5 NOC: Parent Infant AttachmentNIC: Family Integrity Promotion: Childbearing Family The following activities are part of the

NIC: Family Integrity Promotion: ChildbearingFamily. Review the activities listed below and select 5 that are appropriate for thissituation and which address the indicators selected for the NOC: Parent-InfantAttachment.Write these 5 activities on the care plan in the activity section.NIC: Family Integrity Promotion: Childbearing Family Create an atmosphere to facilitatetrustProvide atmosphere of acceptanceConvey accepting attitudeEstablish trusting relationship withparents(s)Offer to be a listenerOffer to be a listener forsignificant otherspend time with parents to conveyacceptancespend time with parents tocontribute to feelings of selfworthProvide step-by-step verbal supportin a calm, strong voiceMonitor current family situationMonitor psychosocial status offamilyMonitor effects of newborn o familystructureAnalyze role adaptations of familymembersDetermine strength of intrafamilybondsIdentify family interactions systemMonitor familys ability to performtasks appropriate to familydevelopmental stageIdentify normal family copingmechanismsIdentify coping mechanisms ofindividual family membersAssist family in identifying supportsystems used by the familyDetermine familys relationship tosupport systemsAssist family in developing newsupport networkOffer to be an advocate for thefamilyOffer to be an advocate for thechildPrepare parents(s) for expected rolechanges involved in becoming aparentPrepare parents(s) forresponsibilities of parenthoodMonitor parents adaptation toparenthoodDetermine parents self-esteemReinforce positive parentingbehaviorsMonitor parents self-perception asa parentAppraise parents perception of selfas individualEncourage parents(s) to maintainindividual hobbies or outsideinterestsProvide parent(s) an opportunity toexpress their feelings aboutparenthoodEncourage verbalization of

feelings,perceptions and concerns aboutprenatal experienceDiscuss the grieving processassociated with the loss of beingpregnantExplain causes and manifestations ofpostpartum depressionProvide for family and siblingvisitation during postpartum periodMake siblings(s) feel special whenvisiting unitsProvide toys for siblings in waitingroomDetermine how parent(s) preparedsibling(s) for coming of new babyProvide information about siblingpreparationEncourage family to attend siblingpreparation classesDiscuss reaction of sibling(s) tonewbornDetermine sibling reaction tonewbornProvide family with informationabout measures to assist sibling(s)to feel important to the familyEncourage parent(s) to observesibling reaction to newbornGive family information on how toprevent sibling rivalryGive family information on how todeal with sibling rivalryDevelop policies that permitpresence of family members as muchas desired

6 NOC: CopingNIC: Coping Enhancement The following activities are part of the NIC: Coping Enhancement. Review the activities listedbelow and select 5 that are appropriate to the situation and address the indicators identifiedfor the NOC: Coping. Write these 5 on the care plan in the activity section for CopingEnhancement. Appraise a patients adjustmentto changes in body image, asindicated.Appraise the impact of thepatients life situation on rolesand relationships.Encourage patient to identify arealistic description of change inroleAppraise the patientsunderstanding of the diseaseprocess.Use a calm, reassuring approach.Provide an atmosphere ofacceptance.Assist the patient in developing anobjective appraisal of the eventHelp patient to identify theinformation he/she is mostinterested in obtaining.Provide factual informationconcerning diagnosis, treatmentand prognosis.Provide the patient with realisticchoices about certain aspects ofcare.Encourage an attitude of realistichope as a way of dealing withfeelings of helplessness.Evaluate the patients decision-making ability.Seek to understand the patientsperspective of a stressfulsituation.Discourage decision-making whenthe patient is under

severestress.Encourage gradual mastery of thesituation.Encourage the patient indeveloping relationships.Explore the patients previousachievements of success.Explore the patients reasons forself-criticism.Foster constructive outlets foranger and hostility.Arrange situations that encouragepatients autonomyAssist patient in identifyingpositive responses from others.Encourage the identification ofspecific life values.Explore the patients previousmethods of dealing with lifeproblems.Introduce patient to persons (orgroups) who have successfullyundergone the same experience.Instruct the patient on the use ofrelaxation techniques, as neededSupport the use of appropriatedefense mechanismsEncourage verbalization offeelings, perceptions, fears.Encourage the patient to identifyown strengths and abilitiesAssist the patient in identifyingappropriate short and long-termgoalsAssist the patient in examiningavailable resources to meet thegoalsAppraise the patientsneed/desire for social supportAssist the patient to identifyavailable support systemsEncourage family involvement, asappropriateAssist the patient to grieve & work through the losses of chronicillness &/or disability, if appropriate

7 NOC: CopingNIC: Crisis Intervention The following activities are part of the NIC: Crisis Intervention. Review the activities listedbelow and select 5 that are appropriate to the situation and address the indicators identifiedfor the NOC: Coping. Write these 5 on the care plan in the activity section for Crisis Intervention Provide atmosphere of supportDetermine whether patientpresents safety risk to self orothersInitiate necessary precautions tosafeguard the patient or othersat risk for physical harmEncourage expression of feelingsin a nondestructive mannerAssist in identification of theprecipitants and dynamics of thecrisisAssist in identification ofpast/present coping skill andtheir effectivenessAssist in identification ofpersonal strengths and abilitiesthat can be used in resoling thecrisisAssist in development of newcoping and problem solving skillAssist in identification ofavailable support systems provideguidance

about how to developand maintain support system(s)Introduce patient o persons (orgroups)who have successfullyundergone the same experienceAssist in identification ofalternative course of action toresolve the crisisAssist in evaluation of thepossible consequences of thevarious course of actionAssist patient to decide on aparticular course of actionAssist in formulating a timeframe for implementation ofchosen course of actionEvaluate with patient whethercrisis has been resolved bychosen course of actionPlan with patient how adaptivecoping skills can be use to dealwith crises in the future Congratulations! You have successfully completed your first nursing care plan using the standardized nursingvocabularies ofNANDA,NOCandNIC.1. If you wish to received CE for this educational activity, please complete the evaluation formand return along with $10 to:Carol Williams, MS, RN, CEducational Services for NursingUniversity of Michigan Health System300 North Ingalls , 6B12Ann Arbor, Michigan 48109-04362. If you are working with a coordinator please give your quiz, evaluation