Age: Dx: Paranoid Personality Disorder CC: Anxiety Assessmen Nursing Nursing Objectives Nursing Interventions Rationale Evaluation t Analysis Diagnosis INDEPENDENT: Subjective Anxiety At the end of the 8 1. Take the patient’s 1. to serve as At the end of : related to hours of nsg. vital signs and assess baseline data the 8 hours of situational/m intervention, the 2. Review familial, nursing “Wala na, aturational patient will: physiological, genetic 2. these factors intervention, hindi na crises as and other risk factors can the patient: ako evidenced by > appear relaxed cause/exacerbate makakaali increased and report anxiety 3. Observe patient’s anxiety GOAL MET s dito,” as wariness and is reduced to a behavior 3. this can point verbalized irritability manageable level to the client’s >appeared by the 4. Establish a level of anxiety relaxed and patient > verbalize therapeutic 4. to avoid the reported awareness of relationship, contagious anxiety is feelings of anxiety conveying empathy effect/transmissio reduced to a Objective: and positive regard. n of anxiety. manageable > poor eye > identify healthy 5. Modify procedures 5. To limit degree level contact ways to deal with as much as possible of stress and > rocking and express avoid over > verbalized motion anxiety 6. Provide anxious adult awareness of > nonthreatening, 6. To lessen effect feelings of restlessne > use consistent of transmission of anxiety ss resources/support environment. feelings >irritabilit systems Minimize stimuli. > identified y effectively healthy ways > scanning DEPENDENT to deal with 7.Determine current 7. These and prescribed medications can expressed medications heighten sense of anxiety anxiety 8.Review medication 8. To minimize > used regimen side effects resources/sup port systems COLLABORATIVE effectively 9.Refer to 9. To deal with individual/group chronic anxiety therapy, as states appropriate
Submitted by: Ailyn Grace F. Rimando, WTH 6:00-2:00 Submitted to: Mrs. Lisa Fucanan, Clinical Instructor