This free nursing care plan is for the following conditions: Anxiety, Nervousness, Inability to Cope, and Ineffective Individual Coping
What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?
This care plan is listed to give an example of how a Nurse (LPN or RN) may plan to treat a patient with those conditions.
Important Disclosure: Please keep in mind that these care plans are listed for Example/Educational purposes only, and some of these treatments may change over time. Do not treat a patient based on this care plan.
Care Plans are often developed in different formats. The formatting isn’t always important, and care plan formatting may vary among different nursing schools or medical jobs. Some hospitals may have the information displayed in digital format, or use pre-made templates. The most important part of the care plan is the content, as that is the foundation on which you will base your care.
Nursing Care Plan for: Anxiety, Nervousness, Inability to Cope, and Ineffective Individual Coping
If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. Otherwise, scroll down to view this completed care plan.
Scenario: |
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You receive a patient from the ER who has been injured from a massive tornado that struck 10 miles away from the hospital. The patient has multiple abrasions and bruises. You also learn that the patient lost his wife and 5 year old child due to the tornado. The patient keeps stating over and over that he can not believe “they are gone and I will believe it when I see their bodies” and that “there must be a mix up”. You note he is in the first stage of the grief period “denial”. The patient also appears very anxious about the other members of his family and is concerned about the well being of his 93 year old mother who lives in a mobile home 5 miles from where he lives. He states he feel “so helpless being stuck in this hospital”. When you try to ask the patient about his health history he has trouble staying on the topic. He is also restless and fidgeting in his hospital being. VS: HR 104, BP 170/96, RR 29, O2 Sat 98% on 2L nasal cannula.
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Nursing Diagnosis: |
| Anxiety related to situational crises as evidence by increased in blood pressure, pulse, and respirations, restlessness, expression of helplessness, and difficulty concentrating. |
Subjective Data: |
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You also learn that the patient lost his wife and 5 year old child due to the tornado. “They are gone and I will believe it when I see their bodies” and that “there must be a mix up”. He states he feel “so helpless being stuck in this hospital”.
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Objective Data: |
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You receive a patient from the ER who has been injured from a massive tornado that struck 10 miles away from the hospital. The patient has multiple abrasions and bruises. The patient keeps stating over and over that he can not believe “they are gone and I will believe it when I see their bodies” and that “there must be a mix up”. You note he is in the first stage of the grief period “denial”. The patient also appears very anxious about the other members of his family and is concerned about the well being of his 93 year old mother who lives in a mobile home 5 miles from where he lives. When you try to ask the patient about his health history he has trouble staying on the topic. He is also restless and fidgeting in his hospital being. VS: HR 104, BP 170/96, RR 29, O2 Sat 98% on 2L nasal cannula.
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Nursing Outcomes: |
| -The patient will verbalize that he feels more in control of his current situation before discharge.-The patient will verbalized and elaborate on 3 ways he plans on helping his current situation before discharge. -The patient’s HR will be 60-100 bpm, RR 12-20, and SBP 110-130 within 24 hours. -The patient will appear calm and attentive to the nurse’s questions within 24 hours. |
Nursing Interventions: |
| -The nurse will assess how the patient feels about his current situation in 24 hours.-The nurse will help the patient think of 3 ways he can help his current situation within 24 hours and ask the patient to verbalize them back before discharge
-The nurse will demonstrate 2 non-pharmacological techniques to help with anxiety within 12 hours and have the patient reciprocate. -The nurse will administer Xanax 0.25 mg PO every 6 hours as needed for anxiety per md order. -The nurse will assess the patient’s vital signs every 4 hours and report any abnormal results to the md within 15 minutes. -The nurse will assess the patient’s attention span and affect every 6 hours. |