Question

1) Formulate three nursing diagnoses for patients experiencing a sleep disturbance

Answer 1

NURSING DIAGNOSIS: Disturbed Sleep Pattern

•           Actual

•           Risk for (Potential)

Related to: [Check those that apply]

•           Pain/distress

•           Environmental boundary (e.g. clamor, temperature)

•           Anxiety/fear

•           Depression

•           Medications

•           Excessive or insufficient incitement

•           Abnormal physiological status or indications (dyspnea, hypoxia, neurological brokenness, and others)

•           Normal changes related with maturing

•           Insufficient protection

As evidenced by: [Check those that apply]

•           Verbal dissensions of trouble nodding off

•           Awakening prior or later than wanted

•           Interrupted rest

•           Verbal dissensions of not feeling rested

•           Restlessness

•           Irritability

•           Dozing

•           Yawning

•           Altered mental status

•           Difficulty in excitement

•           Change in action level

•           Altered outward appearance (e.g., empty look, exhausted appearance)

Example: Disturbed Sleep Pattern related way of life interruptions as confirmation by reports of trouble falling and staying snoozing, fomentation, resting amid the day, and state of mind modifications.