A: Sample NANDA-I Diagnoses

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Ernstmeyer & Christman (Eds.)
Chippewa Valley Technical College via OpenRN

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Table A contains commonly used NANDA-I nursing diagnoses categorized by domain. Many of these concepts will be further discussed in various chapters of this book. Nursing students may use Gordon’s Functional Health Patterns framework to cluster assessment data by domain and then select appropriate NANDA-I nursing diagnoses. For more information, refer to a nursing care planning resource.

Table A Sample NANDA-I Diagnoses by Domain^{^[1]}

Domain	Class & Nursing Diagnosis
Health Promotion	Health Awareness Sedentary lifestyle Health Management Frail elderly syndrome Ineffective health maintenance
Nutrition	Ingestion Imbalanced nutrition: less than body requirements Readiness for enhanced nutrition Impaired swallowing Metabolism Risk for unstable blood glucose level Hydration Risk for electrolyte imbalance Deficient fluid volume Excess fluid volume Risk for imbalanced fluid volume
Elimination and Exchange	Urinary function Impaired urinary elimination Functional urinary incontinence Overflow urinary incontinence Reflex urinary incontinence Stress urinary incontinence Urge urinary incontinence Urinary retention Gastrointestinal function Constipation Risk for constipation Diarrhea Bowel incontinence Respiratory function Impaired gas exchange
Activity/Rest	Sleep/Rest Insomnia Disturbed sleep pattern Activity/Rest Risk for disuse syndrome Impaired bed mobility Impaired physical mobility Impaired wheelchair mobility Impaired sitting Impaired standing Impaired transfer ability Impaired walking Energy balance Fatigue Wandering Cardiovascular/Pulmonary responses Activity intolerance Ineffective breathing pattern Decreased cardiac output Ineffective peripheral tissue perfusion Self-care Bathing self-care deficit Dressing self-care deficit Feeding self-care deficit Toileting self-care deficit
Perception/Cognition	Attention Unilateral neglect Cognition Acute confusion Chronic confusion Deficient knowledge Readiness for enhanced knowledge Impaired memory Communication Readiness for enhanced communication Impaired verbal communication
Self-Perception	Self-concept Hopelessness Readiness for enhanced self-concept Self-esteem Chronic low self-esteem Body image Disturbed body image
Role Relationship	Caregiving roles Caregiver role strain Risk for caregiver role strain Family relationships Dysfunctional family processes Role performance Impaired social interaction
Sexuality	Sexual function Sexual dysfunction
Coping/Stress Tolerance	Post-trauma responses Risk for relocation stress syndrome Coping responses Anxiety Ineffective coping Death anxiety Fear Grieving Complicated grieving Powerlessness Neurobehavioral stress Risk for autonomic dysreflexia
Life Principles	Readiness for enhanced spiritual well-being Decisional conflict Spiritual distress
Safety/Protection	Infection Risk for infection Physical injury Ineffective airway clearance Risk for aspiration Risk for bleeding Risk for falls Risk for injury Impaired dentition Risk for pressure ulcer Impaired skin integrity Impaired tissue integrity Violence Risk for suicide Environmental hazards Risk for poisoning Defensive processes Risk for allergy response Thermoregulation Hyperthermia Hypothermia
Comfort	Physical comfort Impaired comfort Nausea Acute pain Chronic pain Social comfort Risk for loneliness
Growth/Development	Risk for delayed development

Domain

Class & Nursing Diagnosis

Health Promotion

Health Awareness

Sedentary lifestyle

Health Management

Frail elderly syndrome
Ineffective health maintenance

Nutrition

Ingestion

Imbalanced nutrition: less than body requirements
Readiness for enhanced nutrition
Impaired swallowing

Metabolism

Risk for unstable blood glucose level

Hydration

Risk for electrolyte imbalance
Deficient fluid volume
Excess fluid volume
Risk for imbalanced fluid volume

Elimination and Exchange

Urinary function

Impaired urinary elimination
Functional urinary incontinence
Overflow urinary incontinence
Reflex urinary incontinence
Stress urinary incontinence
Urge urinary incontinence
Urinary retention

Gastrointestinal function

Constipation
Risk for constipation
Diarrhea
Bowel incontinence

Respiratory function

Impaired gas exchange

Activity/Rest

Sleep/Rest

Insomnia
Disturbed sleep pattern

Activity/Rest

Risk for disuse syndrome
Impaired bed mobility
Impaired physical mobility
Impaired wheelchair mobility
Impaired sitting
Impaired standing
Impaired transfer ability
Impaired walking

Energy balance

Fatigue
Wandering

Cardiovascular/Pulmonary responses

Activity intolerance
Ineffective breathing pattern
Decreased cardiac output
Ineffective peripheral tissue perfusion

Self-care

Bathing self-care deficit
Dressing self-care deficit
Feeding self-care deficit
Toileting self-care deficit

Perception/Cognition

Attention

Unilateral neglect

Cognition

Acute confusion
Chronic confusion
Deficient knowledge
Readiness for enhanced knowledge
Impaired memory

Communication

Readiness for enhanced communication
Impaired verbal communication

Self-Perception

Self-concept

Hopelessness
Readiness for enhanced self-concept

Self-esteem

Chronic low self-esteem

Body image

Disturbed body image

Role Relationship

Caregiving roles

Caregiver role strain
Risk for caregiver role strain

Family relationships

Dysfunctional family processes

Role performance

Impaired social interaction

Sexuality

Sexual function

Sexual dysfunction

Coping/Stress Tolerance

Post-trauma responses

Risk for relocation stress syndrome

Coping responses

Anxiety
Ineffective coping
Death anxiety
Fear
Grieving
Complicated grieving
Powerlessness

Neurobehavioral stress

Risk for autonomic dysreflexia

Life Principles

Readiness for enhanced spiritual well-being

Decisional conflict
Spiritual distress

Safety/Protection

Infection

Risk for infection

Physical injury

Ineffective airway clearance
Risk for aspiration
Risk for bleeding
Risk for falls
Risk for injury
Impaired dentition
Risk for pressure ulcer
Impaired skin integrity
Impaired tissue integrity

Violence

Risk for suicide

Environmental hazards

Risk for poisoning

Defensive processes

Risk for allergy response

Thermoregulation

Hyperthermia
Hypothermia

Comfort

Physical comfort

Impaired comfort
Nausea
Acute pain
Chronic pain

Social comfort

Risk for loneliness

Growth/Development

Risk for delayed development

Herdman, T. H., & Kamitsuru, S. (Eds.). (2018). Nursing diagnoses: Definitions and classification, 2018-2020. Thieme Publishers New York. ↵

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