Bardon, Hydee E.

BSN-III February 7, 2018

Assessment Diagnosis Objectives Intervention Rationale
 Inability to ask Ineffective coping Short term: 1. Assess for 1. Behavioral and
for help At the end of 5 days, presence of physiological
 Destructive patient feel safe and defining responses to
behavior secure towards health characteristics stress can be
towards self care team and starts varied and
and others sharing his feelings or provide clues to
 General emotions the level of
irritability coping difficulty.
 Inadequate 2. Assess specific 2. Accurate
problem solving stressors appraisal can
facilitate
development of
appropriate
coping
strategies
3. Assess 3. Successful
available or adjustment is
useful past and influenced by
Long term: present coping previous coping
At the end of 2 weeks, mechanisms stress.
patient describes and 4. Establish a 4. An ongoing
initiates alternative working relationship
coping strategies relationship with establish trust,
the patient reduces the
through feeling of
continuity of isolation and
care may facilitate
coping
5. Provide 5. Verbalizations
opportunities to of actual or
express perceived
 concerns, fears, threats can help
feelings and reduce anxiety
expectations. and open doors
for ongoing
communication
6. Convey feelings 6. An honest
of acceptance relationship
and facilitates
understanding. problem solving
Avoid false and successful
reassurance coping. False
reassurance is
never helpful
and only serve
to relieve the
discomfort of
the care
provider.
7. Assist the 7. This can
patient to promote
problem solve independence
in a constructive and a sense of
manner autonomy
8. Point out signs 8. Patients who
of positive are coping
progress or ineffectively
change may not be able
to assess
progress
 Assessment Diagnosis Objectives Intervention Rationale
 Inability to Anxiety Short Term: 1. Assess patients 1. Mild anxiety
problem-solve At the end of 5 days, level of anxiety enhances the
 Preoccupation patient is able to patient’s
 Feeling of recognize signs of awareness and
inadequacy anxiety ability to identify
 Expressions of and solve
helplessness problems.
 Difficulty 2. Determine how 2. This
concentrating the patient assessment
 Rumination copes with helps determine
anxiety the
effectiveness of
coping
strategies
currently used
by the patient.
3. Maintain a calm 3. The health care
Long Term: manner while provider can
At the end of 2 weeks, interacting with transmit his or
patient demonstrates the patient her own anxiety
positive coping to the
mechanisms hypersensitive
patient.
4. Establish a 4. An ongoing
working relationship
relationship with establishes a
the patient basis for
through comfort in
continuity of communicating
care anxious feelings
5. Encouraged the 5. The presence of
patient to seek significant
 assistance from others or health
an care provider
understanding reinforces
significant other feelings of
or from the security for the
health care patient
provider when
anxious feelings
become difficult
6. Assist the 6. Using anxiety-
patient in reduction
developing strategies
anxiety- enhances the
reducing skills patients sense
(e.g. deep of personal
breathing, mastery and
relaxation, etc.) confidence
7. Assist the 7. Learning to
patient in identify a
developing problem and to
problem-solving evaluate the
abilities alternatives to
resolve that
problem helps
the patient
cope.
 Assessment Diagnosis Objectives Intervention Rationale
 Impulsive Risk for self- Short Term: 1. Determine 1. Degree of risks
 Angry directed/other-directed At the end of 5 days, suicidal or determines
 Inability to violence patient states suicidal homicidal risk amount of
problem-solve or homicidal ideation every 24 hours supervision
 Preoccupation required.
 Feeling of 2. Assess violent 2. Having a plan
inadequacy ideation and the and the ability to
 Expressions of means to carry carry it out
helplessness out violent acts increase the
risk of harmful
behavior
3. Remove 3. This increases
dangerous safety for
objects from the patients who
Long Term: environment may be
At the end of 2 weeks, impulsive
patient does not act on 4. Approach the 4. Patients who
impulses to harm self patient in a are aggressive
or others helpful manner. may be acting
Accept the out of a sense
patients right to of extreme
refuse personal fear
procedures