We just started our psych rotation and I'm having trouble choosing and prioritizing my NANDAs. Would anyone be willing to put in their 2 cents?
Dx: Bipolar I Disorder, Most Recent Episode Mixed, Severe With Psychotic Features
Pt has persecutory delusions, easily agitated, extremely labile, intrusive, unpredictible, non-compliant with meds, unkempt appearance...
I am supposed to choose 3 NANDAs and prioritize them. The three I have chosen are:
-Disturbed thought processes
-Ineffective self-health maintenance
-Risk for other-directed violence
My question is the disturbed thought processes seem to be the root of all problems. If you have impaired thinking, you cannot make good judgments about taking meds, having appropriate social interactions or self care. But if a pt is capable of violence, does that automatically become the priority?
My next question is that my NANDA book no longer has the Disturbed Thought Process diagnosis included. Is this an outdated NANDA? Would there be an appropriate substitute?
Thank you for any input.