Prepared by Mrs/ Hamdia Mohammed. Introduction Following is a list of client behaviors and the NANDA...
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Transcript of Prepared by Mrs/ Hamdia Mohammed. Introduction Following is a list of client behaviors and the NANDA...
ASSESSING NURSINGDIAGNOSES TO CLIENT
BEHAVIORS
Prepared by Mrs/ Hamdia Mohammed
Introduction
Following is a list of client behaviors and the NANDA nursing diagnoses which correspond to the behaviors and which may be used in planning care for the client exhibiting the specific behavioral symptoms
Behaviors Nursing DiagnosesBehaviors Nursing
Diagnoses
Aggression; hostility
Anorexia or refusal
to eat
Anxious behavior
Confusion; memory
loss
Delusions
Denial of problems
Risk for injury; Risk for
other directed violence
Imbalanced nutrition:
Less than body
requirements
Anxiety (Specify level)
Confusion, acute/
chronic;
Disturbed thought
processes
Ineffective denial
Behaviors Nursing Diagnoses
Behaviors Nursing Diagnoses
Depressed mood or
anger
turned inward
Detoxification;
withdrawal
from substances
Difficulty accepting
recent change in health
status
Difficulty making
important life decision
Complicated
grieving
Risk for injury
Risk-prone health
behavior
Decisional conflict
(specify)
Behaviors Nursing Diagnoses
Behaviors Nursing Diagnoses
Difficulty with interpersonal
relationshipsDisruption in capability to perform usual responsibilities
Dissociative behaviors (depersonalization; de-realization)
Impaired social
interaction
Ineffective role
performance
Disturbed sensory
perception.
Behaviors Nursing Diagnoses
Behaviors Nursing Diagnoses
Expresses feelings of
disgust about body or
body part
Expresses anger at God
Expresses lack of control
over
personal situation
Fails to follow prescribed
therapy
Disturbed body
image
Spiritual distress
Powerlessness
Ineffective
therapeutic regimen
management
Behaviors Nursing Diagnoses
Behaviors Nursing Diagnoses
Flashbacks,
nightmares, obsession
with traumatic
experience
Hallucinations
Highly critical of self or
others
HIV positive; altered
immunity
Post-trauma syndrome
Disturbed sensory perception (auditory; visual)Low self-esteem (chronic; situational)
Ineffective protection
Behaviors Nursing Diagnoses
Behaviors Nursing Diagnoses
Insomnia or
hypersomnia
Loose associations or
flight of ideas
Loss of a valued entity,
recently experienced
Inability to meet basic
needs
Disturbed sleep
pattern
Impaired verbal
communication
Risk for complicated
grieving
Self-care deficit
(feeding; bathing/
hygiene; dressing/
grooming; toileting)
Behaviors Nursing Diagnoses
Behaviors Nursing Diagnoses
Manic hyperactivity
Manipulative behavior
Multiple personalities;
gender identity
disturbance
Orgasm, problems with;
lack of sexual desire
Risk for injury
Ineffective coping
Disturbed personal
identity
Sexual dysfunction
Behaviors Nursing Diagnoses
Behaviors Nursing Diagnoses
Overeating, compulsive.
Physical symptoms as copingBehavior.Potential or anticipated loss ofsignificant entity.Projection of blame; rationalization of failures; denial of personal responsibilityPhobias.
Risk for imbalanced nutrition : More than body requirementsIneffective coping
Grieving
Defensive coping
Fear
Behaviors Nursing Diagnoses
Behaviors Nursing Diagnoses
Ritualistic behaviors
Seductive remarks; inappropriate sexual behaviors
Self-inflicted injuries (non-life threatening)
Anxiety (severe); ineffective coping
Impaired social interaction
Self-mutilation; Risk for self mutilation
Behaviors Nursing Diagnoses
Behaviors Nursing Diagnoses
Stress from caring for
chronically ill person
Stress from locating to new
environment
Substance use as a coping
behavior
Substance use (denies use is a
problem)
Relocation stress syndrome
Ineffective coping
Ineffective denial
Risk for suicide; Risk for self directed
Behaviors Nursing DiagnosesBehaviors Nursing
Diagnoses
Suicidal
Withdrawn behavior
Vomiting, excessive,
self induced
Suspiciousness
Violence
Social isolation
Risk for deficient fluid
volume
Disturbed thought
processes; ineffective
coping