Nursing diagnosis for a mother that smoked during pregnancy and is continuing to smoke

RunBabyRN · Nov 7, 2014

Yes, "compliance" or anything insinuating that a patient is non-compliant is now a huge no-no.
As far as psychosocial goes, of course it is important. However, for NCLEX prep and learning purposes, ABCs will always be the answer to an NCLEX question if it's discussing any kind of nursing in the acute care/hospital setting.
Psychosocial diagnoses should always be included, but not as the #1 top diagnoses.. No matter what your personal opinion is. It's unfortunate, but that's the way it is! I've learned to accept it instead of fight it. If you always work up your care plans using personal feelings and not nursing judgement based on immediate threatening pathophys, you'll not only fail your boards, but you'll also just be making things harder for yourself. I hope you got all the feedback you needed! :)

As I'm sure you know, real life practice and the NCLEX are two different worlds. My instructor agreed with me that this was his keystone nursing diagnosis. It's not about personal feelings, it's about someone's inability to care for themselves based on a psych diagnosis.

BeachsideRN, ASN · Nov 7, 2014

The new NANDA-I 2015-2017 is out, and it's a treat. Check "Risk for thermal injury," which includes several pertinent risk factors for this baby. Page 389. "Contamination," p. 418, includes defining characteristics and related factors which fit your assessment. Betcha NOBODY in your clinical group will use them, and your discharge teaching plan will shine when you write your plan of care to address them. Amazon.com, free 2-day delivery, overnight if you have Prime.

PS: we don't use the word "compliance" anymore, haven't for years. Patients always, always have the right to choose to adhere or not to adhere to healthcare providers' plans of care, be they nursing, medical, therapy, or anything else. "Compliance" means a person is bending to someone's orders, with the connotation of another holding authority over the person. We, physicians, and everyone else have no such authority. When you say "related to lack of adherence to medical / nursing plan of care" it gives you a whole 'nother way to look at the situation and see if you can figure out why they are making those choices.

I just got my copy for school in January~!

ICURN7 · Nov 9, 2014

Don't forget about knowledge deficit. This mom definitely needs to be educated lol

Alisonisayoshi, LVN · Nov 9, 2014

The new NANDA-I 2015-2017 is out, and it's a treat. Check "Risk for thermal injury," which includes several pertinent risk factors for this baby. Page 389. "Contamination," p. 418, includes defining characteristics and related factors which fit your assessment. Betcha NOBODY in your clinical group will use them, and your discharge teaching plan will shine when you write your plan of care to address them. Amazon.com, free 2-day delivery, overnight if you have Prime.

PS: we don't use the word "compliance" anymore, haven't for years. Patients always, always have the right to choose to adhere or not to adhere to healthcare providers' plans of care, be they nursing, medical, therapy, or anything else. "Compliance" means a person is bending to someone's orders, with the connotation of another holding authority over the person. We, physicians, and everyone else have no such authority. When you say "related to lack of adherence to medical / nursing plan of care" it gives you a whole 'nother way to look at the situation and see if you can figure out why they are making those choices.

Oh my gosh I could hug you for making this point. As a type 1 diabetic I've come to hate the term non compliance. So many things come into play with this term, but ultimately, I don't have to "comply", I should adhere, I should make my best effort, but I'm an adult and have a choice in all things. Prisoners comply with prison guards. I adhere to a plan that I agree upon mutually with a treatment team.