DefiSituational and maturational crises[Increased diffiPoor eye contactRestlessness●Apprehensive; fearfulOverexcitedDefiIncreased helplessnessIncreased tensionpanied by an autonomic response (the source often nonspecifi c or unknown to the individual); a feeling of apprehension caused by anticipation of danger. It is an aler ting signal that warns of impend-ing danger and enables the individual to take measures to deal with threat.Possible Etiologies (“related to”)^228 [Unmet dependency needs][Low self-esteem][Dysfunctional family system][Feelings of helplessness and lack of control in life situation][Unfulfi^ ANXIETY (Moderate to Severe)^ ning Characteristics (“evidenced by”) nition:●^ lled tasks of trust and autonomy]ALTERATIONS IN PSYCHOSOCIAL ADAPTATION Vague uneasy feeling of discomfort or dread accom- culty taking oral nourishment]
2506_Ch12_218-235.indd Sec1:228 2506 Ch 12 218 - 235 .ind[Inability to learn]Short-term GoalClient will demonst rate use of relaxat ion techniques to maintain anxiety at manageable level within 7 days. 2. Help client identify the situation that precipitated onset of Goals/ObjectivesLong-term Goal 1. Be available to stay with client. Remain calm and provide re-ognize events that precipitate anxiety and intervene to prevent disabling behaviors.Interventions with By time of discharge from treatment, client will be able to rec-d Sissues are related to symptoms of anxiety. Recognition may assurance of safety.anxiety symptoms. priority.be the fiec 1 : 228 rst step in elimination of this maladaptive response.Selected Rationales Client safety and security is a nursing Client may be unaware that emotional 10/1/10 9:36:01 AM 10 / 1 / 10 9 : 36 : 01 AM
