Communication with an Anxious Patient

Instruction: Check under Correctly Done if identified skill is correctly performed; Incorrectly Done if skill is
not performed correctly; and Not Done if the student failed to perform the skill.
Correctly Incorrectly Not Done
Procedure
Done Done
ASSESSMENT
1. Introduced self appropriately, explained purpose of
interaction.
2. Assessed for cues indicating patient is anxious.
3. Assessed for possible factors causing patient anxiety.
4. Assessed factors influencing communication with patient.
5. Discussed with family possible causes of patient’s anxiety.
PLANNING
1. Identified expected outcomes
2. Prepared for communication by considering patient
goals, time allocation and resources.
3. Recognized personal level of anxiety, tried to remain
calm
4. Prepared quiet, calm area, allowed ample personal
space.
IMPLEMENTATION
1. Used appropriate nonverbal behavior and active
listening skills.
2. Used appropriate verbal techniques that are clear
and concise in response, acknowledged patient’s
feelings, and provided direction to patient.
3. Helped patient acquire alternative coping strategies,
4. Provided necessary comfort measures.
EVALUATION
1. Observed for continuing presence of signs and
behaviors reflecting anxiety.
2. Had patient discuss way to cope with anxiety and
make decisions about own care.
3. Evaluated patient’s ability to discuss factors causing
anxiety.
4. Identified unexpected outcomes.
RECORDING
1. Recorded cause of patient’s anxiety and any
exhibited signs.
2. Reported methods used to relieve anxiety and
patient’s response.

Comments:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Score: ________________________________________

Evaluated by: ________________________________ Date of Evaluation: ________________

(Signature over Printed Name)