Nurse's Pocket Guide

ineffective ROLE PERFORMANCE
• Use the techniques of role rehearsal to help the client develop
new skills to cope with changes.
NURSING PRIORITY NO. 3. To promote wellness (Teaching/
Discharge Considerations):
• Make information available for client to learn about role
expectations/demands that may occur. Provides opportunity
to be proactive in dealing with changes.
• Accept client in changed role. Encourage and give positive
feedback for changes and goals achieved. Provides reinforcement
and facilitates continuation of efforts.
• Refer to support groups, employment counselors, parent
effectiveness classes, counseling/psychotherapy, as indicated
by individual need(s). Provides ongoing support to sustain
progress.
• Refer to NDs Self-Esteem [specify] and the Parenting diagnoses.
Documentation Focus
ASSESSMENT/REASSESSMENT
• Individual findings, including specifics of predisposing
crises/situation, perception of role change.
• Expectations of SO(s).
PLANNING
• Plan of care and who is involved in planning.
• Teaching plan.
IMPLEMENTATION/EVAULATION
• Responses to interventions/teaching and actions performed.
• Attainment/progress toward desired outcome(s).
• Modifications plan of care.
DISCHARGE PLANNING
• Long-term needs and who is responsible for actions to be
taken.
• Specific referrals made.
SAMPLE NURSING OUTCOMES & INTERVENTIONS
CLASSIFICATIONS (NOC/NIC)
NOC—Role Performance
NIC—Role Enhancement
Information in brackets added by the authors to clarify and enhance
the use of nursing diagnoses.
574 Cultural Collaborative Community/Home Care