CUES NURSING ANALYSIS GOALS AND NURSING RATIONALE EVALUATION

DIAGNOSIS OBJECTIVES INTERVENTION

Anxiety Anxiety is an GOAL: -Monitor
OBJECTIVE: related to emotional maternal/fetal - To identify Client was able
actual/ state After 8hours vital signs. physical to verbalize
 Fear may be perceived characterized of nursing responses and express
seen in some threat to by associated with her feelings
interventions,
facial mother/ fetus apprehension, both medical and throughout the
the client will
expression. possibly discomfort, emotional entire shift
verbalize
evidenced by restlessness or conditions. which helped
 Shakiness increased worry.
decrease in her relieve her
tension. - Brunner and anxiety to a -Use presence, touch - Being supportive anxiety.
 Increased Suddarth’s manageable or and approachable
tension Textbook of level, appear verbalization to encourages The caregiver
Medical- relaxed and encourage communication. was able to
Surgical comfortable. expressions or assess client’s
Nursing Vol.1 clarifications of level of
pg112 needs, anxiety.
OBJECTIVES: concerns, unknowns, - To assist client to
In clinical and identify feelings The caregiver
settings, fear After a day of questions. and begin to deal was able to
of interventions, with problems. assist
the unknown, the caregiver -Establish a client know
unexpected will be able to: therapeutic the coping
news about relationship, - It can help reduce strategies to
one’s health, conveying empathy anxiety and respond to his
and any a. Assess and unconditional stimulate anxiety.
impairment of client’s level positive regard. identification of
bodily of anxiety. coping behaviors. The caregiver
functions -Encourage was able to
engender b. Assist client verbalization of fears - It enables to help the client
anxiety. know the and concerns. obtain maximum is able to
Anxiety that coping benefit from rest achieve a
escalates to a strategies to periods; prevents comfortable
near panic respond to muscle fatigue environment.
state can be his anxiety. -Encourage use of and improves
incapacitating. relaxation techniques uterine blood The caregiver
Different c. Help the such as deep flow. was able to
patients client is able breathing exercises teach the
manifest to achieve a and music therapy. - To know his own client to be
physiologic, comfortable perception about able to
emotional, and environmen the upcoming understand
behavioral t. -Provide accurate surgery. the procedures
signs and information about he is going to
symptoms of d. Teach the the situation of the expect inside
anxiety in client to be client and reasons - It can point to the the OR.
different ways. able to for surgery. client’s level of
- Brunner and understand anxiety.
Suddarth’s the -Identify client’s
Textbook of procedures perception about the - To determine
Medical- he is going upcoming surgery. those that might
Surgical to expect be helpful in
Nursing Vol.1 inside the -Review coping skills current
pg116 OR. the client used in circumstances.
past.
- It can lessen or
minimize the fear
that client is
- Encourage experiencing.
client to
acknowledge and to
express feelings
through sharing or
other means of
coping.