLAN

8. Support client for decisions continuation of efforts

made, especially if whether it is in decision-
consequences are making or other activities.
unexpected and/or difficult 8. This promotes being a
to cope with. client advocate and the
support for the decision
Collaborative Nursing could help the patient
Actions: cope up with it.
9. Refer to a career/guidance
counselor if agreed.

9. The counselor will help a

person explore skills and
References: strengths, consider
C. Portis (2015). The education levels and give
Importance of Strong Support advice about continuing
System. American Bar education, and determine
Association. Retrieved from interests and personality
https://www.americanbar.org type. Counselors may also
/ administer an IQ test or an
groups/young_lawyers/project aptitude test.
s/no-limits/the-importance-of-
strong-support/
References:
M. Doenges, M. Moorhouse,
A. Murr, (2008). Decisional (2019). Career Counseling |
Conflict: In Nurse’s Pocket Good therapy. Retrieved
Guide: Diagnoses, Prioritized from
Interventions, and Rationales https://www.goodtherapy.org/
(11th edition, pages 306-309). learn-about-

Cuñ ada, Clarisse Gemrose D. – BSN2B2 Submitted to: Joy P. Delen

 CENTRO ESCOLAR UNIVERSITY
SCHOOL OF NURSING
MANILA*MAKATI*MALOLOS

NURSING CARE PLAN

Barnes & Noble therapy/issues/career-

counseling

B. Ackley, G. Ladwig, and M.

Makic. (2017). Decisional
Conflict;
In Nursing Diagnosis
Handbook: An evidenced-
based guide to planning care
(11th Edition, pages 317-
320). Elsevier

M. Doenges, M. Moorhouse,
A. Murr, (2008). Decisional
Conflict: In Nurse’s Pocket
Guide: Diagnoses, Prioritized
Interventions, and Rationales
(11th edition, pages 306-
309). Barnes & Noble

Cuñ ada, Clarisse Gemrose D. – BSN2B2 Submitted to: Joy P. Delen