Name: P.P.L St.

Anthony’s College
Age: 23 y/o San Jose, Antique
Diagnosis: Bipolar Mood D/O Nursing Department

NURSING CARE PLAN

CUES NURSING RATIONALE PLANNING INTERVENTION RATIONALE EVALUATION

DIAGNOSIS
Time: 8:00am Impaired Impaired social General Objectives: Independent: After 8 hours of nursing
04/24/19 social interaction is the After 2 weeks of nursing  Introduce  An introduction intervention patient able to
Subjective: interaction condition of interventions, patient will yourself to the and explanation express his feelings and establish
“Waay ko gana r/t emotional aloneness be able to: client. Explain will help the client good rapport with others and
magparticipate sa mga instability experienced by the  Spend time with your role on know what to actively participate in activities.
activity kag mag upod individual and other clients and the unit or expect from you, Goal Partially met.
sa ila, mas gusto ko pa perceived as nurses or within the other staff.
ya isa lang ko sa imposed by others therapist in treatment
kwarto kag and as negative or activities. team.
magtulog”as threatened state; it  Participate in  Assess client’s  Baseline data are
verbalized by the is insufficient or activities and behavior, essential for
patient. excessive quantity building trust attitudes, developing a plan
Objective: or ineffective relationship to problems and of nursing care.
 Patient not quality of social others. needs.
attending exchange.  Obtain the  The client’s actions
activities Impaired social Specific Objectives: client’s are based on his
provided by interaction After 8 hours of nursing perception of perceptions, which
the student Related to emotional intervention the patient his problems may or may not be
nurses. instability as will be able to: and what the the same as other
 Observed lack evidenced by  Patient will sit client expects people’s
of interest in limited attention through a short, to gain from perceptions or
playing games span, decreased small group the objective reality.
 Detached attention on meeting free relationship or
himself from activities and from disruptive hospitalization
his co-patient games, easily get outbursts. .
 Do not ask tired and showing  Patient will focus
questions lack of interest in on one activity
requiring a short
 mingling with attention span for  Be honest in  Honesty is essential
V/S taken as follows: others. 5 minutes. all interactions if a trusting
BP-120/80mmhg  Patient will with the client. relationship is to
T-36.9°c References: initiate and Avoid develop. You show
PR-78bpm Psychiatric maintains goal- glossing over that you are
RR-18breaths Nursing Care directed activities any unpleasant trustworthy by
O2sat-98% Plans 5th with others. topics or discussing these
Edition, Fortinash, circumstance. issues without
Holoda Worret judging or rejecting
page 185-202 the client.

 Do not allow  Allowing

the client to bargaining permits
bargain to the client to be
obtain special manipulative and
favors, avoid undermines limits
responsibilitie and trust.
s, gain
privileges or
otherwise
subvert limits.
 Encourage  Becoming the sole
client the confidant of the
client to client may seem
interact with flattering, but it
other staff and may be
clients. Avoid manipulative on the
becoming the part of the client,
only one the and inhibits the
client can talk client’s ability to
to about his form relationships
feelings and with others.
problems.
  The client’s ability
 Help the client to identify and
identify and express feelings
implement and to
ways of communicate with
expressing others is impaired.
emotions and
communicatin
g with others.
 Desirable behaviors
 Give attention increase when they
and positive are positively
feedback for reinforced.
acceptable or
positive
behavior.