St.

Anthony’s College

Nursing Department

NURSING CARE PLAN

Clustered Nursing Rationale Outcome Nursing Rationale Evaluation

Cues Diagnosis Criteria Interventions
Subjective Anxiety Anxiety After 8 Independent: After 8 hours
Data: related to disorders hours of -Ensure to speak -A calm voice of nursing
unknown differ from nursing in a calm and non- and a intervention
etiology of normal intervention threatening comfortable the client
“I have the disease feelings of the client manner to the environment was able to
trouble as nervousness will be able patient. Maintain can help the reduced
sleeping, and evidenced or to reduce eye contact when patient feel anxiety and
I am worried by anxiousness anxiety and communicating. secured and reports
about my increased and involve reports Provide a comfortable to feeling
condition” as blood excessive feeling comfortable speak about relaxed as
verbalized pressure, fear or relaxed as environment by his/her worries evidenced
by the tachypnea, anxiety. evidenced providing and fears. The by:
patient abnormally Since the by: sufficient lighting, client may (-)
increased disease came good ventilation, become more Nervousness
(-)
heart rate, out of and reduced noise relaxed and (-) Quivering
Objective Nervousness
fatigue, nowhere, levels. Respect the open for
Data: (-)
nervousness “the personal space of discussion if
BP: 130/90 and unfamiliarity Quivering the client but sit he/she sees the
mmhg quivering combines not too far. nurse as calm
with the and appears to
RR: 21 bpm
uncertainty” be in control.
PR: 108 bpm
to increase -Do not leave the
anxiety. patient when the
Restlessness anxiety levels are
high, especially -To ensure the
Nervousness
during a panic patient’s safety
Quivering attack. Re-assure against self-
that the healthcare harm. Leaving
team are here to the patient alone
help him/her. during
heightened
levels of anxiety
is dangerous.

- Knowing
about the
-Educate the etiology of the
patient about the disease will
etiology of the lessen the
disease patient’s
anxiety and help
to better
understand
about the
disease

-To promote
relaxation and
-Provide a reduce stress
supportive levels.
approach when
the patient has
panic attacks by
giving simple and
short directions -Ensuring
informed
-Perform health decision-
teaching making relies
heavily on
patient
education.
When patients
are more
knowledgeable
about their care
and potential
treatment
options, they
are better able
to identify how
they do or do
not want to
receive their
healthcare.

Anxiolytics and
Dependent: certain
-Administer antidepressants
medications as are often
prescribed. prescribed for
anxiety
disorders.
Sedatives such
as
 benzodiazepines
may be
prescribed for
short-term
anxiety relief.

-Panic attacks
can be resolved
-Administer “as by giving
needed” or PRN certain
medications antidepressants
during panic such as
attacks. selective
serotonin
reuptake
inhibitors or
SSRIs.

A collaboration
Collaborative: among mental
-A collaboration health
with a psychiatrist professionals
for further has been found
management and to reduce
follow-up. clinical errors,
Likewise, a social improve patient
worker will be health status
coordinated to ff. and enhance the
up at home or quality of
check home patient care,
conditions. while leading to
better patient
treatment
compliance and
enhanced
satisfaction.
Social workers
understand the
stress and
uncertainty that
comes with
recovery and
can provide
compassionate
care and
emotional
support for
patients and
their families.
Students Name: CHRISTI GAYLE E. PADPAD, PEARL ANGELIE PUGARIN BSN 3-B