NEEDS/ PROBLEMS/CUES NURSING DIAGNOSIS SCIENTIFIC BASIS OBJECTIVES OF CARE NURSING ACTIONS RATIONALE

I. Psychological Ineffective coping related Inability to form a valid Goal: Assess specific stressors. Accurate appraisal can facilitate
Deficit to difficulty adapting to appraisal of the After 1 week of student development of appropriate coping
symptoms of dissociative stressors, inadequate nurse-client interaction, the strategies.
Ineffective coping disorder choices of practiced client will be able to describe Assess level of Appropriate problem solving
responses, and/or and initiate alternative coping understanding and requires accurate information and
Objective cues: inability to use available strategies in adapting stress. readiness to learn needed understanding of options.
- Inability to meet role resources. lifestyle changes.
expectations/basic Objective:
needs Reference: After 8 hours of student Assess decision making and Patients may feel that the threat is
- Inability to meet role Doenges, nurse-client interaction, the problem-solving abilities. greater than their resources to
expectation/basic Moorhouse & Murr’s client will be able to: handle it and feel a loss of control
needs Nurse’s Pocket 1. Determine degree over solving the threat or problem.
- Ineffective coping Guide Edition 12, p. 257 of impairment Establish a working An ongoing relationship
strategies 2. Assess coping relationship with patient establishes trust, reduces the
- Change in abilities and skills through continuity of care. feeling of isolation, and may
communication pattern 3. Deal with current facilitate coping.
(ignoring questions, situation Provide opportunities to Verbalization of actual or perceived
one-word answers, 4. Provide for meeting express concerns, fears, stress can help reduce anxiety.
bizarre responses) psychological needs feelings, and expectations.
- Difficulty organizing 5. Promote wellness
information (cognitive Encourage patient to During crises, patient may not be
impairment) identify own strengths and able to recognize their strengths.
Subjective cues: abilities. Fostering awareness can expedite
- “Wala koy gana sa ako use of these strengths.
kinabuhi kay feel nako Provide information the Patients who are coping
dili na mao ang naa sa patient wants and needs. ineffectively have reduced ability to
ako huna-huna. Do not provide more than assimilate information.
Maglibog nako kung patient can handle.
unsay tinuod nya maka
apekto na siya sa ako Encourage patient to Patients who are coping
buhatunon. communicate feelings with ineffectively have reduced ability to
Mawagtang kog kalit sa significant others. assimilate information.
akong pang huna-huna
nya makalimot ko Instruct in need for Inadequate diet and fatigue can
pirmi. Di kayko adequate rest and themselves be stressors.
makabuhat sa ako prescribed diet.
dapat buhaton nya ma
conscious kos akong Teach use of relaxation, Methods to cope with stress.
buhaton ug palibot. exercise, and diversional
activities. Reference:
Doenges,
Moorhouse & Murr’s Nurse’s
Pocket Guide
edition p.12 257-261