Nursing Diagnosis:

Risk for Moderate Anxiety related to increased stress as evidenced by patient's Restlessness and
tense appearance.

Long-term Goal:
By the next two weeks, the patient will employ relaxation techniques and coping strategies to
effectively manage and reduce feelings of anxiety when faced with stressors, resulting in a
visible decrease in restlessness and tense appearance.

Short-term Goal:
By the next two days, the patient will maintain open and proactive communication with
healthcare professionals regarding their progress in anxiety reduction and stress management,
leading to visible improvements in their demeanor and overall well-being.

1.. Intervention:
Assess the degree of anxiety the patient is experiencing (mild, moderate, severe) and the reality
of this degree and anxiety threat.
Rationale:
Assess the patient's level of anxiety and physical reactions to anxiety (e.g., tachycardia,
irritability, restlessness). Barley & Lawson (2016) stated in their study of the effect of health
psychology on common mental disorders that, for nurses to provide holistic care, they must be
vigilant about the possibility that the patient may be experiencing psychological anxiety and then
employ appropriate communication skills to identify and manage this issue.
Implementation:
Conduct structured interviews to gather information about the patient's anxiety, its severity, and
the situations that trigger it.
Evaluation:
Following two weeks of structured interviews and assessment, the patient's ability to manage
anxiety and its alignment with perceived threats should improve. Ongoing observation and
feedback from healthcare providers will validate progress and guide further interventions.
2.. Intervention:
Acknowledge the feelings the patient is experiencing.
Rationale:
The way a nurse interacts with a patient influences their quality of life. Providing psychological
and social support can alleviate the symptoms and issues related to anxiety (Wagner & Bear,
2009).
Implementation:
Use active listening techniques to encourage the patient to share their experiences and thoughts
related to anxiety.
Evaluation:
In the next two days of active listening and acknowledging the patient's feelings, the patient
should exhibit improved emotional well-being and trust in the healthcare team. Ongoing
observation will confirm progress in anxiety management.

3.. Intervention:
Instruct/educate the patient on how to use positive self-talk.
Rationale:
Self-talk strengthens both actual behavior performance and prospective behavioral intentions.
(Dolcos & Albarracin, 2004).
Implementation:
Explain the concept of positive self-talk, emphasizing that it involves changing negative or self-
defeating thoughts into more positive and constructive ones.
Evaluation:
In the next two days, after instructing the patient on positive self-talk, an improvement in their
ability to replace negative thoughts with positive, constructive ones is expected. Ongoing
feedback will validate progress in self-talk strategies.

1.. Outcome:
The patient will be able to verbalize feelings of anxiety and present ideas of how to handle those
feelings
Evaluated Statement:
The patient successfully achieved the desired outcome by articulating their anxiety and
proposing effective coping strategies. This demonstrates enhanced self-awareness and
communication, contributing to improved anxiety management and overall well-being.
2.. Outcome:
The patient will be able to acknowledge and discuss fears and concerns.

Evaluated Statement:
The patient effectively met the outcome by openly acknowledging and discussing their fears and
concerns. This signifies improved communication, emotional expression, and progress in
addressing anxiety-related issues.

3.. Outcome:
The patient will report a subjective reduction in restlessness, tension, or visible signs of anxiety,
such as pacing or muscle tensing.
Evaluated Statement:
The patient has achieved the outcome by reporting a subjective reduction in restlessness, tension,
and visible signs of anxiety. This indicates progress in managing anxiety and improving overall
well-being.

4.. Outcome:
The patient will exhibit improved emotional regulation and composure when dealing with
stressors, as observed by healthcare providers.

Evaluated Statement:
The patient successfully attained the outcome, as healthcare providers have observed improved
emotional regulation and composure when the patient encounters stressors. This suggests
enhanced coping abilities and overall emotional well-being.
5.. Outcome:
The patient will demonstrate enhanced overall well-being and a more positive demeanor as a
result of their active engagement with healthcare professionals and effective anxiety
management.
Evaluated Statement:
The patient has achieved the outcome by demonstrating enhanced overall well-being and a more
positive demeanor, which can be attributed to their active engagement with healthcare
professionals and effective anxiety management. This indicates a positive response to care
interventions.
 Work Cited
Ackley, B. J., & Ladwig, G. B. (2018). Nursing diagnosis handbook: An evidence-based guide to

planning care. Mosby Elsevier.