Long-term Goal[Nightmares or visual perceptions of traumatic event] 1. Maintain a calm, nonthreatening manner while working Interventions with Increased perspirationFaint nessTrembling or shakingRestlessnessInsomnia 2. Reassure client of his or her safety and security. This can be [Fear of dying, going crazy, or doing something uncontrolled from treatment.Goals/ObjectivesShort-term GoalClient will verbalize ways to intervene in escalating anxiety and intervene before reaching panic stage by time of discharge within 1 week.Client will be able to recognize symptoms of onset of anxiety^166 during an attack] alone at this time. with client. from staff to client or vice versa. Client develops feeling of security in presence of calm staff person.conveyed by physical presence of nurse. Do not leave client^ ●^ ALTERATIONS IN PSYCHOSOCIAL ADAPTATIONAnxiety is contagious and may be transferred Client may fear for his or her life. Presence Selected Rationales
2 2506_Ch08_161-175.indd 0166 506 Ch 08 161 - 175 .ind 4. Keep immediate surroundings low in stimuli (dim lighting, 3. Use simple words and brief messages, spoken calmly and 6. When level of anxiety has been reduced, explore with client^ 7. Encourage client to talk about traumatic experience un- 5. Administer tranquilizing medication, as ordered by physi-d 0 of a trusted individual provides client with feeling of security escalation of the anxiety.increase level of anxiety.der nonthreatening conditions. Help client work through feelings of guilt related to the traumatic event. Help client and assurance of personal safety.understand that this was an event to which most people ly anxious situation, client is unable to comprehend anything cian. Assess medication for effectiveness and for adverse side effects.but the most elementary communication.clearly, to explain hospital experiences to client. possible reasons for occurrence. few people, simple decor). factor(s) is the fi 166 rst step in teaching client to interrupt A stimulating environment may Recognition of precipitatingIn an intense- 10/1/10 9:35:04 AM 10 / 1 / 10 9 : 35 : 04 AM