CUES

Nursing Nursing Nursing Expected

Subjective/ Rationale Rationale
Diagnosis Objectives interventions Outcome
Objective
Nurse: Ano nga ulit Impaired Verbal Risk factors are Short term INDEPENDENT: This will determine Goal met.
pangalan ko? Communication socioeconomic & outcome: 1. Assess degree of the amount of
related to impaired biochemical After 8 hours of disorientation to reorientation and *The patient used a
Patient: “di ko cognitive abilities nursing intervention, time, place, person, intervention the form of
maalala.” the pt will be able to: and situation patient will need to communication to
Nurse : “Ilang taon *Use a form of regularly and evaluate reality get needs met and
ka na?” communication to frequently. accurately. to relate effectively
Neurologic get needs met and to with persons on her
Patient: “ Hindi ko developmental relate effectively 2.Giving Clear direct environment.
alam” failure with persons on her information explanations of
environment. a. Offer the client environment events *The patient
Nurse: “Kelan ang clear, simple help to lessen the demonstrated
kaarawan mo?” * Demonstrate explanations of client’s congruent verbal
Alteration of congruent verbal and environmental suspiciousness and and non-verbal
Patient: “October 29. function in non-verbal events, activities and fear or mistrust of communication
umiiyak ako kanina cognitive and communication the behaviors of the surroundings and
mommy naalala ko perceptive fields other clients as other. This can *The patient
nanay ko.” *Participate in necessary. prevent aggressive participated in
social activities behavior. social activities and
Sensory &Cognition: and group group therapies
*Conscious therapies 3.Anticipate patient The nurse should set
but disoriented to Inaccurate needs and pay aside enough
person interpretation of attention to non time to attend to all
*Impaired incoming verbal cues. of the details of
memory on Information patient care. Care
personal measures may take
information longer to complete in
the presence of a
*Poor focus communication
regarding deficit.
specific topic impaired cognitive
abilities 4. Give the patient It may be difficult
Attitude: ample time to for patients to
*Withdrawn respond. respond under
pressure; they may
Thought Process: need extra time to
*blocking organize responses,
*perseveration find the correct
*inability to recall word, or make
familiar words, necessary language