Episcopal Diocese of Southern Philippine

BRENT HOSPITAL AND COLLEGES INCORPORATED

R.T Lim Boulevard, Zamboanga City
COLLEGE OF NURSING

NURSING CARE PLAN

ASSESSMENT NURSING GOAL/ INTERVENTION RATIONALE EXPECTED EVALUATION

CUES DIAGNOSIS PLAN OUTCOME
Subjective Cue: Anxiety related At the end of 4-8hrs. Independent: After 8 hours of Goal is met as
“I’m afraid because to actual or of nursing  Assess patient’s level of  Different levels of nursing intervention evidenced by the
this is my first time perceived threat intervention the anxiety anxiety will affect the the patient showed an patient’s
being a mother.” as to health patient will relate an  Assess for the influence coping mechanism of increase in understanding and
verbalized by the secondary to increase in of cultural beliefs, norms, the patient psychological and demonstration
patient. tension psychological and and values on the  What the patient physiologic comfort as techniques and
physiologic comfort patient’s perspective of a considers anxious may indicated by: lifestyle to avoid
Objective Cue: indicated by: stressful situation. be based on cultural 1. Gained an anxiety.
 Tension  Use of  Monitor vital signs perceptions. understanding and
 Palpitations effective  Instruct to deep breathing  To identify physical demonstration of
 Vomiting coping exercise responses associated effective coping
 Frequent mechanisms with both medical and mechanisms such as
urination such as emotional conditions. the breathing
 Hand tremors breathing Dependent:  This will help client to exercise.
 Voice exercise.  Administer relax
quivering antidepressants (i.e.,  To relieve persistent
citalopram , sertraline) per symptoms such as
doctors order feeling very down

Collaborative:  To avoid contagious

 Establish a therapeutic effect/transmission of
relationship conveying anxiety from the
empathy and different collaborators of
unconditional positive the client’s health
reward