Nursing

Nursing Diagnosis Objectives

Problem with Nursing Interventions Rationale for Interventions
With Rationale (SMART)
cues
Problem: a1. Validates current level of understanding,
Assessment:
identifies learning needs, and provides
Client’s knowledge base from which client can make
a1. Review client’s understanding of informed decisions.b1. Aids in identification
breast cancer, surgical treatments such of ideas, attitudes, fears, misconceptions, and
unawareness
as mastectomy, and future
to illness and gaps in knowledge about breast cancer.
expectations from the treatments
available
Deficient knowledge
treatments
regarding illness b1. Determine client’s perception of
and treatmentsRelated Short-term goal: After 2 breast cancer and breast cancer
to unfamiliarity with hours of health treatments such as (mastectomy,
information sources. teaching, client will be chemotherapy, radiotherapy, and etc.)
Subjective
able to
cues:
Rationale: verbalize understanding Health Teaching:
and recall
“I am not sure a2. Provide clear, accurate
Deficient knowledge information about
what will a2. Helps with adjustment to the diagnosis of
and misconceptions breast cancer , cancer information in a factual but sensible
happen to me breast cancer by providing essential
about breast cancer medications, available manner about breast cancer and
now that I available treatment for this information with time to absorb it.
may interfere surgical treatments
have cancer. I
treatments, delay (mastectomy) and other condition. Answer questions
don’t know specifically, but do not bombard with b2. Enhances ability to manage self-care and
healing, and increase therapies
what unnecessary information. avoid potential complications, and drug
anxiety or fears of the (chemotherapy, or
treatments to reactions or interactions.
client towards the radiation therapy)
cure my b2. Review specific medication
illness.
disease.”, as regimen prescribed to the client. c2. Client has the right to know and
verbalized by participate in the decision of his/her
the client c2. Provide guidance or information treatment.
regarding treatment protocol, length
of therapy, expected results, and
possible side effects.
 d2. Written materials and other information
aides will provide reinforcement and
clarification about information as client needs
it.
d2. Provide written materials or
audio-visual aides about breast cancer
and its medical management.

e2. Promotes well-being and is critical for the

e2. Review with the client the client to tolerate treatments.
importance of maintaining optimal
nutritional status. f2. Provides ongoing monitoring of
progression or resolution of disease process.
f2. Stress importance of continuing
medical follow-up.