Podcast
Questions and Answers
What is the nursing diagnosis for suicidal ideation?
What is the nursing diagnosis for suicidal ideation?
What is the nursing diagnosis for homicidal ideation?
What is the nursing diagnosis for homicidal ideation?
What is the nursing diagnosis for cutting/self-mutilation?
What is the nursing diagnosis for cutting/self-mutilation?
What is the nursing diagnosis for lack of appetite/refusal to eat?
What is the nursing diagnosis for lack of appetite/refusal to eat?
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What is the nursing diagnosis for anxiety?
What is the nursing diagnosis for anxiety?
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What is the nursing diagnosis for confusion/memory loss?
What is the nursing diagnosis for confusion/memory loss?
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What is the nursing diagnosis for poor ADLs?
What is the nursing diagnosis for poor ADLs?
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What is the nursing diagnosis for insomnia?
What is the nursing diagnosis for insomnia?
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What is the nursing diagnosis for hallucinations?
What is the nursing diagnosis for hallucinations?
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What is the nursing diagnosis for delusions?
What is the nursing diagnosis for delusions?
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What is the nursing diagnosis for flight of ideas/loose association?
What is the nursing diagnosis for flight of ideas/loose association?
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What is the nursing diagnosis for paranoia/suspiciousness?
What is the nursing diagnosis for paranoia/suspiciousness?
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What is the nursing diagnosis for withdrawn/seclusive?
What is the nursing diagnosis for withdrawn/seclusive?
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What is the nursing diagnosis for selectively mute?
What is the nursing diagnosis for selectively mute?
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What is the nursing diagnosis for hyperverbal/loquacious?
What is the nursing diagnosis for hyperverbal/loquacious?
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What is the nursing diagnosis for manipulation?
What is the nursing diagnosis for manipulation?
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What is the nursing diagnosis for noncompliance?
What is the nursing diagnosis for noncompliance?
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What are some interventions for risk for suicide?
What are some interventions for risk for suicide?
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What are some interventions for risk for injury?
What are some interventions for risk for injury?
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What are some interventions for self-mutilation?
What are some interventions for self-mutilation?
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What are some interventions for imbalanced nutrition?
What are some interventions for imbalanced nutrition?
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What are some interventions for anxiety?
What are some interventions for anxiety?
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What are some interventions for confusion/memory loss?
What are some interventions for confusion/memory loss?
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What are some interventions for self-care deficit?
What are some interventions for self-care deficit?
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What are some interventions for insomnia?
What are some interventions for insomnia?
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What are some interventions for disturbed sensory perceptions?
What are some interventions for disturbed sensory perceptions?
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What are some interventions for disturbed thought process?
What are some interventions for disturbed thought process?
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What are some interventions for impaired verbal communication due to flight of ideas?
What are some interventions for impaired verbal communication due to flight of ideas?
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What are some interventions for disturbed thought process in paranoia?
What are some interventions for disturbed thought process in paranoia?
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What are some interventions for social isolation?
What are some interventions for social isolation?
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What are some interventions for impaired verbal communication due to selective mutism?
What are some interventions for impaired verbal communication due to selective mutism?
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What are some interventions for hyperverbal communication?
What are some interventions for hyperverbal communication?
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What are some interventions for ineffective coping due to manipulation?
What are some interventions for ineffective coping due to manipulation?
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Study Notes
Nursing Diagnoses
- Risk for suicide includes suicidal ideation and self-directed violence.
- Risk for injury encompasses homicidal ideation and other-directed violence.
- Self-mutilation is linked to cutting and at risk for self-harm.
- Imbalanced nutrition indicates less than body requirements due to lack of appetite or refusal to eat.
- Anxiety constitutes a nursing diagnosis in its own right.
- Confusion and memory loss are addressed through impaired memory and disturbed thought processes.
- Self-care deficit arises from poor activities of daily living (ADLs).
- Insomnia is characterized by disturbed sleep patterns.
- Hallucinations relate to disturbed sensory perceptions.
- Delusions are associated with disturbed thought processes.
- Flight of ideas and loose associations indicate impaired verbal communication.
- Paranoia and suspiciousness indicate disturbed thought processes and ineffective coping.
- Withdrawal and seclusiveness result in social isolation and impaired social interaction.
- Selectively mute individuals experience impaired verbal communication.
- Hyperverbal or loquacious patients reflect impaired verbal communication and risk for injury.
- Manipulation denotes ineffective coping and may lead to noncompliance.
Nursing Interventions
- For risk of suicide: frequently observe the client, assess intent and means, remove dangerous objects, and encourage socialization.
- For risk of injury: reduce environmental stimuli, monitor client behavior, remove dangerous items, and utilize physical redirection.
- For self-mutilation: observe client actions, address sounds factually, listen to feelings, and remove hazardous objects.
- For imbalanced nutrition: support during meals, observe for one hour post-eating, document intake and outputs, and encourage exercise.
- For anxiety: build a trusting relationship, help clients identify anxiety triggers, encourage coping mechanisms, and engage in tension-reducing activities.
- For confusion/memory loss: assess disorientation safety, eliminate harmful items, regularly reorient the client, and utilize reminiscence therapy.
- For self-care deficits: promote independence in ADLs, monitor engagements, and assist with grooming when necessary.
- For insomnia: track sleep patterns, discourage daytime sleeping, limit caffeine intake, and promote exercise.
- For disturbed sensory perceptions: monitor for hallucinations, provide gentle warning before touching, distract client, and avoid reinforcing hallucinations.
- For disturbed thought processes: reorient clients, allow personal item access, minimize stimuli, and include distraction exercises.
- For impaired verbal communication during flight of ideas: anticipate needs, decode communication, reinforce positive interactions, and encourage nonverbal communication.
- For paranoid thought processes: offer sealed food, explain medication side effects, address disorder-related questions, and promote the verbalization of feelings and fears.
- For social isolation: reorient clients regularly, maintain honesty and trust, provide unconditional positive regard, and accompany clients on walks.
- For selective mutism: provide positive reinforcement for participation, orient to reality, avoid abstraction, and decode communication patterns.
- For hyperverbal communication: frequently orient to reality, assist with mobility, monitor behavior, and assess disorientation levels.
- For ineffective coping via manipulation: ensure consistent staff interactions, build trust, teach consequences of behavior, and maintain assertive communication.
- Noncompliance may require tailored interventions.
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Description
Test your knowledge on nursing diagnoses related to mental health. This quiz covers various interventions for suicidal ideation, homicidal tendencies, self-mutilation, and issues with appetite. Perfect for nursing students looking to reinforce their understanding.
