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Disturbed Thought Process

The client expresses feelings of lacking internal and external attributes to handle challenges and stress. The nursing intervention aims to encourage the client to verbalize unmet needs and expectations, provide information on normalcy of such feelings, and encourage family participation. The objectives are for the client to express positive self-appraisal and report a reduction in stress to a manageable level within 1 hour.

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2K views1 page

Disturbed Thought Process

The client expresses feelings of lacking internal and external attributes to handle challenges and stress. The nursing intervention aims to encourage the client to verbalize unmet needs and expectations, provide information on normalcy of such feelings, and encourage family participation. The objectives are for the client to express positive self-appraisal and report a reduction in stress to a manageable level within 1 hour.

Uploaded by

fretzie azote
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Cues Nursing Diagnosis Objectives Nursing Intervention Rationale Evaluation

Subjective: Disturbed thought At the end of 1 hour of nursing 1. Encourage client to 1. The condition may be At the end of 1 hour of
"I think that I lack process related to stress intervention, the client will be able verbalize unmet needs and viewed by the client as a nursing intervention the
internal and external and weak ego. to: expectations. Provide failure at a life event, and client expressed,
attributes to handle my information regarding this may have a negative positive self- appraisal
challenges better and - Express positive self- appraisal normalcy of such feelings. impact on her and report reduction
take care of my stress” lifestyle process. stress experienced to a
as verbalized by the - report reduction stress experienced manageable level.
client. to a manageable level. 2. Encourage
presence/participation of the 2. Provides emotional
family member in all that is support; may encourage
Objective: going on. verbalization of concerns.
- Emotional Stress
- Inability to make 3. Assess attention span/ 3. Determines ability to
decisions and problem destructibility and ability to participate in planning and
solve. make decisions or problem executing care.
solve.

4. Assist the patient 4. Making sound life


deferring critical major life decisions necessitates
decisions. excellent
psychophysiological
functioning.

5. Reduce the patient’s 5. This approach reduces


duty while she is feelings of guilt, anxiety and
significantly stressed. stress.

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