Name: LARIDE, KYLE LORENZ B.

BSN3

ASSESSMENT NURSING DIAGNOSIS OBJECTIVES INTERVENTIONS RATIONALE

SUBJECTIVE: INEFFECTIVE COPING STO: At the end of 4  Determine individual  Identifying this is essential
“I don’t like to hours of nursing stressors for the continuity of care.
remember” as interventions the  Determine alcohol  These mechanism are
verbalized by the patient will be able to intake, drug use, often used when the
patient identify ineffective smoking habits, and individual is not coping
coping behaviors and sleeping and eating effectively with the
OBJECTIVE: consequences habits. stressors
-destructive behavior LTO: At the end of 2  Assess anxiety level  Anxiety is one of the
towards others months of nursing  Determine previous indicator of ineffective
-insufficient access of interventions the methods of dealing coping
social support patient will be able to with life problems  To identify successful
-restless meet psychological  Explain disease techniques that can be
-isolation needs as evidenced by; process, procedures, used in the current
appropriate expressions and events in a situation.
of feelings, identification simple, concise  This may help the client to
of options, and use of manner. Devote time express emotions, grasp
resources. for listening the situation, and feel
 Call the patint by ,more in control
name  Using patients name
 Treat the client with enhances sense of self and
respect and courtesy promotes individuality and
 Confront the patient self-esteem
when behavior is  This provides locus of
inappropriate control, enhancing safety
 Help the client set  This promotes internal
limits on acting out locus,
behaviors
ASSESSMENT NURSING DIAGNOSIS OBJECTIVES INTERVENTIONS RATIONALE

SOCIAL ISOLATION STO: At the end of 4  Note onset of  May affect clients desire to
OBJECTIVE: hours of nursing physical or mental isolate
- absence of support interventions the disorder
system patient will be able to  Do a physical exam  Individuals who are
-restlessness identify causes and paying attention to isolated appear to be
-isolates his self actions to correct any illnesses that are susceptible
-irritability isolation identified
-repetitive meaningless LTO: At the end of 1  Note effectiveness of  To identify successful
actions month of nursing coping skills techniques that can be
interventions the  Determine drug use used in the current
SUBJECTIVE:: patient will be able to  Establish therapeutic
situation.
participate in activities nurse-client
“I don’t have friends” as or programs at level of relationship  Possibility of a relationship
verbalized by the ability and desire  Identify blocks social between unhealthy
patient contacts. behaviors and social
 Provide positive isolation or the influence
reinforcement when others have on the
clients makes moves individual
towards others  Which may also potentiate
 Ascertain implications isolation
of cultural values or
religious beliefs for  Learning to manage issues
the client. of daily living can increase
 Develop plan of self-confidence
action
ASSESSMENT NURSING DIAGNOSIS OBJECTIVES INTERVENTIONS RATIONALE

SUBJECTIVE: ANXIETY STO: At the end of 4  Review familial and  Those factors can
“did they send you to hours nursinf psychosocial factors exacerbate anxiey and
spy on me?” as interventions the anxiety disorders
verbalized by Charlie patient will be able to  Note cultural factors  Individuals responses are
verbalize awareness of that may influence influenced by cultural
OBJECTIVE: feelings of anxiety. anxiety. values and beliefs
-poor eye contact LTO: At the end of 3  Note reports of  Which may be behavioral
-irritability months of nursing insomnia, excessive indicators of use of
-restless interventions the sleeping, avoidance withdrawal to deal with
-isolates his self patient will be able to of interactions to problems
-scanning behavior meet psychological others and use of
needs as evidenced by; drugs and alcohol.
appropriate expressions
of feelings, identification  Review coping skills  To determine those that
of options, and use of used in the past might be helpful for or in
resources. the current circumstances.
 Establish therapeutic
relationship,  To avoid the contagious
conveying empathy effect or transmission of
and unconditional anxiety
positive regard