NURSING DIAGNOSES
ACCEPTED FOR USE AND RESEARCH (2007-2008)
Activity Intolerance [specify level], 283
Activity Intolerance, risk for, 283
Airway Clearance, ineffective, 292
Allergy Response, latex, 70
Allergy response, latex, risk for, 70
Anxiety [specify level], 530
Anxiety, death, 548
Aspiration, risk for, 136
Attachment, risk for impaired
parent/infant/child, 659
Autonomic Dysreflexia, 299
Autonomic Dysreflexia, risk for, 299
Body Image, disturbed, 541
Body Temperature, risk for imbalanced, 139
Bowel Incontinence, 236
Breastfeeding, effective, 144
Breastfeeding, ineffective, 148
Breastfeeding, interrupted, 152
Breathing Pattern, ineffective, 307
Cardiac Output, decreased, 313
Caregiver Role Strain, 618
Caregiver Role Strain, risk for, 618
Communication, impaired verbal, 626
Communication, readiness for enhanced, 626
Conflict, parental role, 463
Confusion, acute, 454
Confusion, risk for acute, 454
Confusion, chronic, 454
Constipation, 240
Constipation, perceived, 240
Constipation, risk for, 240
Coping, defensive, 771
Coping, ineffective, 772
Coping, readiness for enhanced, 767
Coping, ineffective community, 756
Coping, readiness for enhanced community, 756
Coping, compromised family, 760
Coping, disabled family, 760
Coping, readiness for enhanced family, 767
Death Syndrome, risk for sudden infant, 111
Decisional Conflict (specify), 463
Denial, ineffective, 781
Dentition, impaired, 155
Development, risk for delayed, 353
Diarrhea, 248
Disuse Syndrome, risk for, 321
Diversional Activity, deficient, 327
Energy Field, disturbed (revised), 36
Environmental Interpretation Syndrome,
impaired, 469
Failure to Thrive, adult, 127
Falls, risk for,
336
Family Processes: alcoholism, dysfunctional, 635
Family Processes, interrupted, 635
Family Processes, readiness for enhanced, 635
Fatigue, 340
Fear (specify focus), 553
Fluid Balance, readiness for enhanced, 158
[Fluid Volume, deficient hyper/hypotonic]
Fluid Volume, deficient [isotonic], 161
Fluid Volume, excess, 167
Fluid Volume, risk for deficient, 161
Fluid Volume risk for imbalanced, 173
Gas Exchange, impaired, 346
Grieving, 646
Grieving, complicated, 654
Grieving, risk for complicated, 654
Growth, risk for disproportionate, 353
Growth & Development, delayed, 353
Health Maintenance, ineffective, 42
Health-Seeking Behaviors (specify), 49
Home Maintenance, impaired, 360
Hope, readiness for enhanced, 523
Hopelessness, 562
Hyperthermia, 176
Hypothermia, 182
Identify, disturbed personal, 575
Infant Behavior, disorganized, 365
Infant Behavior, organized, readiness
for enhanced, 365
Infant Behavior, risk for disorganized, 365
Infant Feeding Pattern, ineffective, 186
Infection, risk for, 54
Injury, risk for, 59
Injury, risk for perioperative positioning, 96
Intracranial Adaptive Capacity, decreased, 450
Knowledge, deficient [Learning Need]
[specify], 474
Knowledge [specify], readiness for enhanced, 474
Lifestyle, sedentary, 381
Loneliness, risk for, 569
Memory, impaired, 482
Mobility, impaired bed, 304
Mobility, impaired physical, 373
Mobility, impaired wheelchair, 415
Nausea, 189
Noncompliance, [Adherence, ineffective]
[specify], 80
Nutrition, less than body requirements,
imbalanced, 194
Nutrition, more than body requirements,
imbalanced, 204
Nutrition, readiness for enhanced, 193
Nutrition, more than body requirements, risk for
imbalanced, 204
Oral Mucous Membrane, impaired, 216
Pain, acute, 483
Pain, chronic, 483
Parenting, impaired, 662
Parenting, readiness for enhanced, 662
Parenting, risk for impaired, 662
Perioperative Positioning, risk for, 96
