Objective Data Client: Char Subjective Data
* Distressed appearance Age: 30 * Feelings of powerlessness and lack of control
* Rapid breathing Medical Dx: N/A * Overwhelming anxiety when attempting to leave
the house
* Difficulty attending to questions
* Symptoms of doom, pressure in the chest, racing
* Avoidance of leaving the house for essential pulse, and dizziness
activities such as grocery shopping, school etc.
* History of anxiety symptoms back in college. Nursing Dx: Anxiety related symptoms of strong fear and
distress.
Definition: Anxiety is a feeling of worry or fear that can be
Interventions
overwhelming and difficult to control.
#1: Relaxation techniques training
Rationale: Teaching Char relaxation techniques such as deep breathing Maslow Level
Safety
exercises, progressive muscle relaxation, and mindfulness can help her reduce
the physical symptoms of anxiety and promote a sense of calmness.
Goal
STG #1: I want within two weeks for the patient to demonstrate reduced anxiety, with
fewer symptoms like distress and rapid breathing.
#2: Exposure Therapy
Rationale: Char can benefit from exposure therapy, a type of behavioral therapy
where she gradually confronts feared situations. By systematically facing her
fear of leaving the house under the guidance of a therapist, Char can learn to
manage her anxiety reactions and build confidence in her ability to cope with
such situations.
Evaluation
STG #1:
#3: Medication administration After one month, Char and Steve should report decreased intensity and frequency of her
anxiety symptoms. Additionally, Char should exhibit improved engagement in therapy
Rationale: Since Char has responded positively to medication in the past, it can sessions and a greater readiness to try exposure exercises.
help alleviate her current symptoms. With the guidance of a psychiatrist, she can
explore options such as SSRIs or benzodiazepines to manage her anxiety while
she works on coping strategies in therapy.
* Distressed appearance Age: 30 * Feelings of powerlessness and lack of control
* Rapid breathing Medical Dx: N/A * Overwhelming anxiety when attempting to leave
the house
* Difficulty attending to questions
* Symptoms of doom, pressure in the chest, racing
* Avoidance of leaving the house for essential pulse, and dizziness
activities such as grocery shopping, school etc.
* History of anxiety symptoms back in college. Nursing Dx: Anxiety related symptoms of strong fear and
distress.
Definition: Anxiety is a feeling of worry or fear that can be
Interventions
overwhelming and difficult to control.
#1: Relaxation techniques training
Rationale: Teaching Char relaxation techniques such as deep breathing Maslow Level
Safety
exercises, progressive muscle relaxation, and mindfulness can help her reduce
the physical symptoms of anxiety and promote a sense of calmness.
Goal
STG #1: I want within two weeks for the patient to demonstrate reduced anxiety, with
fewer symptoms like distress and rapid breathing.
#2: Exposure Therapy
Rationale: Char can benefit from exposure therapy, a type of behavioral therapy
where she gradually confronts feared situations. By systematically facing her
fear of leaving the house under the guidance of a therapist, Char can learn to
manage her anxiety reactions and build confidence in her ability to cope with
such situations.
Evaluation
STG #1:
#3: Medication administration After one month, Char and Steve should report decreased intensity and frequency of her
anxiety symptoms. Additionally, Char should exhibit improved engagement in therapy
Rationale: Since Char has responded positively to medication in the past, it can sessions and a greater readiness to try exposure exercises.
help alleviate her current symptoms. With the guidance of a psychiatrist, she can
explore options such as SSRIs or benzodiazepines to manage her anxiety while
she works on coping strategies in therapy.
