DEFINING NURSING OUTCOME NURSING RATIONALE EVALUATION

CHARACTERISTICS DIAGNOSIS IDENTIFICATION INTERVENTIONS

Subjective: Risk for self- Long Term: Independent: Goals are met as
”Siguraduhon ko nag directed After 5 days of 1.Encourage client to talk 1. Helps client verbalize and manifested by the
gid ni sa sunod”, as violence related intervention, the about feelings and identify the cause of their client’s ability to
verbalized by the client. to depression as client will be able to: emotions. actions. Builds trust and express feelings of
evidenced by  Demonstrate rapport. worthlessness and
Objective: suicidal ideation alternative ways of demonstrate
 Disheveled dealing with 2.Come up with 2. Client can learn alternative alternative ways of
appearance Rationale: negative feelings alternative ways to ways of dealing with dealing with
 Poor eye contact Due to and emotional handle feelings of anger overwhelming emotions negative feelings
 Depressed mood depression, stress. and frustration. and gain a sense of control and emotional
 Blunt affect client is over her life. stress.
 With suicidal vulnerable for Short Term:
ideation the behaviors in After a day of 3.Provide activities that do 3. Depressed clients have
which she intervention, the not require concentration difficulty concentrating.
demonstrates client will be able to: or competition (drawing, Allows client time to calm
that she can be  Express feelings walking, exercise, down. Competition
harmful to self. of worthlessness. music, etc.) (games) can cause
aggression – no card
games except solitaire.

4.Implement a written 4. Clients who agree to a

“no-suicide” contract written contract are often
with client. less likely to carry out a
suicide plan. It shows the
client that they have value.

Dependent:
1.Administer medication 1.Antidepressants is given to
per doctors’ order. improve client functioning
Fluoxetine 20 mgs and effectiveness of
daily interventions.
Interdependent/
Collaborative:
1. Refer to psychiatrist or 1. More in-depth assistance
psychologist for may be needed to deal with
psychotherapy. client and defuse situation.
Learning new ways to deal
with feelings can provide
opportunity for individual
to manage life in a more
optimal way.