Peripheral Neurovascular Dysfunction, risk for, 370
Poisoning, risk for, 60
Post-Trauma Syndrome [specify stage], 785
Post-Trauma Syndrome, risk for, 785
Powerlessness [specify level], 579
Powerlessness, risk for, 579
Protection, ineffective, 100
Rape-Trauma Syndrome, 717
Rape-Trauma Syndrome: compound reaction, 717
Rape-Trauma Syndrome: silent reaction, 717
Religiosity, impaired, 802
Religiosity, risk for impaired, 802
Religiosity, readiness for enhanced, 807
Relocation Stress Syndrome, 673
Relocation Stress Syndrome, risk for, 673
Role Performance, ineffective, 678
Self-Care Deficit: bathing/hygiene, 386
Self-Care Deficit: dressing/grooming, 386
Self-Care Deficit: feeding, 386
Self-Care Deficit: toileting, 386
Self-Care, readiness for enhanced, 386
Self-Concept, readiness for enhanced, 586
Self-Esteem, chronic low, 590
Self Esteem, situational low, 590
Self Esteem, risk for situational low, 590
Self-Mutilation, 598
Self-Mutilation, risk for, 598
Sensory Perception, disturbed: (specify: visual,
auditory, kinesthetic, gustatory, tactile,
olfactory), 497
Sexual Dysfunction, 725
Sexuality Pattern, ineffective, 731
Skin Integrity, impaired, 216
Skin Integrity, risk for impaired, 216
Sleep, readiness for enhanced, 437
Sleep Deprivation, 425
Social Interaction, impaired, 684
Social Isolation, 688
Sorrow, chronic, 695
Spiritual Distress, 812
Spiritual Distress, risk for, 818
Spiritual Well-Being, readiness for enhanced, 824
Stress Overload, 740
Suicide, risk for, 791
Surgical Recovery, delayed, 107
Swallowing, impaired, 209
Therapeutic Regimen Management, effective, 75
Therapeutic Regimen Management, ineffective, 80
Therapeutic Regimen Management, ineffective
community, 80
Therapeutic Regimen Management, ineffective
family, 80
Therapeutic Regimen Management, readiness for
enhanced, 92
Thermoregulation, ineffective, 213
Thought Processes, disturbed, 506
Tissue Integrity, impaired, 216
Tissue Perfusion, ineffective (specify type: cerebral,
cardiopulmonary, renal, gastrointestinal,
peripheral), 396
Transfer Ability, impaired, 406
Unilateral Neglect Syndrome, 514
Urinary Elimination, readiness for enhanced, 252
Urinary Incontinence, functional, 254
Urinary Incontinence, reflex, 254
Urinary Incontinence, stress, 254
Urinary Incontinence, total, 254
Urinary Incontinence, urge, 255
Urinary Incontinence, risk for urge, 255
Urinary Retention [acute/chronic], 263
Ventilation, impaired spontaneous, 393
Ventilatory Weaning Response, dysfunctional, 332
Violence, [actual/] risk for other-directed, 700
Violence, [actual/] risk for self-directed, 700
Walking, impaired, 408
Wandering [specify sporadic or continual], 411
[ ] author recommendations
Used with permission from NANDA International:
Definitions and Classification, 2007-2008. NANDA,
Philadelphia, PA 2007
New from NANDA 2007-2008
Blood Sugar, risk for unstable
Comfort, readiness for enhanced
Contamination
Contamination, risk for
Decision-Making, readiness for enhanced
Glucose, risk for unstable level
Health Behavior, risk prone
Human Dignity, risk for compromised
Immunization Status, readiness for enhanced
Insomnia
Liver Function, risk for impaired
Moral Distress
Power, readiness for enhanced
Suffocation, risk for
Trauma, risk for
Urinary Elimination, impaired
Urinary Incontinence, overflow
GORDON’S FUNCTONAL
HEALTH PATTERNS*
HEALTH PERCEPTION-HEALTH
MANAGEMENT PATTERN
Disturbed energy field, 36
Effective therapeutic regimen management, 75
Health-seeking behaviors (specify), 49
Ineffective community therapeutic regimen
management, 80
Ineffective family therapeutic regimen
management, 80
