Nursing Case Study: Assessment and Care Plan for Ms. Popov's Anxiety

This case study presents a nursing care plan for Ms. Popov, a 25-year-old client diagnosed with anxiety and panic disorder. The assessment identifies the causes of her anxiety, including fear of disappointing her father, trauma from her parents' divorce, and a recent breakup. The nursing assessment utilizes Hildegard E. Peplau's anxiety levels and includes a risk assessment questionnaire. Identified problems include imbalanced nutrition, insomnia, risk of self-harm, and anxiety. The care plan outlines interventions such as encouraging small, frequent meals; promoting sleep hygiene; administering anxiolytics; and preventing self-harm through constant monitoring and education. The goal is to improve Ms. Popov's overall well-being and manage her symptoms effectively. The case study also includes references to support the interventions.

Nursing
Institutional.

Ms. Popov case study
Introduction.
The essay will describe a case of a client named Ms. Popov who is 25 years old from eastern
Europe. She was diagnosed with anxiety and panic when playing in front of people at the Royal
school of music where she had gone for her postgraduate after getting a scholarship. She was
assessed and recommended to be admitted for care and further assessment.
Question 1.
From the assessment, the following reasons were found to be the causes of Beata's behavior.
The fear of disappointing her father; Beata feels that she had failed since she has not attained a
post-graduate degree from the Royal school of music, she feels that this will disappoint her father
who had succeeded in the field of music as being her first music teacher and a professional
musician as well. Disappointment and high expectations can lead to anxiety (Peleg et al 2016, pp
428-436). Secondly, Beata feels traumatized by her parents' divorce when she was 10 years old.
Lastly is the break up with her two years boyfriend who decided to go to Germany for a high-
profile job after completing his course.
Question 2
The nursing assessment was done on Ms. Beata who is anxious include, assessing the level
of the anxiety according to Hildegard E. Peplau who described anxiety in as mild, moderate,
severe and panic (Townsend &Morgan, 2017). I will also provide an anxiety risk assessment
questionnaire composed of yes/no questions. This will give a sense of the likelihood of having an
anxiety condition it will assess the regularity of feeling nervous, difficulty in concentrating,

trouble in falling or staying asleep, the feeling of self-conscious or insecurity most of the times
and many other signs of anxiety.
Question 3
The problems pertaining to Ms. Beata include imbalanced nutrition less than body
requirement, insomnia, risk of self-harm, and anxiety. The impaired nutrition less than body
requirements is related to the drug’s side effects evidenced by loss of appetite. The goal is that at
the end of implementation of the nursing interventions, Beata will take adequate amount of
nutrients. Interventions include, advising Beata to eat small meals but frequently (Kulovitz et al
2014, pp 386-392). The eating can also be done in during periods of high appetite Insomnia is
related to the anxiolytics’ side effects; the goal is that Beata will obtain optimal amounts of sleep
evidenced by improvement in sleep pattern. Interventions include the nurse helping Beata
limiting sleeping during day time by including some activities that will keep her awake during
the day. The nurse can discuss with Beata the techniques that promote sleep and adjusting the
environment by switching off lights to promote sleep. Managing anxiety include administration
of anxiolytics and monitoring their side effects monitored. The nurse can also encourage Beata to
consider positive self-talk and avoid blaming herself (Ackley et al 2019. The last problem is the
risk for self-harm related to the feeling of not being good enough at anything, parents’ divorce
and separation with her boyfriend. Beata states that she doesn’t see the reason for her continue
living, she just wants to end it all. The goal is that Beata will remain free from any self-harm
within her entire stay in the ward. The interventions include the nurse ensuring that Beata is not
left alone in her entire hospitalization. The nurse can also educate Beata that self-harm is a
choice that can be controlled even after she is discharged.
Conclusion

The essay has outlined the problems leading to Beata’s anxiety and the care plan for the
problems pertaining to Beata which can be used for nursing care.

References.
Ackley, B. J., Ladwig, G. B., Msn, R. N., Makic, M. B. F., Martinez-Kratz, M., & Zanotti, M.
(2019). Nursing Diagnosis Handbook E-Book: An Evidence-Based Guide to Planning Care.
Kulovitz, M.G., Kravitz, L.R., Mermier, C., Gibson, A.L., Conn, C.A., Kolkmeyer, D. and
Kerksick, C.M., 2014. Potential role of meal frequency as a strategy for weight loss and health in
overweight or obese adults. Nutrition, 30(4), pp.386-392.
Peleg, O., Deutch, C. and Dan, O., 2016. Test anxiety among female college students and its
relation to perceived parental academic expectations and differentiation of self. Learning and
Individual Differences, 49, pp.428-436

Townsend, M.C. and Morgan, K.I., 2017. Psychiatric mental health nursing: Concepts of care in
evidence-based practice. FA Davis.