NURSING CARE PLAN

ASSESSMENT NURSING DIAGNOSIS PLANNING INTERVENTIONS RATIONALE EVALUATION

Objectives: Anxiety related to threat Within 3 hours of 1. Facilitate 1. Trust is necessary After 3 hours of nursing
- confused & somewhat of death as evidenced nursing intervention, the development of a before patient can intervention, the patient
bewildered by confusion, increased patient was able to: trusting feel free to open was able to:
-Vaguely remembers the respiration and -Verbalizes feelings and relationship with personal lines of -Verbalizes feelings and
treatment increased blood thoughts patient communication thoughts related to her
pressure -Demonstrate use of with the health condition
Vital Signs: effective coping 2. Provide open care team and -Demonstrate the use of
mechanisms and active nonjudgmental address sensitive effective coping
RR: 24 breaths/min situational crisis (cancer) participation in treatment environment. Use issues. mechanisms and active
BP: 130/90 mmHg as evidenced by regimen. therapeutic participation in treatment
O2 Sat: 93% confusion and communication 2. Promotes and regimen.
expressed concerns skills of active encourages
regarding the types of listening and realistic dialogue -Goal met.
treatments she would or affirmation about feelings and
would not want. concerns.
3. Encourage patient
to share feelings 3. Provides
and thoughts. opportunity to
examine realistic
4. Avoid asking or fears and
forcing the client misconceptions
to make choices about diagnosis.

5. Provide accurate, 4. The client may not

consistent make sound and
information appropriate
regarding decisions or may
diagnosis and unable to make
prognosis. decisions at all.
6. Promote calm, 5. Can reduce
quiet anxiety and
environment. enable patient to
make decisions
7. Instruct to do and choices
deep breathing based on realities.
exercise
6. Facilitates rest,
conserves energy,
and may enhance
coping abilities.

7. This may help the

patient to relax