Unit 1 Nursing Diagnoses Flashcards
Anxiety
A vague uneasy feeling of discomfort or dread accompanied by an autonomic response (the source often nonspecific or unknown to the individual); a feeling of apprehension caused by anticipation of danger. It is an alerting signal that warns of impending danger and enables the individual to take measures to deal with threat.
Disturbed Body Image
Confusion in mental picture of one’s physical self
Impaired Verbal Communication
Decreased, delayed, or absent ability to receive, process, transmit, and/or use a system of symbols
Decisional Conflict
Uncertainty about course of action to be taken when choice among competing actions involves risk, loss, or challenge to values and beliefs
Defensive Coping
Repeated projection of falsely positive self-evaluation based on a self-protective pattern that defends against underlying perceived threats to positive self-regard
Ineffective Coping
Inability to form a valid appraisal of the stressors, inadequate choices of practiced responses, and/or inability to use available resources
Ineffective Denial
Conscous or unconscious attempt to disavow the knowledge or meaning of an event to reduce anxiety/fear, but leading to the detriment of health
Complicated Grieving
A disorder that occurs after the death of a significant other in which the experience of distress accompanying breavement fails to follow normative expectations and manifests in functional impairment
Risk for Complicated Grieving
At risk for a disorder that occurs after the death of a significant other in which the experience of distress accompanying bereavement fails to follow normative expectations and manifests in functional impairment
Risk Factors:
- Death of a significant other
- Emotional Instability
- Lack of social support
Ineffective Self Health Management
Inability to indentify, manage, and/or seek out help to maintain health
Hopelessness
Subjective state in which individual sees limited or no alternatives or personal choices available and is unable to mobilize energy on own behalf
Risk for Lonliness
At risk for experiencing discomfort associated with a desire or need for more contact with others
Risk Factors:
- Affectional deprivation
- Cathectic Deprivation
- Physical Isolation
- Social Isolation
Noncompliance
Behavior of a person and/or caregiver that fails to coincide with a health-promoting or therapeutic plan agreed on by the person (and/or family and/or community) and health care professional; in the presence of an agreed-on, health-promoting, or therapeutic plan, person’s or caregiver’s behavior is fully or partially nonadherent and may lead to clinically ineffective or patirally ineffective outcomes
Disturbed Personal Identity
Inability to maintain an integrated and complete perception of self
Post Trauma Syndrome
Sustained maladaptive response to a traumatic, overwhelming event
Powerlessness
Perception that one’s own actions will not significantly affect an outcome; a perceived lack of control over current situation or immediate happening
Risk for Powerlessness
At risk for perceived lack of control over a situation and/or one’s aility to significantly affect an outcome
Rape Trauma Syndrome
Sustained maladaptive response to a forced, violent, sexual penetration against the victim’s will and consent
Impaired Individual Resilience
Decreased ability to sustain a pattern of positive responses to an adverse situation or crisis
Chronic Low Self Esteem
Long-standing negative self-evaluating/feelings about self or self-capabilities
Situational Low Self Esteem
Development of a negative perception of self-worth in response to a current situation
Self Mutilation
Deliberate self-injurious behavior causing tissue damage with the intent of causing nonfatal injury to attain relief of tension
Risk for Self Mutilation
At risk for diliberate self-injurious behavior causing tissue damage with the intent of causing nonfatal injury to attain relief of tension
Risk Factors (a few):
- Adolescence
- Autistic
- Battered child
- Borderline personality disorders
- Character disorders
- Childhood illness
- Childhood sexual abuse
- Childhood surgery
- Low self-esteem
- Violence between parental figures
Disturbed Sensory Perception (specify visual, auditory, kinesthetic, gustatory, tactile, olfactory)
Change in the amount or patterning of incoming stimuli accompanied by a diminished, exaggerated, distorted, or imparied response to such stimuli
Impaired Social Interaction
Insufficient or excessive quantity or ineffective quality of social exchange
Social Isolation
Aloneness experienced by the individual and perceived and imposed by others and as a negative or threatening state
Chronic Sorrow
Cyclical, recurring, and potentially progressive pattern of pervasive sadness experienced (by caregiver, individual with chronic illness or disability) in response to continual loss throughout trajectory of an illness or disability
Risk for Suicide
At risk for self-inflicted, life-threatening injury
Related Factors (some):
- Buying a gun
- Changing a will
- Giving away possessions
- H/o prior suicide attempt
- Divorced
- Male
- Widowed
- Illness
- Childhood Abuse
- Substance abuse
- Living alone
- Loss of independence
- Lonliness
- Loss of important relationship
- Social isolation
- States desire to die
- Threats of killing oneself
Risk for Other-Directed Violence
At risk for behaviors in which an individual demonstrates that he or she can be physically, emotionally, and/or sexually harmful to others
Risk for Self-Directed Violence
At risk for behaviors in which an individual demonstrates that he/she can be physically, emotionally, and/or sexually harmful to self