Ineffective health maintenance, 42
Ineffective protection, 100
Ineffective therapeutic regimen management, 80
Noncompliance (specify), 80
Readiness for enhanced immunization status, 30
Readiness for enhanced therapeutic regimen
management, 92
Risk for falls, 336
Risk for infection, 54
Risk for injury (trauma), 59
Risk for perioperative positioning injury, 96
Risk for suffocation, 60
Risk for poisoning, 60
Sudden infant death syndrome, 111–115
NUTRITIONAL-METABOLIC PATTERN
Adult failure to thrive, 127
Deficient fluid volume, 161
Effective breastfeeding, 144
Excess fluid volume, 167
Hyperthermia, 176
Hypothermia, 182
Imbalanced nutrition: more than body
requirements, 204
Imbalanced nutrition: less than body
requirements, 194
Impaired dentition, 155
Impaired oral mucous membrane, 216
Impaired skin integrity, 216
Impaired swallowing, 209
Impaired tissue integrity (specify type), 216
Ineffective breastfeeding, 148
Ineffective infant feeding pattern, 186
Ineffective thermoregulation, 213
Interrupted breastfeeding, 152
Latex allergy response, 70
Nausea, 189
Readiness for enhanced fluid balance, 158
Readiness for enhanced nutrition, 193
Risk for aspiration, 136
Risk for deficient fluid volume, 161
Risk for imbalanced fluid volume, 173
Risk for imbalanced body temperature, 139
Risk for imbalanced nutrition: more than body
requirements, 204
Risk for impaired skin integrity, 216
Risk for latex allergy response, 70
ELIMINATION PATTERN
Bowel incontinence, 236
Constipation, 240
Diarrhea, 248
Functional urinary incontinence, 254
Perceived constipation, 240
Readiness for enhanced urinary elimination, 252
Reflex urinary incontinence, 254
Risk for constipation, 240
Risk for urge urinary incontinence, 255
Stress urinary incontinence, 254
Total incontinence, 254
Urge urinary incontinence, 255
Urinary retention, 263
ACTIVITY-EXERCISE PATTERN
Activity intolerance, 283
Autonomic dysreflexia, 299
Decreased cardiac output, 313
Decreased intracranial adaptive capacity, 450
Deficient diversonal activity, 327
Delayed growth and development, 353
Delayed surgical recovery, 107
Disorganized infant behavior, 365
Dysfunctional ventilatory weaning response, 331
Fatigue, 340
Impaired spontaneous ventilation, 393
Impaired bed mobility, 304
Impaired gas exchange, 346
Impaired home maintenance, 360
Impaired physical mobility, 373
Impaired transfer ability, 406
Impaired walking, 408
Impaired wheelchair mobility, 415
Ineffective airway clearance, 292
Ineffective breathing pattern, 307
Ineffective tissue perfusion (specify), 396
Readiness for enhanced organized infant behavior, 365
Readiness for enhanced self care, 386
Risk for delayed development, 353
Risk for disorganized infant behavior, 365
Risk for disproportionate growth, 353
Risk for activity intolerance, 283
Risk for autonomic dysreflexia, 299
Risk for disuse syndrome, 321
Risk for peripheral neurovascular dysfunction, 370
Sedentary lifestyle, 381
Self-care deficit (specify: bathing/hygiene,
dressing/grooming, feeding, toileting), 386
Wandering, 411
SLEEP-REST PATTERN
Disturbed sleep pattern, 431
Readiness for enhanced sleep, 437
Sleep deprivation, 425
COGNITIVE-PERCEPTUAL
PATTERN
Acute confusion, 454
Acute pain, 483
Chronic confusion, 454
Chronic pain, 483
Decisional conflict (specify), 463
Deficient knowledge (specify), 474
Disturbed sensory perception (specify), 497
Disturbed thought processes, 506
Impaired environmental interpretation
syndrome, 469
Impaired memory, 480
Readiness for enhanced knowledge (specify), 474
Risk for acute confusion, 454
Unilateral neglect, 514
SELF-PERCEPTION AND SELFCONCEPT
