Nursing Care Plan

ASSESSMENT NURSING INFERENCE PLAN OF CARE INTERVENTIONS RATIONALE EVALUATION

DIAGNOSIS
Objective: Disturbed Impaired After 3 hours of -Use a rather low voice -Promotes patient After 3 hours of
thought immediate applying and speak slowly and functional ability and applying appropriate
-Tense process related memory is the appropriate clearly during may improve thought nursing interventions,
-Decreased to impaired inability to recall nursing conversations (asking, process. the patient was able to
ability to recall immediate information after interventions, the giving instructions) improve thought
memory as its immediate patient will have -Assess patient’s ability -Changes in status processing and was
evidenced by use. This could improved thought for thought processing may indicate able to achieve
inability to be a sign of a processing and will (observe patient for progression of functional ability at an
recall. deeper problem achieve functional cognitive functioning, deterioration or optimum level.
such as brain ability at an memory changes, improvement in
injury or a optimum level. disorientation, difficulty condition.
mental health with communication, or
issue. changes in thinking
patterns)
-Orient patient to -Reality orientation
environment as techniques help
needed, if short term improve patient’s
memory is intact awareness of self.
-Assess patient for -May cause confusion
sensory deprivation or and change in mental
poor nutrition status.
-Maintain a regular -If the needs of a
daily schedule routine patient are not met, it
to prevent problems may cause the patient
that may result from to become agitated
lack of sleep or and anxious.
inadequate exercise
-Provide positive -Promotes patient
reinforcement and confidence and
feedback for positive reinforces progress.
behaviors

Reference: Disturbed thought processes – Nursing diagnosis & care plan. (2017, November 10). Nurseslabs. https://nurseslabs.com/disturbed-
thought-processes/