2012年卫生资格考试:护理学的基本步骤(12)

2011-11-21 18:49:41 字体放大:  

潜在的调节婴幼儿行为增强(potential for Disorganized Infantganlzed Infantkhavlor)

(7)感知(Perceiving)

自我形象紊乱(Body Image Disturbance)

自尊紊乱(Self Esteem disturbance)

长期自我贬低(Chronic Low Self Esteem)

情境性自我贬低(Situational Low Self Esteem)

自我认同紊乱(Personal Identity disturbance)

感知改变(特定的)(视、听、运动、味、触、嗅)(Sensory/Perceptual Alterations)(specify)(Visual,Auditory,Kinesthetic,Gustatory,Tao-tile,Olfactory)

单侧感觉丧失(Unilateral Neglect)

绝望(Hopelessness)

无能为力(Powerlessness)

(8)认知(Knowing)

知识缺乏(特定的)(Knowledge Deficit)(Specify)

定向力障碍(Impaired Environmental Interpretation)

突发性意识模糊(Acute Confusion)

渐进性意识模糊(Chronic Confusion)

思维过程改变(Altered Thought Processes)

记忆力障碍(Impaired Memory)

(9)感觉(Feeling)

疼痛(Pain)

慢性疼痛(Chronic Pain)

功能障碍性悲哀(Dysfunctional Crieving)

预感性悲哀(Anticipatory Crieving)

有暴力行为的危险:对自己或对他人(Risk for Violence: Self-Directed or Directed at Others)

有自伤的危险(Risk for Self-Mutilation)

创伤后反应(Post-Trauma Response)

****创伤综合征(Rape-Trauma Syndrome)

****创伤综合征:复合性反应(Rape-Trauma Syndrome:Compound Reaction)

****创伤综合征:沉默性反应( Rape-Trauma Syndrome:Silent)

焦虑(Anxiety)

恐惧(Fear)

附2 21个新护理诊断

有自主反射失调的危险(Risk for Autonomic Dysreflexia)

有便秘的危险(Risk for Constipation)

有急迫性尿失禁的危险(Risk for Urinary Urge Incontinence)

有体液量不平衡的危险(Risk for Fluid Imbalance)

乳胶过敏反应(Latex Allergy Response)

有乳胶过敏反应的危险(Risk for Latex Allergy Response)

牙齿异常(Altered Dentition)

有精神困扰的危险(Risk for Spiritual Distress)

步行能力障碍(Impaired walking)

借助轮椅活动障碍(Impaired Wheelchair Mobility)

移位障碍(Impaired Transfer Ability)

床上活动障碍(Impaired Bed Mobility)

睡眼剥夺(Sleep Deprivation)

外科手术后恢复延迟( Delayed Surgical Recovery)

成人厌弃生存(Adult Failure recovery)

有发育异常的危险(Risk for Altered Development)

有生长异常的危险(Risk for Altered Growth)

恶心( Nausea)

经常性悲伤( Chronic Sorrow)

有创伤后反应综合征的危险(Risk for Post-Trauma Syndrome)

对残死亡的焦虑 ( Death Anxiety)

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