PATTERN
Anxiety, 527
Body image disturbed, 541
Chronic low self-esteem, 590
Death anxiety, 548
Disturbed personal identity, 575
Fear, 553
Hopelessness, 562
Powerlessness, 579
Readiness for enhanced hope, 523
Readiness for enhanced self-concept, 586
Risk for loneliness, 569
Risk for violence, self-directed, 700
Risk for powerlessness, 579
Risk for situational low self-esteem, 590
Situational low self-esteem, 590
ROLE-RELATIONSHIP PATTERN
Anticipatory grieving, 654
Caregiver role strain, 618
Chronic sorrow, 695
Dysfunctional family processes: alcoholism, 635
Dysfunctional grieving, 654
Impaired parenting, 662
Impaired social interaction, 684
Impaired verbal communication, 626
Ineffective role performance, 678
Interrupted family processes, 635
Parental role conflict, 662
Readiness for enhanced communication, 626
Readiness for enhanced family processes, 635
Readiness for enhanced parenting, 662
Relocation stress syndrome, 673
Risk for caregiver role strain, 618
Risk for violence directed at others, 700
Risk for dysfunctional grieving, 654
Risk for impaired parent/infant/child
attachment, 659
Risk for impaired parenting, 662
Risk for relocation stress syndrome, 673
Social isolation, 688
SEXUALITY-REPRODUCTIVE PATTERN
Ineffective sexuality patterns, 731
Rape-trauma syndrome, 717
Rape-trauma syndrome: compound reaction, 717
Rape-trauma syndrome: silent reaction, 717
Sexual dysfunction, 718
COPING-STRESS TOLERANCE
PATTERN
Compromised family coping, 760
Defensive coping, 771
Disabled family coping, 760
Impaired adjustment, 747
Ineffective community coping, 756
Ineffective coping, 772
Ineffective denial, 781
Post-trauma syndrome, 785
Readiness for enhanced community coping, 756
Readiness for enhanced coping, 767
Readiness for enhanced family coping, 767
Risk for self-mutilation, 598
Risk for suicide, 791
Risk for post-trauma syndrome, 785
Self-mutilation, 598
Stress overload, 740
VALUE-BELIEF PATTERN
Impaired religiosity, 804
Readiness for enhanced religiosity, 808
Readiness for enhanced spiritual well-being, 824
Risk for impaired religiosity, 804
Risk for spiritual distress, 818
Spiritual distress, 812
*Modified by Marjory Gordon, 2007, with permission.
†New from NANDA 2007-2008
Contamination
Risk for exposure to contamination
Risk for impaired liver function
Risk for unstable blood glucose
Impaired urinary elimination
Overflow urinary incontinence
Readiness for enhanced comfort
Readiness for enhanced decision-making
Readiness for enhanced power
Risk for compromised human dignity
Moral distress
COX’S CLINICAL
APPLICATIONS OF
NURSING DIAGNOSIS
COX’S CLINICAL
APPLICATIONS OF
NURSING DIAGNOSIS
Adult, Child, Women’s, Mental Health,
Gerontic, and Home Health Considerations
Susan A. Newfield, PhD, RN, APRN, BC
Associate Professor
West Virginia University
Morgantown, West Virginia
Mittie D. Hinz, MSN, MBA, RNC
Partner
DXT Consulting
San Antonio, Texas
Program Administrator
Hamot For Women
Hamot Medical Center
Erie, Pennsylvania
Donna Scott Tilley, RN, PhD, CNE
Associate Professor
Texas Christian University
Fort Worth, Texas
Kathryn L. Sridaromont, RN, C, MSN
Assistant Professor
Texas Tech University Health Sciences Center
Lubbock, Texas
Patricia Joy Maramba, MSN, RN, APRN, BC
Senior Lecturer
West Virginia University
Morgantown, West Virginia
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Library of Congress Cataloging-in-Publication Data
Cox’s clinical applications of nursing diagnosis : adult, child, women’s, mental health,
gerontic and home health considerations / Susan A. Newfield … [et al.]. — 5th ed.
p. ; cm.
