Nursing Diagnosis

Nursing Diagnosis

  • Risk for injury related to
    • Extreme hyperactivity, increased agitation, and lack of control over purposeless and potentially injurious movements
  • Risk for violence: self-directed or other-directed related to
    • Manic excitement
    • Delusional thinking
    • Hallucinations
    • Impulsivity
  • Imbalanced nutrition less than body requirements related to
    • Refusal or inability to sit still long enough to eat, evidenced by loss of weight, amenorrhea
  • Disturbed thought processes related to
    • Biochemical alterations in the brain, evidenced by delusions of grandeur and persecution, as well as inaccurate interpretation of the environment
  • Disturbed sensory perception related to
    • Biochemical alterations in the brain and to possible sleep deprivation, evidenced by auditory and visual hallucinations
  • Impaired social interaction related to
    • Egocentric and narcissistic behavior
  • Insomnia related to
    • Excessive hyperactivity and agitation

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