BIGTING MIKKEL YARDHWEEN S.P.

BSN 3D1

GENERALIZED ANXIETY DISORDER

Cues/ Clues Psychiatric Psychodyna Planning Therapeutic Rationale Evaluation

Nursing mics Approach
Diagnosis

Subjective Cues: Anxiety -Family Short Independent: Independent: Outcome

“ sinabi ni client “ related to history of Term Achieved:
feeling of anxiety goal: -Establish a -Therapeutic Short Term
Objective Cues: helplessness After 24 therapeutic skills need to be goal:
-vital signs: hours of relationship, directed toward After 24 hours
(increased) nursing conveying putting the client of nursing
-poor eye contact interventio empathy and at ease, because intervention:
-restlessness -Stressful or n: unconditional the nurse who is
-hand tremors traumatic positive regard. a stranger may
-unease event in the -The pose a threat to -The patient is
-quivering voice past patient will the highly anxious able to
-facial flushing be able to client. verbalize the
-sweating verbalize awareness of
awareness -Maintain -The client will feeling of
*MENTAL STATUS of feelings calmness in your feel more secure Anxiety.
ASSESSMENT: of anxiety. approach to the if you are calm
-Helplessnes client. and if the client
General s -The feels you are in -The patient
Appearance: patient will control of the appeared
-Appearance may appear situation. relaxed and
appear normal and relaxed the level of
dressed and the -Avoid asking or -The client may anxiety was
appropriately. -Overreacts level of forcing the client not make sound reduced to a
when anxiety will to make choices. and appropriate manageable
-They look worried. triggered with be decisions or may level.
their emotion reduced to be unable to
Motor Behavior: and situation a make decisions at
-Motor behavior around them manageabl all.
may appear odd. e level.
They have trouble -Keep immediate -A stimulating
sleeping, trembling, -The surroundings low environment may -The patient
sweating, nervous patient will in stimuli (dim increase levels of was able to
or easily startled. be able to lighting, few anxiety. know some
-Excessive know people, simple techniques on
Attitude: worrying some decor). how to lessen
-Irritability techniques the anxiety.
-Overthinking plans on how to
and solutions to all lessen the
possible anxiety.
worse-case
outcomes. -Feeling Dependent: Dependent:
-Overreact when nervous, Long Long Term
something triggers tense, Term - Administer -Panic attacks are goal:
their emotions restless, goal: prescribed caused by After 1 week of
-Can’t control irritable, After 1 medications by neuropsychiatric nursing
responses to having an week of the physician disorders that intervention:
situations increased nursing such as respond to SSRI
heart rate interventio antidepressant(S antidepressants.
Defense n: SRIs)
Mechanism:
-Denial -The Citalopram -The patient is
-Rationalization patient will (Celexa) able to identify
be able to Escitalopram healthy ways
Affect: -Anxiety identify (Lexapro) to deal with
-Anxious Disorder healthy Fluoxetine and express
-Worried ways to (Prozac) anxiety.
-Tense deal with Fluvoxamine
-Depressed and (Luvox, Luvox
-Sad express CR)
anxiety. Paroxetine (Paxil,
Thought Process: Paxil CR)
- They may -The Sertraline (Zoloft) -The client’s
anticipate disaster client’s Vilazodone anxiety level
and may be overly anxiety (Viibryd) was eliminated
concerned about level will
money, health, be
family, work or eliminated Collaborative: Collaborative:
other issues. They
have difficulty -PRN -Medication may
controlling their medications may be necessary to
worry or emotions. be indicated for decrease anxiety
high levels of to a level at which
anxiety. Watch the client can feel
out for adverse safe.
side effects.

Therapeutic Therapeutic
Communication: Communication:

-Use appropriate -Appropriate

nonverbal nonverbal
behaviors, such behaviors
as maintaining a express interest
relaxed and calm and help to
posture, and alleviate anxiety.
active listening
skills.
-Use appropriate -Appropriate
verbal techniques techniques and
that are clear and statements
concise to provide
respond to an reassurance and
anxious patient. prevent further
Use brief escalation of
statements that anxiety.
acknowledge the
patient’s current
feeling state,
such as “It seems
to me that you
are anxious” or “I
notice that you
seem anxious.”

-Provide -Helps relieve

necessary anxiety.
comfort
measures.

-Discuss ways to -Discussing ways

cope with anxiety to cope with
with the patient. anxiety allows the
health care team
member to
measure the
patient’s ability to
assume more
health-promoting
behavior.

-Evaluate the - Evaluating the

patient’s ability to patient’s ability to
discuss factors discuss factors
causing anxiety. causing anxiety
allows the
healthcare team
member to
recognize and
focus on areas of
concern.

-Help the patient - Relaxation

learn coping exercises are
strategies, such effective
as progressive nonchemical
relaxation, slow ways to reduce
deep-breathing anxiety.
exercises, and
guided imagery.