Nursing care plan

Running head: NURSING CARE PLAN 1
Nursing Care Plan for Patients of Anxiety Disorder and Adjustment Disorder
Name
University Affiliation
NURSING CARE PLAN 2
Nursing care plan for patients of anxiety disorder and adjustment disorder
1.0 NURSING CARE PLAN (MEDICATION I)
PATIENTS NAME_____________________ STUDENT’S
NAME___________
DATE OF CARE__________________________
1.1 Assessment
Subjective Data: Reports of the family divorce causing stress. She complains of worriedness,
nervousness, trouble concentrating at job, loss of appetite, frequent cold, and tiredness, sadness,
sweating and often having suicidal thoughts.
Objective data: the patient is restless, unhappy, disturbed and withdrawal.
Nursing Diagnosis
1. Priority Nursing diagnosis: Mental impairment.
2. Secondary Nursing diagnosis: Depression.
3. Risk nursing disorder: Adjustment disorder with anxiety.
Priority
Nsg Dx
GOALS
INTERVENTIO
NS
SCIENTIFIC
RATIONALE
EVALUATION
GOAL
ACHIEVE
D
Fatigue
and
helples
sness.
Short term goals
1. The patient to
participate in
outside
activities and
stay from bed
in the day
before
discharge.
2. Patient will
sleep well at
night before
1. Creating
outside
exercise
activities
like
walking.
1. Throug
h mind
relaxat
ion,
the
patient
is able
to
recolle
ct from
past
1. The
patient
demonstra
ted trust in
nurse-
patient
relationshi
p.
2. The
patient
had a
1. Ac
hie
ved
.
2. Go
al
ach
NURSING CARE PLAN 3
end of first
week.
3. The patient
will be able
to eat well
within one
week.
Long term goals.
4. The patient
will have
appropriate
coping
strategy
within two
weeks.
5. Ensure the
crisis
retirement of
the patient
and deny
suicidal
thoughts
before
discharge.
6. The patient
recovers
from
adjustment
and develops
stable moods.
2. Adminis
tering
sleeping
pills and
providin
g a
restful
environ
ment.
3. Encoura
ge and
remindin
g the
patient
to eat.
4. The
nurses to
demonst
rate to
be
caring
and
encoura
ging the
client to
try new
coping
skills.
(Halter,
2017)
5. Observe
the
patient
carefully
on the
verbal
and non-
verbal
behavior
indicatin
though
t and
focus
on the
activit
y
(Urde
n et
al.,
2017).
2. The
sleep
will
enhanc
e
relaxat
ion
and
provisi
on of
self-
control
and re-
assura
nce
(Sanso
n et
al.,
2018).
3. Encour
aging
her to
eat
will
enable
the
patient
to
focus
on her
necess
ary to
feed
and
preven
ting
restful
sleep.
3. .she drinks
fluids and
eats and
helps
maintainin
g physical
health
4. The
patient
demonstra
tes to cope
with the
stressful
moment.
5. The
patient
denies
suicide.
6. The
patient
demonstra
tes
effective
recovery
from
depression
.
iev
ed.
3. Ac
hie
ved
.
4. Ac
hie
ved
5. Ac
hie
ved
6. Ac
hie
ved
NURSING CARE PLAN 4
g
suicidal
intent.
6. Individu
al
counseli
ng group
therapy
by
specialis
ts is
offered
to her.
possibl
e
dehydr
ation
and
starvati
on.
4. She
expres
s trust
and in
nurse-
patient
care
relatio
nship.
5. Observ
ing the
indicat
ions
will
provid
e clue
sugges
ting
risks
of the
patient
and
will
enable
protect
ing her
from
self-
harm.
6. Patient
will be
involv
ed in
the
plan
care
and
unnece
ssary
anxiety
NURSING CARE PLAN 5
and
fears
shall
be
reduce
d.
2.0 NURSING CARE PLAN (MEDICATION II)
PATIENTS NAME_____________________ STUDENT’S
NAME___________
DATE OF CARE__________________________
2.1 Assessment
Subjective Data:
The patient reports suffering stressful event that occurred 8 months ago.
Also states to be worried, sadness, nervousness, overwhelmed and have
difficulty concentrating at and can’t perform her roles of taking care of her
family
Objective Data:
Multiple abrasions and bruises
Appears to be anxious about her mother and concerned about the well-being
of the mother, restless preoccupied and confused. The blood pressure is
above 40 points.
Nursing Diagnosis
NURSING CARE PLAN 6
1. Priority nursing diagnosis: Unconscious conflict regarding life values.
2. Secondary Nursing diagnosis: Panic disorder
3. Risk nursing disorder: post-trauma Disorder.
Priority
Nsg Dx
GOALS
SCIENTIFIC
RATIONALE
EVALUATION
Uncon
scious
ness
conflic
t
regardi
ng life
values
SHORT TERM
GOALS
1. Determinati
on of
normal
breathing
patterns, the
heart rate
and bowel
activities.
2. Patient’s
expression
to reflect the
reduction in
distress.
3. Patients to
show high
level of
consciousne
ss and
alertness.
Long term goals
4. Patients
reflect
increased
external
focus.
5. Identifying
causes of
stress and
establishing
personal
coping
principles.
1. Exercis
ing
helps
learn to
be
relaxed
and
reducin
g fear
and
anxiety
and
prevent
s the
reoccur
rence.
2. Therap
eutic
exercis
e
enables
the
patient
to deal
with
her
feeling
and
able to
identify
miscon
ception
s.
3. Speciali
sts
provide
1. The patient
appears
relaxed
2. The report
of
reduction
in anxiety
to
manageabl
e level.
3. The client
demonstrat
es fears and
concerns to
realize
weather to
be healthy
or
unhealthy.
4. Patient
verbalizes
released
distress and
manageabl
e level of
anxiety.
5. Reduced
physiologic
al
manifestati
on and
coping
enhanced.
6. Reduced
social
phobia and
NURSING CARE PLAN 7
6. Establishing
approaches
to deal with
stressors
and
reducing
anxiety.
additio
nal
assistan
ce in
the
momen
ts of
emerge
ncy and
adjustm
ents.
4. Removi
ng
patient
from
external
stressor
s
promot
e
relaxati
on and
enable
coping.
5. This
would
help
identify
degree
of fear
in
patient.
The
sympto
ms may
be
related
to
shock
or
physica
l state.
further
investigatio
ns needed.
NURSING CARE PLAN 8
References
Halter, M. J. (2017). Varcarolis' Foundations of Psychiatric-Mental Health Nursing-E-Book: A
Clinical Approach. Elsevier Health Sciences.
Sanson, G., Perrone, A., Fascì, A., & D'Agostino, F. (2018). Prevalence, Defining
Characteristics, and Related Factors of the Nursing Diagnosis of Anxiety in Hospitalized
Medical‐Surgical Patients. Journal of Nursing Scholarship.
Urden, L. D., Stacy, K. M., & Lough, M. E. (2017). Critical Care Nursing-E-Book: Diagnosis
and Management. Elsevier Health Sciences.

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