Rev. ed. of: Clinical applications of nursing diagnosis. 4th ed. c2002.
Includes bibliographical references and index.
ISBN-13: 978-0-8036-1655-4
ISBN-10: 0-8036-1655-4
1. Nursing diagnosis. 2. Nursing assessment. 3. Nursing. I. Cox, Helen C. II. Newfield, Susan A.
III. Clinical applications of nursing diagnosis. IV. Title: Clinical applications of nursing diagnosis.
[DNLM: 1. Nursing Diagnosis. 2. Nursing Process. WY 100.4 C879 2007]
RT48.6.C6 2007
610.73—dc22 2007009325
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PREFACE TO THE FIFTH EDITION
Although the fifth edition of this book has seen many author changes, our commitment
and direction was clearly stated by, Dr. Helen Cox, in the preface to the fourth edition. We
continue our commitment to providing a nursing focus to the process of nursing care.
The fifth edition reflects seventeen new and six revised diagnoses accepted by
NANDA in 2003 and 2005 and updated information in each chapter. The chapter formats
remain the same. We have revised the integration of NANDA, NIC, and NOC terminology
to assist with understanding their integration. NANDA, NIC, and NOC concepts are
placed in charts which identify the linkages that can be found at the beginning of each
chapter. Evaluation guidance has also been revised. We provided a master evaluation flow
chart in Chapter 1 rather than providing one at the end of each care plan.
Two significant trends have impacted the practice of nursing since the fourth edition;
decreasing length of stay and increased emphasis on evidence based practice. The length
of stay continues to decrease and this is reflected in our revision of goals, interventions,
and discharge planning. As we developed care plans, current average length of stay for the
setting was the litmus test for our selection of interventions. The interventions for each
diagnosis reflect both current research in the area and recommended NIC interventions.
If you are new to nursing diagnosis, we encourage you to begin your journey with
reading Chapter 1. Taking a few minutes to do this will provide you with an understanding
of the authors’ thought processes that will facilitate your use of the book.
We continue to appreciate the comments from nursing faculty, staff and students
who use the book. Your thoughtful comments have inspired each edition and we urge you
to continue to support us in this way. It is our sincerest wish that this book will continue
to provide a map for your journey in providing excellent client care.
Susan A. Newfield, PhD, RN, APRN, BC
CONTENTS
CHAPTER 1INTRODUCTION 1
WHY THIS BOOK? 2
THE NURSING PROCESS 2
Purpose 2
Definition 3
Role in Planning Care 3
Care Plan versus Planning of Care 5
NURSING PROCESS STEPS 5
Assessment 5
Diagnosis 7
Planning 8
Implementation 9
Documentation 11
Evaluation 13
NURSING PROCESS AND CONCEPTUAL
FRAMEWORKS 14
Nursing Models 14
Patterns 14
VALUE PLANNING OF CARE AND
CARE PLANS 22
SUMMARY 23
CHAPTER 2HEALTH PERCEPTION–
HEALTH MANAGEMENT PATTERN 25
PATTERN DESCRIPTION 26
PATTERN ASSESSMENT 26
CONCEPTUAL INFORMATION 26
DEVELOPMENTAL CONSIDERATIONS 29
APPLICABLE NURSING DIAGNOSES 36
Energy Field, Disturbed 36
Health Maintenance, Ineffective 42
Health-Seeking Behaviors (Specify) 49
