Assessment Diagnosis Planning Intervention Rationale Evaluation

SUBJECTIVE: Anxiety After 4 hours of nursing Maintain a calm non- Client dvelops feeling of
N/A intervention, patient will threatening environment security in presence of
respond to relaxation manner calm person.
OBJECTIVE: techniques with a
decreased anxiety level Establish and maintain a Therapeutic skills need to
- Restlessness trusting relationship by be directed toward putting
- Worried facial listening to the client the client at ease
expression
- Pacing Move the client to a quiet A smaller or secluded
- Hyperactivity area with minimal stimuli area enhances a sense of
such as a small room or security as compared to a
seclusion area large area which can make
the client feel lost and
panicked.

Observe for increasing Early detection and

anxiety. Assume a calm intervention facilitate
manner, decrease modifying client’s
environmental behavior by changing the
stimulation, and provide environment and the
temporary isolation as client’s interaction with it,
indicated. to minimize the spread of
anxiety.

Encourage the client’s Relaxation exercises are

participation in relaxation effective nonchemical
exercises such as deep ways to reduce anxiety.
breathing

Use decatastrophizing It involves the therapist’s

method use of questions to more
realistically appraise the
 situation. It is also called
the “what if” technique
because the worst case
scenario is confronted by
asking a “what if”
question.

When level of anxiety has Recognition of

been reduced, explore precipitating factors is the
with the client the possible first step in teaching client
reasons for occurrence. to interrupt escalation of
anxiety.

Encourage client to talk Verbalization of feelings

about traumatic in a nonthreatening
experience under environment may help
nonthreatening conditions. client come to terms with
unresolved issues.

Provide reassurance and Helps relieve anxiety.

comfort measures.