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NCLEX & CGFNS Practice Questions
Related To: [Check those that apply]

  • Anticipation of pain
  • Anticipation or perceived physical threat or danger
  • Fear of an event
  • Unfamiliar environment
  • Environmental stimuli
  • Separation from support system
  • Treatments and invasive procedures
  • Threat of death
  • Language barrier
  • Knowledge deficit
  • Sensory impairment
  • Specific phobias

As evidenced by: [Check those that apply]

  • Identifies fearful feelings or object of fear
  • Increased respirations, heart rate, and respiratory rate
  • Denial
  • Tension
  • Fright
  • Jitteriness
  • Apprehension
  • Impulsivity
  • Alertness

Patient’s Diagnosis: –
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Objective/Expected Outcome;The patient will:

  • manifests coping behaviors.
  • verbalizes or manifests a reduction or absence of fear.
  • Others

Note: you need to indicate time frame/target as objective must be measurable.

Nursing Interventions Scientific Rationale
Determine what the patient is fearful of by careful and thoughtful questioning. The external source of fear can be identified and current responses can be assessed.
Assess the degree of fear and the measures patient uses to cope with that fear Helps determine the effectiveness of coping strategies used by the patient.
Document behavioral and verbal expressions of fear. Physiological symptoms and/or complaints will intensify as the level of fear increases.
Determine to what degree the patient's fears may be affecting their ability to perform activities of daily living (ADLs). Persistent, immobilizing fears may require treatment with antianxiety medications or referral to specially designed treatment programs.
AAcknowledge your awareness of the patient's fear. This validates the feelings the patient is having and communicates an acceptance of those feelings.
Stay with patient to promote safety, especially during frightening procedures or treatments. The presence of a trusted person increases the patient's sense of security and safety during a period of fear.
Maintain a calm and tolerant manner while interacting with patient. The patient's feeling of stability increases in a calm and nonthreatening atmosphere.
Establish a working relationship through continuity of care. An ongoing relationship establishes trust and a basis for communicating fearful feelings.
Orient to the environment as needed. This promotes comfort and a decrease in fear.
Reduce sensory stimulation by maintaining a quiet environment. Fear may escalate with excessive conversation, noise, and equipment around the patient.
Assist patient in identifying strategies used in the past to deal with fearful situations. This helps patient focus on fear as a real and natural part of life that has been and can continue to be dealt with successfully.
As patient's fear subsides, encourage him or her to explore specific events preceding the onset of the fear. Recognition and explanation of factors leading to fear are significant in developing alternative responses.
Encourage rest periods To improve ability to cope.

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