Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

(Barré) #1
[Innately, easily agitated temperament since birth]Situational and maturational crisesFear of unspecifiFeelings of inadequacy● Fearf ulDefiOverexcitedDefipanied 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 alerting signal that warns of im-pending danger and enables the individual to take measures to deal with threat. Possible Etiologies (“related to”)Disorders Usually First Diagnosed in Infancy, Childhood, or Adolescence Threat to self-concept [perceived or real]Threat of deathUnmet needs[Fear of failure][Dysfunctional family system][Unsatisfactory parent–child relationship]RestlessnessANXIETY (MODERATE TO SEVERE) ning Characteristics (“evidenced by”) nition: Vague uneasy feeling of discomfort or dread accom- ed consequences ●^39

2 2506_Ch02_014-053.indd Sec1:39 506 Ch 02 014 - 053 .indd 1. Within 7 days, client will be able to verbalize behaviors that S^ 2. Within 7 days, client will be able to verbalize strategies to Focus on selfLong-term GoalBy time of discharge from treatment, client will be able to main-tain anxiety below the moderate level as evidenced by absence of disabling behaviors in response to stress.[Continuous attention-seeking behaviors]Poor eye contactDiffiInsomniaImpaired attentionIncreased respiration and pulseGoals/ObjectivesShort-term Goals ec 1 interrupt escalation of anxiety.become evident as anxiety starts to rise.: 3 culty concentrating 9 10/1/10 9:33:23 AM 10 / 1 / 10 9 : 33 : 23 AM

Free download pdf