Infection, Risk for 54
Injury, Risk for 59
Latex Allergy Response, Risk for and Actual 70
Management of Therapeutic Regimen,
Effective 75
Management of Therapeutic Regimen
(Individual, Family, Community), Ineffective 80
Management, Readiness for Enhanced
Therapeutic Regimen 92
Perioperative-Positioning Injury, Risk for 96
Protection, Ineffective 100
Surgical Recovery, Delayed 107
Sudden Infant Death Syndrome,
Risk for 111
CHAPTER 3NUTRITIONAL–METABOLIC
PATTERN 119
PATTERN DESCRIPTION 120
PATTERN ASSESSMENT 120
CONCEPTUAL INFORMATION 121
DEVELOPMENTAL CONSIDERATIONS 123
APPLICABLE NURSING DIAGNOSES 131
Adult Failure to Thrive 131
Aspiration, Risk for 135
Body Temperature, Imbalanced,
Risk for 139
Breastfeeding, Effective 144
Breastfeeding, Ineffective 148
Breastfeeding, Interrupted 152
Dentition, Impaired 155
Fluid Balance, Readiness for Enhanced 158
Fluid Volume, Deficient, Risk for
and Actual 161
Fluid Volume, Excess 167
Fluid Volume, Imbalanced,
Risk for 173
Hyperthermia 176
Hypothermia 182
Infant Feeding Pattern, Ineffective 186
Nausea 189
Nutrition, Readiness for Enhanced 192
Nutrition, Imbalanced, Less Than Body
Requirements 194
Nutrition, Imbalanced, More Than Body
Requirements, Risk for and Actual 204
Swallowing, Impaired 209
Thermoregulation, Ineffective 213
Tissue Integrity, Impaired 216
CHAPTER 4ELIMINATION
PATTERN 229
PATTERN DESCRIPTION 230
PATTERN ASSESSMENT 230
CONCEPTUAL INFORMATION 230
DEVELOPMENTAL CONSIDERATIONS 233
APPLICABLE NURSING DIAGNOSES 236
Bowel Incontinence 236
Constipation, Risk for, Actual, and Perceived 240
Diarrhea 248
Readiness for Enhanced Urinary Elimination 252
Urinary Incontinence 254
Urinary Retention 263
CHAPTER 5ACTIVITY–EXERCISE
PATTERN 269
PATTERN DESCRIPTION 270
PATTERN ASSESSMENT 270
CONCEPTUAL INFORMATION 271
DEVELOPMENTAL CONSIDERATIONS 272
APPLICABLE NURSING DIAGNOSES 283
Activity Intolerance, Risk for and Actual 283
Airway Clearance, Ineffective 292
Autonomic Dysreflexia, Risk for and Actual 299
Bed Mobility, Impaired 304
Breathing Pattern, Ineffective 307
Cardiac Output, Decreased 313
Disuse Syndrome, Risk for 321
Diversional Activity, Deficient 327
Dysfunctional Ventilatory Weaning Response
(DVWR) 331
Falls, Risk for 336
Fatigue 340
Gas Exchange, Impaired 346
Growth and Development, Delayed;
Disproportionate Growth, Risk for; Delayed
Development, Risk for 353
Home Maintenance, Impaired 360
Infant Behavior, Disorganized, Risk
for and Actual, and Readiness for Enhanced
Organized 365
Peripheral Neurovascular Dysfunction,
Risk for 370
Physical Mobility, Impaired 373
Sedentary Lifestyle 381
Self-Care Deficit (Feeding, Bathing-Hygiene,
Dressing-Grooming, Toileting) 386
Spontaneous Ventilation, Impaired 393
Tissue Perfusion, Ineffective (Specify Type: Renal,
Cerebral, Cardiopulmonary, Gastrointestinal,
Peripheral) 396
Transfer Ability, Impaired 406
Walking, Impaired 408
Wandering 411
Wheelchair Mobility, Impaired 415
CHAPTER 6SLEEP–REST
PATTERN 421
PATTERN DESCRIPTION 422
PATTERN ASSESSMENT 422
CONCEPTUAL INFORMATION 422
DEVELOPMENTAL CONSIDERATIONS 423
APPLICABLE NURSING DIAGNOSES 425
Sleep Deprivation 425
Sleep Pattern, Disturbed 431
Sleep, Readiness for Enhanced 437
CHAPTER 7COGNITIVE–PERCEPTUAL
PATTERN 441
PATTERN DESCRIPTION 442
