UNIVERSITY OF SANTO TOMAS – COLLEGE OF NURSING

Espana Boulevard, Sampaloc, Manila, Philippines 1015

Tel. No. 406-1611 loc.8241 | Telefax: 731-5738 | Website: www.ust.edu.ph

NURSING CARE PLAN

Risk for Violence

Assessment Nursing Diagnosis Scientific Analysis Goals/Objectives Nursing Scientific Rationale

Evaluation Criteria
Interventions for the
Interventions
Patient verbalized Risk for self-harm Risk for self-directed violence: At After 20 mins of Frequently assess Early detection and After 20 mins of nurse
“Dati di ko related psychotic risk for behaviors in which an nurse patient client ’ s behavior for intervention of patient interaction, the
macontrol yung symptomatology individual demonstrates that he/she interaction. The signs of increased escalating mania will patient was able to be
patient would be agitation and prevent the
sarili ko can be physically, emotionally, relieved of his anxiety.
relieved of his anxiety hyperactivity. possibility of harm to
nasasaktan ko and/or sexually harmful to self. regarding his self- self or others, and
sarili ko” harm decrease the need After series of nurse patient
for seclusions. interaction the patient was
After series of nurse able to cope properly.
patient interaction the
patient would be able
to cope properly with Decrease Helps decrease
his tendencies. environmental stimuli escalation of anxiety
(e.g., by providing a and manic
calming environment symptoms.
or assigning a private
room)

Maintain a consistent Clear and consistent

approach, employ limits and
consistent expectations
expectations, and minimize potential for
provide a structured client’s manipulation
environment. of staff.