By time of discharge from treatment, client will be able to rec-Increased cardiac and respiratory rates 1. Be available to stay with client. Remain calm and provide Interventions with disabling behaviors.Defiognize events that precipitate anxiety and intervene to prevent Increased tension[Increased helplessness]OverexcitedApprehensive; fearfulRestlessnessPoor eye contactFeelings of inadequacyInsomniaFocus on the self^242 Diminished ability to problem solve and learnGoals/ObjectivesShort-term GoalClient will demonst rate use of relaxat ion techniques to maintain anxiety at manageable level within 7 days.Long-term Goalassurance of safety.priority.^ ning Characteristics (“evidenced by”)●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONSelected Rationales Client safety and security is a nursing
2 2506_Ch13_236-255.indd Sec1:242 506 Ch 13 236 - 255 .ind 4. Provide quiet environment. Reduce stimuli: low lighting, few 5. Administer antianxiety medications as ordered by physician, 3. Review client’s methods of coping with similar situations in 2. Help client identify situation that precipitated onset of anxi-d Slorazepam, chlordiazepoxide, alprazolam) provides relief people. effectiveness of the medication as well as for adverse side should be identifiin a situation, ultimately decreasing anxiety. Client strengths again. A measure of control reduces feelings of powerlessness effects. helpful for client to identify past responses and to determine ety symptoms. or obtain order if necessary. Monitor client’s response for over these situations. the past. Discuss ways in which client may assume control with few stimuli.fiare related to symptoms of anxiety. Recognition may be the whether they were successful and if they could be employed e rst step in elimination of this maladaptive response.c 1 : 242 Anxiety level may be decreased in calm atmosphere Short-term use of antianxiety medications (e.g., Client may be unaware that emotional issues ed and used to his or her advantage.In seeking to create change, it would be 1 10/1/10 9:36:15 AM 0 / 1 / 10 9 : 36 : 15 AM