Outcome of the Nursing Outcomes Classification - Anxiety self-control (1402)
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Indicators
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Magnitude of the operational definition in the Likert scale
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Monitors intensity of anxiety Conceptual definition: Measures the degree of distress experienced at the time of exposure to the feared situation, varying from "no anxiety" to "extreme anxiety." |
1. Never 2. Rarely 3. Several times a month 4. Several times a week 5. Daily |
Uses effective coping strategies Conceptual definition: Plans in advance how to behave in risky situations, considering what should be done in terms of exposure and prevention of response. For example: attempt getting distracted during risky situations, with other thoughts or practical activities, chatting with yourself, or using reminders. |
1. Never use strategies 2. Rarely use a strategy 3. Monthly use at least one strategy 4. Weekly use at least one strategy 5. Daily use at least one strategy |
Maintains social relationships Conceptual definition: Manages to maintain a good relationship, with a certain frequency, with people who are part of your daily life, whether in a working group, friends, or family members, playing your respective role in certain situations, despite the symptoms of OCD. |
1. Never relate to close people 2. Relate to people only when necessary 3. Relate to people maintaining a certain distance 4. Relate to people, but make efforts to do so 5. Usually relate to people |
Monitor behavioral manifestations of anxiety Conceptual definition: Can perceive and distinguish what are behavioral and physical manifestations of anxiety from those that would be perceived manifestations/sensations and triggered by normal situations. Monitoring related to the level of disease insight. |
1. Never monitor demonstrations 2. Rarely monitor demonstrations 3. Monitor demonstrations several times a month 4. Monitor demonstrations several times a week 5. Usually monitor demonstrations |
Outcome of the Nursing Outcomes Classification - Fear level (1210)
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Indicators
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Magnitude of the operational definition
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Distress Conceptual definition: Feeling of general, physical, and psychic malaise, which usually accompanies anxiety, especially after exposure exercises and prevention of responses. |
1. Feel distressed every day 2. Feel distressed several times a week 3. Feel distressed several times a month 4. Rarely feel distressed 5. Never feel distressed |
Restlessness Conceptual definition: Psychomotor agitation due to peaks of anxiety, which may result in increased compulsive symptoms and invasive thoughts. |
1. Presents restlessness every day 2. Presents restlessness several times a week 3. Presents restlessness several times a month 4. Rarely presents restlessness 5. Never presents restlessness |
Difficulty concentrating Conceptual definition: Presents difficulty to concentrate on tasks/activities due to invasive thoughts, fears, and/or unfounded concerns. |
1. Never concentrates for the entire period of activity 2. Rarely concentrates for the entire period of activity 3. Concentrates for the entire period of activity several times a month 4. Concentrates for the entire period of activity several times a week 5. Usually concentrates for the entire period of activity |
Difficulty problem solving Conceptual definition: Excessive difficulty in solving everyday problems, due to fears arising from invasive thoughts and slowness by performing compulsive rituals/behaviors. |
1. Never succeeds in solving problems 2. Rarely succeeds in solving problems 3. Succeeds in solving problems several times a month 4. Succeeds in solving problems several times a week 5. Succeeds in solving problems whenever they arise |
Exaggerated concern about life events Conceptual definition: Worries exaggeratedly about situations of everyday life that may bring unfounded risks, due to fears and invasive and obsessive thoughts. For example: worries about knowing whether you locked the door or not. |
1. Usually worries 2. Worries several times a week 3. Worries several times a month 4. Rarely worries 5. Never worries |
Avoidance behavior Conceptual definition: Avoids people, situations, places, and objects because of the fear that major disasters may occur due to obsessive thoughts. |
1. Never exposes to risky situations 2. Rarely exposes to risky situations 3. Exposes to risky situations several times a month 4. Exposes to risky situations several times a week 5. Usually exposes to risky situations |
Outcome of the Nursing Outcomes Classification - Anxiety level (1211)
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Indicators
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Magnitude of the operational definition
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Indecisiveness Conceptual definition: Manifest indecisiveness about basic choices of daily life due to the lack of confidence in yourself, because of unfounded fears. |
1. Is usually undecided 2. Is undecided several times a week 3. Is undecided several times a month 4. Is rarely undecided 5. Is never undecided |
Sleep disturbance Conceptual definition: Suffer from sleep disorders, being characterized both by excess and lack of sleep. |
1. Usually suffer from sleep disturbances 2. Suffer from sleep disturbances several times a week 3. Suffer from sleep disturbances several times a month 4. Rarely suffer from sleep disturbances 5. Never suffer from sleep disturbances |
Decreased productivity Conceptual definition: Stops doing daily or exceptional activities due to rituals/obsessions/compulsions/fears, leading to the loss of several hours of the day because of the slowness to perform the activities and consecutive interruptions. |
1. Never succeeds in performing all activities of the day 2. Rarely succeeds in performing all activities of the day 3. Succeeds in performing the activities of the day several times a month 4. Succeeds in performing the activities of the day several times a week 5. Usually succeeds in performing all activities of the day |
Outcome of the Nursing Outcomes Classification - Personal time management (1635)
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Indicators
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Magnitude of the operational definition
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Sets time for completion of commitments Conceptual definition: Establish a precise time to conclude daily or exceptional tasks/commitments, aiming at not being interrupted by rituals/compulsions. |
1. Never establishes time to conclude taks/commitments 2. Rarely 3. Several times a month 4. Several times a week 5. Whenever concludes tasks/appointments |
Plan activities by the week Conceptual definition: Succeeds in making schedule of commitments/activities for the following week and perform it, without interruptions or changes of time due to rituals/obsessions/compulsions. |
1. Never succeeds in planning activities for the next week 2. Rarely succeeds in planning activities for the next week 3. Succeeds in planning activities for the next week one week a month 4. Succeeds in planning activities for the next week almost every weeks a month 5. Usually succeeds in planning activities for the next week |
Minimizes interruptions Conceptual definition: Decrease the number of ritual-related interruptions (e.g., checking, repeating) during daily or exceptional tasks. |
1. Usually interrupts tasks 2. Interrupts tasks several times a week 3. Interrupts tasks several times a month 4. Rarely interrupts tasks 5. Never interrupts tasks |
Uses strategies to reduce anxiety Conceptual definition: Uses personal or learned strategies aimed at reducing anxiety in moments of crisis, without confusing strategies with "masked" rituals. Examples of strategies: The STOP technique, seeking to be distracted to cut the flow of invasive thoughts, doing another activity etc. |
1. Never uses strategies 2. Rarely uses strategies 3. Uses strategies several times a month 4. Uses strategies several times a week 5. Usually uses strategies |