nursing diagnosis terms

Question 1

impaired social interaction

Answer 1

insufficient or excessive quantity or ineffective quality of social exchange
characteristics: anxiety during social interactions, dysfunctional interaction with others, expresses difficulty establishing satisfactory reciprocal interpersonal relations. expresses discomfort in social situations

Question 2

sexual dysfunction

Answer 2

a state in which an individual experiences a change in sexual function during the sexual response phases of desire, arousal, and/or orgasm, which is viewed as unsatisfying, unrewarding or inadequate.
characteristics: altered- interest in others, self-interest, sexual activity, sexual excitation, sexual role. decreased sexual desire

Question 3

anxiety

Answer 3

an emotional response to a diffuse threat in which the individual anticipates nonspecific impending danger catastrophe, or misfortune
characteristics: behavioral/emotional, physiological factors, cognitive factors

Question 4

ineffective coping

Answer 4

a pattern of invalid appraisal of stressors, with cognitive and/or behavioral efforts, that fails to manage demands related to well being
characteristics: altered- affective responsiveness, attention, communication pattern. destructive behavior towards others

Question 5

caregiver role strain

Answer 5

difficulty in fulfilling care responsibilities, expectations and/or behaviors for family or significant others
characteristics: caregiving activities, caregiver health status, caregiver-care receiver relationship, family process

Question 6

spiritual distress

Answer 6

a state of suffering related to the impaired ability to integrate meaning and purpose in life through connections with self, others, the world, or a superior being
characteristics: anger behaviors, crying, decreased expression of creativity, disinterested in nature, excessive guilt

Question 7

ineffective airway clearance

Answer 7

reduced ability to clear secretions or obstructions from the respiratory tract to maintain a clear airway.
characteristics: absence of cough, adventitious breath sounds; altered respiratory rhythm. cyanosis

Question 8

impaired skin integrity

Answer 8

altered epidermis and/or dermis
characteristics: abscess, acute pain, altered skin color, altered turgor, bleeding, blistering

Question 9

disturbed body image

Answer 9

negative mental picture of one’s physical self.
characteristics: altered proprioception, avoids looking at one’s body, avoids touching one’s body, consistently compares oneself with others, depressive symptoms.

Question 10

deficient knowledge

Answer 10

absence of cognitive information related to a specific topic or its acquisition.
characteristics: inaccurate follow-through of instruction: inaccurate performance on a test, inaccurate statements about a topic

Question 11

acute pain

Answer 11

unpleasant sensory and emotional experience associated with actual or potential tissue damage.
characteristics: appetite change, diaphoresis, distraction behavior, evidence of pain using standardized pain behavior checklist for those unable to communicate verbally.

Question 12

chronic pain

Answer 12

unpleasant sensory and emotional experience associated with actual or potential tissue damage last more than 3 months.
characteristics: altered ability to continue activities, anorexia, evidence of pain, facial expression of pain

Question 13

nausea

Answer 13

a subjective phenomenon of an unpleasant feeling in the back of the throat and stomach, which may or may not result in vomiting
characteristics: food aversion, gagging sensation, increased salivation, increased swallowing, sour taste

Question 14

risk for surgical site infection

Answer 14

susceptible to invasion of pathogenic organism at surgical site, which may compromise health
risk factors: alcoholism, obesity, smoking

Question 15

risk for bleeding

Answer 15

susceptible to a decrease in blood volume, which may compromise health
risk factors: inadequate knowledge of bleeding precautions

Question 16

risk for infection

Answer 16

susceptible to invasion and multiplication of pathogenic organisms, which may compromise health
risk factors: difficulty managing- invasive devices, wound care

Question 17

risk for aspiration

Answer 17

susceptible to entry of gastrointestinal secretions, oropharyngeal secretions, solids, or fluids to the tracheobronchial passages, which may compromise health.
risk factors: barrier to elevating upper body, decreased gastrointestinal motility, difficulty swsllowing

Question 18

risk for falls

Answer 18

adult susceptible to experiencing an event resulting in coming to rest inadvertently on the ground, floor, or other lower level