Psychiatric nsg dx help!

[RNNS12]

OK, I have my 7 dx but I can't figure out which order they need to be in by most important and if they make sense or if my AEB data is correct. Also which one out of these 7 would be good for a care plan? PLEASE HELP. THanks!!! :)

1. R/F self-directed violence r/t dysfunctional family system AEB pt states " I cut my flesh for attention and to feel the pain from all the hurt my parents gave me"

2. Spiritual distress r/t situational losses and loss of partner AEB pt states "I am angry at God and don't understand why he has done this to me"

3. Ineffective coping r/t inadequate support systems and coping strategies AEB ?

4. Impaired social interaction r/t absence of available significant others or peers AEB expression of feelings of aloness and not being able to trust anyone

5. Powerlessness r/t lack of positive feedback AEB feelings of hopelessness and expressions of never being able to do anything right or being good enough for his mother

6. Dysfunctional grieving r/t loss of partner AEB expression of never having chance to grieve when partner died 4 years ago and never having anyone there to talk about it

7. Post-trauma syndrome r/t physical and psychosocial abuse AEB anger towards mother and father and statements of what it would be like if he had different parents

[DayDreamin ER CRNP]

You can't use "risk for" if they already have it.

My teachers say you don't need an AEB if you are using "risk for" either.

m

[dudette10, MSN, RN]

KeeperMom is right about the risk for thing. Take another look at your risk for diagnosis to determine if is an actual or potential problem.

Also, use Maslow's. It will help you group the diagnoses on each step of the pyramid, so you can get a general prioritization.

You could strengthen your a/e/b statements with verbatim statements from the patient. Something he/she said gave you your assessment data!

Hope that helps!

[RNNS12]

OK, makes sense... THanks for the help! :)