Jundale G.

Batbatan BSN-III Section: C

NURSING CARE PLAN
Problem: Anxiety
Nursing Diagnosis: Anxiety related to stress secondary to hospitalization
Taxonomy: Self-Perception Self Concept
Cause Analysis: Anxiety is normal reaction to stress; it is an emotional reaction to the perception of reality that is experience physiologically, psychologically and behaviorally.
(Psychaitric Nursing, p. 318
CUES OBJECTIVES NURSING INTERVENTIONS RATIONALE EVALUATION

Subjective: Short term objective: Independent:

Kapoy na kaayo diri sa
hospital dugay nami diri,”, as
claimed by the patient
Objective:
 Worries about
hospitalization
 Increased respiration
RR-41 bpm
 Increased tension
 restlessness
Within 2 hours of rendering
nursing interventions the
patient will be able to
verbalize feelings of anxiety as
evidenced by verbalizing
concerns of hospitalization.
Long term objective:
After 3 days of rendering
nursing care, pt will be able to
describe the causes of anxiety
and will be able to describe the
levels of anxiety (mild,
moderate, severe) depending
on signs and symptoms
manifested and felt by her.
Helped the client to determine the
sources of anxiety. Helped the client
determine the level of anxiety.
Encouraged client to verbalize
feelings & express emotions.
Decreased sensory stimulation.
Provided support, stayed with the
client, spoke slowly and calmly and
conveyed a sense of caring and
empathy.
Dependent:
Administer Oxygen as ordered
These actions help the client
establish realistic understanding of
the nature and cause of the anxiety.
Once the stress is accurately
understood & the client can readily
identify strategies for coping.
-Sharing concerns and expressing
emotions can decrease the client’s
feeling being alone or overwhelmed
by stressful situation.
-Excessive sensory stimulation may
increase the client’s anxiety.
-Providing reassuring presence
decreases the client stress of alones
and support the client in coping
Is to maintain the PaO2 above
60mmHg

Reference: Nursing Care Plan By: Marilyn Doenges 6th edition