ANXIETY Student's Name * First Middle Last Suffix This field is required. Please complete the following fields: First,Last. PhotoAccepted file types: jpg, gif, png, jpeg, Max. file size: 100 MB.DoB Month Incorrect Value for Month field Day Incorrect Value for Month field Year Incorrect Value for Month field Please enter a valid date. GR/LevelDaycareEEPKKN010203040506070809101112Post-GraduateWould you like to add the student's ID number? Yes No ID Campus/Building Would you like to add the student's homeroom number and teacher's name? 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Yes No ContactContact Name Add RemoveRelationship Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Phone Number Add RemoveContact Phone Type Add RemoveContact Name RelationshipChoose one:ParentGuardianOtherContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFaxContact Phone Number Contact Phone TypeChoose OneHomeMobileWorkFax Add More Treating Physician Add RemovePhysician Phone Number Add RemovePhysician Fax Number Add RemoveTreating Physician Physician Phone Number Physician Fax Number Add More Preferred Hospital City MEDICAL DIAGNOSIS(ES)Add a medication or procedure? Yes No MEDICATIONS/PROCEDURES Medication/Procedure Strength Dose ModeChoose one:OralTopicalInhaledIntranasalSQNebulizerSublingualRectalIMIVSched/PRN?Choose OneScheduledPRNTime Frequency If PRN, administer for Medication/Procedure Add RemoveStrength Add RemoveDose Add RemoveMode Add RemoveSched/PRN? Add RemoveTime Add RemoveFrequency Add RemoveIf PRN, administer for Add Remove Add More MEDICAL HISTORYASSESSMENT NursingList InterventionList OutcomesList Nursing Diagnosis: Anxiety Related to academic pressures, such as exams, deadlines, and workload. Related to social stressors, including peer relationships or social expectations. Related to a lack of coping skills or support systems. Related to a fear of failure or low self-esteem. Interventions The school nurse will assess the student’s anxiety level, identifying specific triggers and the duration, frequency, and intensity of symptoms. The school nurse will teach relaxation techniques such as deep breathing exercises, progressive muscle relaxation, and guided imagery. The school nurse will provide education on time management and study skills to alleviate academic pressure. The school nurse will encourage the student to engage in regular physical activity to reduce stress. The school nurse will connect the student with counseling or mental health resources on campus for additional support. Expected Outcomes The student will identify and verbalize triggers of anxiety and coping strategies. The student will demonstrate the use of at least one relaxation technique to manage symptoms. The student will report a decrease in perceived anxiety levels as measured by self-assessment tools or verbal reports. Nursing Diagnosis: Ineffective Coping Related to an inadequate support system or social isolation. Related to ahigh-stress academic environment with limited coping mechanisms. Related to negative self-talk or poor self-image. Interventions The school nurse will assess the student's current coping strategies and identify those that are effective and ineffective. The school nurse will connect teach problem-solving skills to handle academic and personal challenges more effectively. The school nurse will connect encourage the student to establish a daily routine that includes time for relaxation, studying, and self-care. The school nurse will connect promote positive self-talk and affirmations to replace negative thoughts. The school nurse will connect encourage social support by suggesting involvement in study groups, clubs, or campus events. Expected Outcomes The student will verbalize an understanding of effective coping strategies. The student will demonstrate the use of at least two new coping mechanisms during times of stress. The student will report an improved ability to manage stressors without becoming overwhelmed. Nursing Diagnosis: Fear related to Academic Performance Related to high expectations for academic success. Related to past experiences of failure or underperformance. Related to a lack of confidence in academic abilities. Interventions The school nurse will connect help the student identify realistic and achievable academic goals. The school nurse will connect provide support for developing a study plan that reduces the intensity of last-minute studying. The school nurse will connect encourage the student to utilize available academic resources, such as tutoring or mentoring programs. The school nurse will connect teach relaxation techniques to use before exams or presentations. The school nurse will connect offer reassurance and reinforce previous achievements to build confidence. Expected Outcomes The student will identify realistic academic goals and steps to achieve them. The student will demonstrate increased confidence in academic settings by engaging actively in classes. The student will verbalize decreased fear related to academic performance and feel more prepared for assessments. Nursing Diagnosis: Social Isolation Related to a fear of judgment or rejection by peers. Related to low self-esteem or self-worth, leading to withdrawal. Related to a social anxiety disorder or phobia. Interventions The school nurse will connect encourage the student to join support groups or student clubs to increase social interactions in a low-pressure setting. The school nurse will connect teach effective communication and social skills through role-playing exercises. The school nurse will connect educate on the importance of social interactions for mental well-being and support. The school nurse will connect collaborate with counseling services to provide cognitive-behavioral techniques for managing social anxiety. The school nurse will connect gradually expose the student to social settings, starting with small gatherings and progressing as comfort increases. Expected Outcomes The student will initiate social interactions in a controlled and comfortable setting. The student will report feeling less isolated and more connected to their peers. The student will demonstrate improved social skills and confidence in social situations. Nursing Diagnosis: Disturbed Sleep Pattern Related to worry and ruminative thoughts about academic performance and future outcomes. Related to irregular sleep routine due to studying or overthinking. Related to physical symptoms of anxiety, such as restlessness or insomnia. Interventions The school nurse will connect assess the student’s current sleep patterns and identify any factors interfering with sleep. The school nurse will connect educate on the importance of establishing a regular sleep routine and creating a calm, dark, and cool sleep environment. The school nurse will connect teach relaxation exercises to use before bedtime, such as deep breathing or guided meditation. The school nurse will connect limit caffeine and screen time before bed and encourage winding down activities. The school nurse will connect recommend keeping a sleep diary to track progress and identify patterns. Expected Outcomes The student will report improved sleep quality and a more consistent sleep pattern. The student will demonstrate the use of relaxation techniques to promote sleep. The student will feel more rested and alert during the day, showing improved academic focus and energy. Would you like to add another nursing diagnosis? Yes No Nursing DiagnosisNursing DiagnosisAdd your own nursing diagnosisInterventionsAdd your own nursing interventionsExpected OutcomesAdd your own expected outcomesNursing Diagnosis Add RemoveInterventions Add RemoveExpected Outcomes Add Remove Add More EVALUATIONNOTESIHP Developed ByName First Last Title Date Month Day Year Please enter a valid date. Do you want to include physician and parent signature lines? Yes Download IHP Clicking this button will download this IHP to your computer and return you to the blank IHP. Return Clicking this button will return you to the IHP to make changes.
