Questions and Answers
What is the nursing diagnosis for suicidal ideation?
What is the nursing diagnosis for homicidal ideation?
What is the nursing diagnosis for cutting/self-mutilation?
What is the nursing diagnosis for lack of appetite/refusal to eat?
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What is the nursing diagnosis for anxiety?
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What is the nursing diagnosis for confusion/memory loss?
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What is the nursing diagnosis for poor ADLs?
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What is the nursing diagnosis for insomnia?
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What is the nursing diagnosis for hallucinations?
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What is the nursing diagnosis for delusions?
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What is the nursing diagnosis for flight of ideas/loose association?
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What is the nursing diagnosis for paranoia/suspiciousness?
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What is the nursing diagnosis for withdrawn/seclusive?
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What is the nursing diagnosis for selectively mute?
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What is the nursing diagnosis for hyperverbal/loquacious?
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What is the nursing diagnosis for manipulation?
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What is the nursing diagnosis for noncompliance?
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What are some interventions for risk for suicide?
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What are some interventions for risk for injury?
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What are some interventions for self-mutilation?
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What are some interventions for imbalanced nutrition?
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What are some interventions for anxiety?
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What are some interventions for confusion/memory loss?
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What are some interventions for self-care deficit?
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What are some interventions for insomnia?
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What are some interventions for disturbed sensory perceptions?
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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?
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What are some interventions for disturbed thought process in paranoia?
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What are some interventions for social isolation?
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What are some interventions for impaired verbal communication due to selective mutism?
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What are some interventions for hyperverbal communication?
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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.
