I need nursing implementation and nursing action

I need nursing implementation and nursing action based on the patient objective/planning. Implementation: What are interventions that would ensure the safety of your client in regard to culture? Include at least three interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met? “The nurse will…..” Patient Objective /Planning Smart Goal approach/Planning Hispanic Culture fear being labeled “loco”. If they express mental anxiety or depression they don’t want to be viewed as mentally unfit. They suffer from the same mental health conditions the rest of the world faces, yet they are unlikely to receive mental health treatment. Language barriers can create misdiagnose and fear of having a stigma of mental illness preventing Hispanic from seeking help. Maria has a Diagnose of Anxiety and depression. She can use a Smart goal to overcome her mental issues over time. S: Maria will overcome her Anxiety and Depression with 30 minutes of meditation per day. M: Maria will monitor the severity of her panic attack sand time she spent mediating. A: Maria will attain her goal to reduce anxiety as mediation is proven to help. R: Maria overall end goal to improve her positive mental health. T: Maria goal is timebound to stop all panic attacks from occurring after starting mediation. Hamilton Rating Scale on Depression and Anxiety The use of a Hamilton scale was implemented for the 17-year Hispanic female that was noted with depression on assessment. 0-7 is generally accepted to be with the normal range. The score of 20 or higher indicating at least moderated severity is usually required for entry into a clinical trail Depressed mood 0= absent 1= these feeling states indicated only on questioning 2= These feeling states spontaneously reported verbally 3= communicates feeling states nonverbal, crying posture, voice facial expression 4= patient reports virtually only these feeling states in their spontaneous verbal and nonverbal communication Anxiety 0=absent 1=subjective tension and irriability 2=worrying about minor matters 3=apprenhensive attitude in face 4=fears expressed without questioning

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