PSYCHIATRIC PSYCHODYNAMICS NURSING DIAGNOSIS Subjective clue: Anxiety related to Predisposing factors Paano kung threat to (psychoanalytical, bumagsak

yung taas environment as interpersonal, (2nd flr.) mamamatay evidenced by paano behavioral, family, kami, as verbalized kung bumagsak yung biological) by the client. taas (2nd flr.) mamamatay kami, Madalas akong as verbalized by the tulala dahil marami client. Precipitating factors akong iniisip, as (physical integrity, verbalized by the self-system) client.

CUES/ CLUES

PLANNING

THERAPEUTIC APPROACH Independent: 1. Providing general leads >stay with the client, maintaining a calm confident manner > speak in brief statement using simple words >provide for nonthreatening environment. Minimize stimuli. 2.Providing specific question >do not ask the patient why the symptoms appear >give feedback to the patient about behavior, stressors, appraisal of stressors, and coping resources. >reinforce the idea that physical health is related to emotional health and

RATIONALE

EVALUATION

Short term outcome: After 8 hours of nursing intervention, the client will be able to: > appear relaxed and verbalized anxiety is reduced to a manageable level >verbalize awareness of feelings of anxiety >identify healthy ways to deal with and express anxiety

> the patients behavior may be modified by altering the environment and the patients interaction with it.

Outcome achieved: The patient was able to: > appear relaxed and verbalized anxiety is reduced to a manageable level >verbalize awareness of feelings of anxiety >identify healthy ways to deal with and express anxiety

Objective: >Restless >Wakeful >Reports of insomnia >Motivated to deal with existing problems

Appraisal of stressor > anxiety can be reduced by initially allowing the patient to determine the amount of stress that can be handled. If the patient is unable to release anxiety, tension may amount to the panic level and the patient may lose control. According to Roger, a variation of self as

Coping resources

Task oriented; ego oriented

Task oriented>constructive

Ego oriented-> destructive

that this is an area that will need exploration

Continuum of anxiety responses

Adaptive response

the inherent potentialities of the actualizing tendencies that can suffer the distorted expression when maladjustment occurs resulting in behavior destructive to oneself and others.

Mild anxiety

3. Engage in the daily schedule activities >initially share an activity with the patient to provide support and reinforce socially productive behavior >provide physical exercise of some type

By encouraging the outside activities, the nurse limits the time the patient has available for destructive coping mechanisms while increasing participation an and enjoyment of other aspects of life. Freud stated that positive reinforcement functions to feed the ID which contains the drives that people have. The ID is governed by the pleasure principle

which suggest that all processes operate to achieve the maximum amount of pleasure.

Collaborative: 1.Continue to administer and monitor the effects of the prescribed medication >anxiolytics

> anxiolytics are anti-anxiety drugs. Benzodiazepines are effective in the treatment of anxiety. However, use of this in combination with alcohol may result in a serious sedative reaction.