A. Nursing Process
1. Patient's condition:
- patients seem to dreamily
 - patients often pacing
 - patients ask you things that are not important
 - patient was suspected
 
- Risk for Self-Directed or Other-Directed Violence related to Anxiety
 
- Patients are able to know anxiety
 - Patients can use adaptive coping mechanisms
 - Patients can use relaxation techniques
 
B. Strategies for the nursing actions
1. Orientation
- Ttherapeutic greeting
 - Evaluation / Validation : Ask the patient's current feelings, Ask the patient how the current situation.
 - Contract : topic, place, time
 
2. work
- Discuss the problem off.
 - Guiding the implementation schedule
 - Guiding the use of relaxation techniques
 
3. Termination
a. Evaluation
- patients were able to express feelings.
 - patients are able to recognize the behavior and response.
 - patients can use adaptive coping mechanisms.
 - patients can use relaxation techniques.
 
b. Follow-up plan
- Encourage clients to identify and describe feelings.
 
c. Contract
- topic,
 - place,
 - time
 
