Situation:– it is the first day of clinical experience of nursing students at the Psychiatry Ward- During the orientation, the nurse emphasizes that the team members including nursing students are legally responsible to safeguard patient’s records from loss or destruction or from people not authorized to bead it. Q. The following are SOAP (Subjective – Objective – Analysis – Plan) statements on a problem: Anxiety about diagnosis. What is the objective data?

Relate patient’s feelings to physician initiate and encourage her to verbalize her fears give emotional support by spending more time with patient, continue to make necessary explanations regarding diagnostic test. Has periods of crying, frequently verbalizes fear of what diagnostic tests will revealAnxiety due to the unknown“I’m so worried about what else they’ll find wrong with me”

Explanation.

Has periods of crying, frequently verbalizes fear of what diagnostic tests will reveal