Goals/Objectives[Reluctance or refusal to go to school or anywhere else without 1. Establish an atmosphere of calmness, trust, and genuine pos-Interventions with the face of events that formerly have precipitated panic.Possible Etiologies (“related to”)Heredity[Birth temperament][Overattachment to parent][Negative role modeling]DefiClient will maintain anxiety at no higher than moderate level in [Excessive distress when separated from attachment fiLong-term Goal[Fear of anticipation of separation from attachment fiClient will discuss fears of separation with trusted individual.[Fear of being alone or without attachment fiShort-term Goal^50 [Somatic symptoms occurring as a result of fear of separation][Nightmares about being separated from attachment fiattachment fi^ sary for satisfactory nurse–client relationship. Calmness is itive regard. ning Characteristics (“evidenced by”)●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATION gure]Trust and unconditional acceptance are neces- Selected Rationales gure] gure] gure] gure]
2 2506_Ch02_014-053.indd Sec1:50 506 Ch 02 014 - 053 .ind 2. Assure client of his or her safety and security. 3. Explore child’s or adolescent’s fears of separating from par- 5. Give, and encourage parents to give, positive reinforcement^ 4. Help parents and child initiate realistic goals (e.g., d Sseparation from child. panic anxiety are very frightening.ing fear of separation from child, of which they are un-be so frustrated with child’s clinging and demanding behaviors that assistance with problem solving may be required.aware and which they are unconsciously transferring to for desired behaviors. child.person to another.repetition of desirable behaviors.important because anxiety is easily transmitted from one ents. Explore with parents possible fears they may have of child to stay with sitter for 2 hours with minimal anxi-ety or child to stay at friend’s house without parents until 9:00 ec 1 : 50 pm without experiencing panic anxiety). Some parents may have an underly-Positive reinforcement encourages^ Parents may Symptoms of 1 10/1/10 9:33:26 AM 0 / 1 / 10 9 : 33 : 26 AM