PATTERN ASSESSMENT 442
CONCEPTUAL INFORMATION 442
DEVELOPMENTAL CONSIDERATIONS 443
APPLICABLE NURSING DIAGNOSES 450
Adaptive Capacity, Intracranial,
Decreased 450
Confusion, Acute and Chronic 454
Decisional Conflict (Specify) 463
Environmental Interpretation Syndrome,
Impaired 469
Knowledge, Deficient (Specify) 474
Knowledge, Readiness for Enhanced 479
Memory, Impaired 482
Pain, Acute and Chronic 486
Sensory Perception, Disturbed (Specify: Visual,
Auditory, Kinesthetic, Gustatory, Tactile,
Olfactory) 497
Thought Process, Disturbed 506
Unilateral Neglect 514
CHAPTER 8SELF–PERCEPTION AND
SELF–CONCEPT PATTERN 519
PATTERN DESCRIPTION 520
PATTERN ASSESSMENT 520
CONCEPTUAL INFORMATION 520
DEVELOPMENTAL CONSIDERATIONS 523
APPLICABLE NURSING DIAGNOSES 530
Anxiety 530
Body Image, Disturbed 541
Death Anxiety 548
Fear 553
Hopelessness 562
Loneliness, Risk for 569
Personal Identity, Disturbed 575
Powerlessness, Risk for and Actual 579
Self-Concept, Readiness for
Enhanced 586
Self-Esteem, Chronic Low, Situational Low, and
Risk for Situational Low 590
Self-Mutilation, Risk for and Actual 598
CHAPTER 9ROLE—RELATIONSHIP
PATTERN 605
PATTERN DESCRIPTION 606
PATTERN ASSESSMENT 606
CONCEPTUAL INFORMATION 607
DEVELOPMENTAL CONSIDERATIONS 608
APPLICABLE NURSING DIAGNOSES 618
Caregiver Role Strain, Risk for and Actual 618
Communication, Impaired Verbal and Readiness
for Enhanced 626
Family Processes, Interrupted, and Family
Processes, Dysfunctional: Alcoholism and
Readiness for Enhanced 635
Grieving, Anticipatory 646
Grieving, Dysfunctional, Risk for and Actual 654
Parent, Infant, and Child Attachment, Impaired,
Risk for 659
Parenting, Impaired, Risk for and Actual,
Readiness for Enhanced and Parental Role
Conflict 662
Relocation Stress Syndrome, Risk for and
Actual 673
Role Performance, Ineffective 678
Social Interaction, Impaired 684
Social Isolation 688
Sorrow, Chronic 695
Violence, Self-Directed and Other-Directed, Risk
for 700
CHAPTER 10 SEXUALITY–
REPRODUCTIVE PATTERN 713
PATTERN DESCRIPTION 714
PATTERN ASSESSMENT 714
CONCEPTUAL INFORMATION 714
DEVELOPMENTAL CONSIDERATIONS 715
APPLICABLE NURSING DIAGNOSES 717
Rape-Trauma Syndrome: Compound Reaction and
Silent Reaction 717
Sexual Dysfunction 725
Sexuality Patterns, Ineffective 731
CHAPTER 11 COPING–STRESS
TOLERANCE PATTERN 739
PATTERN DESCRIPTION 740
PATTERN ASSESSMENT 740
CONCEPTUAL INFORMATION 740
DEVELOPMENTAL CONSIDERATIONS 742
APPLICABLE NURSING DIAGNOSES 747
Adjustment, Impaired 747
Community Coping, Ineffective and Readiness for
Enhanced 756
Family Coping, Compromised and Disabled 760
Family Coping, Readiness for Enhanced 767
Coping, Ineffective and Readiness for
Enhanced 771
Post-Trauma Syndrome, Risk for and Actual 785
Suicide, Risk for 791
CHAPTER 12 VALUE–BELIEF
PATTERN 799
PATTERN DESCRIPTION 800
PATTERN ASSESSMENT 800
CONCEPTUAL INFORMATION 800
DEVELOPMENTAL CONSIDERATIONS 802
APPLICABLE NURSING DIAGNOSES 804
Religiosity, Impaired 804
Religiosity, Readiness for Enhanced 808
Religiosity, Risk for Impaired 811
Spiritual Distress, 812
Spiritual Distress, Risk for 818
Spiritual Well-Being, Readiness for
Enhanced 824
APPENDIX A: NANDA’S AXES
DEFINITIONS 829
A
PPENDIX B: ADMISSION ASSESSMENT
FORM AND SAMPLE 831
INDEX 853
