My instructor suggested that I get on a website where other nurses respond and help you with your care plan, so here I am. I am a second semester PN student and had a patient who was weaning from a ventilator so I chose the nursing Dx of risk for dysfunctional ventilatory weaning response related to artificial airway as evidenced by the use of accessory muscles when breathing. My instructor pretty much said this was completely wrong. She said I need to choose a NANDA approved diagnoses (which I showed her that this was). Can anyone offer suggestions, I thought I understood how to write these, but it seems like every instructor expects something different. Also, if anyone has advice on interventions (both nursing or collaborative) so I can compare what I had written out. Thanks!