Student Nurses’ Community

NURSING CARE PLAN ─Hopelessness

ASSESSMENT DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION
S

SUBJECTIVE: Hopelessness Terminal After 1 week of Independent:  Hopelessness is After 1 week of

related to illness/deterioratin nursing directly associated nursing
“I can’t seem to  Monitor and
deteriorating g physiologic interventions, with suicidal interventions,
do anything,” as document
physiological condition patient will be behavior and also goal met.
verbalized by the potential for
condition able to: with a variety of Patient was
patient ↓ suicide.
other able to identify
 Participate in Provide a safe
Inability to reach dysfunctional feelings of
care environment hopelessness
self-fulfilment personal
OBJECTIVE: so client (regarding
associated with  Verbalize characteristics.
cannot harm present
 Decreased terminal state feelings and Hopelessness is an
self. situation),
appetite make accurate indicator
↓ of suicidal risk. A demonstrate
positive  Assess the
 Increased Perception of being statements client for and safe environment more effective
sleep flawed and point out reassures the communication
 Maintains client. skills and
 Lack of deficient reasons for
appropriate living. verbalizes
initiative ↓ appetite for  Interventions that feelings,
age and  Assess for increase the participates in
 Lack of Depressogenic
physical impaired awareness of different
involvement in thought patterns reasons for living
health problem- activities such
care may decrease
↓ solving ability as self-care,
 Sleep hopelessness and
 Passive and and resume
Perception of appropriate dysfunctional decrease risk for appropriate
situation as amount of attitude. suicide rest pattern as
important, time for age
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unchangeable, and physical  Evaluate client  Impaired problem- well as diet.

lasting and health by realistically solving ability and
impacting many assessing the dysfunctional
areas of life/ predicament or attitude have
Perception of threat. been shown to
limited/or no correlate with
alternatives  Determine
hopelessness
regarding situation appropriate
approaches  Understanding the
↓ based on the etiologic basis of
underlying the client's
Hopelessness
condition or hopelessness is
situation that important in order
is contributing to intervene
to feelings of
 Truthful
hopelessness.
Either information is
encourage a generally
positive mental preferred by
attitude families; surprise
(discourage information
negative regarding a
thoughts) or change in status
brace client for may cause the
negative family to worry
outcomes that information is
being withheld
 Assist client from them
with looking at (Johnson, Roberts,
alternatives 1996). A person
and setting awaiting a
goals that are transplant may
important to need to express
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him or her. only hope or

optimism, whereas
 Spend one-on-
a person with an
one time with injury with long-
client. Use term effects, such
empathy; try as a spinal-cord
to understand injury, may need
what a client is to prepare for
saying, and possible negative
communicate outcomes and
this slow progress
understanding
to the client.  Mutual goal
setting ensures
 Encourage
that goals are
expression of attainable and
feelings, and helps to restore a
acknowledge cognitive-temporal
acceptance of sense of hope
them
 Experiencing
 Give client
warmth, empathy,
time to initiate genuineness, and
interactions. unconditional
After an positive regard
appropriate can inspire hope
amount of time
is allowed,  Active listening is
approach client a tool used by
in an accepting nurses to enable
and them to listen to
nonjudgmental all ideas and
manner. feelings without
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 Review client's judgment. Active

strengths with listening may help
client. Have clients to express
client list own themselves
strengths on a
 Clients who have
note card and
feelings of
carry this list
hopelessness
for future
need extra time to
reference.
initiate
 Encourage relationships and
family and sometimes are not
significant able to.
others to Approaching the
express care, client in an
hope, and love unhurried,
for client. nonjudgmental
manner allows the
client to feel
secure and
provides an
atmosphere
conducive to
venting fears and
asking questions
 Having individual
worth affirmed
inspires hope.
Listing strengths
provides
reinforcement of
positive self-
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regard.
 Helping the family
to provide client
reinforcement, to
understand the
client's feelings,
and to be
physically present
and involved in
care are strategies
that enable the
family to alter the
client's hope state