Assessment

Hindi naman
masakit, ang
tagal nga ng
schedule ng
operation ko
Patient is alert,
focused on the
environment &
immediate
event and
seems to be
restless. With
initial vs as
follows:
Bp 120/90
Rr 22
Cr 65
T 36c

Diagnosis

Anxiety
specified
level: mild

Explanation of the
Problem

Objective

Anxiety is vague
uneasy feeling of
discomfort or dread
accompanied by an
autonomic response,
a feeling
of apprehension cause
d by anticipation of
danger. It is an alerting
signal that warns of
impending danger and
enables
the individual to take
measures to deal with
the threat.

Demonstrate a
decrease in
anxiety by
presenting
physiological,
emotional,
and/or cognitive
manifestations of
anxiety and able
to verbalize relief
of anxiety.

Anxiety is probably
present at some level
in every individuals
life, but the degree
and the frequency with
which it manifests
differs broadly. Each
individuals response
to anxiety is different.
Some people are able
to use the emotional
edge that anxiety
provokes to stimulate
creativity or problemsolving abilities; others
can become

Nursing Intervention

1. Orient the client and the

people closest to
routine procedures and
activities are expected.
2. Exploration
client anxiety and
provide feedback.
3. Emphasize
that anxiety is a
common problem
experienced by many
people in the client's
current situation.
4. Allow clients
accompanied by a
family (significant
others) during the
phase
of anxiety and maintain
tranquility of the
surroundings.
5. Monitor and record
verbal and nonverbal responses that
show the
client's anxiety.

Rationale

1. Precise
information
about the
situation faced
by the clients
can
reduce anxiety /
foreign flavor to
the surrounding
environment
and help the
clients to
anticipate and
accept the
situation.
2. Identify trigger
factors /
ballast anxiety
problems and
offering
solutions that
can be done
by the client.
3. Indicate
that anxiety is
normal and not
only
experienced
by the
client only in
the hope the

Evaluation

Patient must have

reduction in presenting
physiological, emotional,
and/or cognitive
manifestations of
anxiety and able to
verbalize relief of
anxiety.

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immobilized to a
pathological degree.
The feeling is
generally categorized i
nto four levels for
treatment purposes:
mild, moderate,
severe, and panic. The
nurse can encounter
the anxious patient
anywhere in the
hospital or community.
The presence of the
nurse may lend
support to the anxious
patient and provide
some strategies for
traversing anxious
moments or panic
attacks.

client can
understand and
accept his
condition.
4. Mobilize support
system, prevent
feelings of
isolation and
reduceanxiety.
5. Assessing the
development of
the client's
problem.