Nurse's Pocket Guide

G
risk for deficient Fluid Volume [isotonic]: risk factors may include
excessive losses through vomiting and diarrhea, continued bleeding,
reluctance to ingest/restrictions of oral intake.*
Gastritis, chronic CH
risk for imbalanced Nutrition: less than body requirements: risk factors
may include inability to ingest adequate nutrients (prolonged nausea/vomiting,
anorexia, epigastric pain).*
deficient Knowledge [Learning Need] regarding pathophysiology, psychological
factors, therapy needs, and potential complications may be
related to lack of information/misinterpretation, possibly evidenced
by verbalization of concerns, questions, misconceptions, and continuation
of problem.
Gastroenteritis MS
(Refer to Enteritis; Gastritis, chronic)
Gender identity disorder PSY
(For individuals experiencing persistent and marked distress regarding
uncertainty about issues relating to personal identity, e.g., sexual orientation
and behavior.)
Anxiety [specify level] may be related to unconscious/conscious conflicts
about essential values/beliefs (ego-dystonic gender identification),
threat to self-concept, unmet needs, possibly evidenced by increased
tension, helplessness, hopelessness, feelings of inadequacy, uncertainty,
insomnia and focus on self, and impaired daily functioning.
ineffective Role Performance/disturbed personal Identity may be related
to crisis in development in which person has difficulty knowing/
accepting to which sex he or she belongs or is attracted, sense of discomfort
and inappropriateness about anatomic sex characteristics,
possibly evidenced by confusion about sense of self, purpose or direction
in life, sexual identification/preference, verbalization of desire to
be/insistence that person is the opposite sex, change in self-perception
of role, and conflict in roles.
ineffective Sexuality Pattern may be related to ineffective or absent role
models and conflict with sexual orientation and/or preferences, lack
of/impaired relationship with an SO, possibly evidenced by verbalizations
of discomfort with sexual orientation/role, and lack of information
about human sexuality.
risk for compromised/disabled family Coping: risk factors may include
inadequate/incorrect information or understanding, SO unable to
perceive or to act effectively in regard to client’s needs, temporary
family disorganization and role changes, and client providing little
support in turn for primary person.*
readiness for enhanced family Coping may be related to individual’s
basic needs being sufficiently gratified and adaptive tasks effectively
addressed to enable goals of self-actualization to surface, possibly evidenced
by family member’s attempts to describe growth/impact of crisis
on own values, priorities, goals, or relationships, family member is
*A risk diagnosis is not evidenced by signs and symptoms, as the
problem has not occurred and nursing interventions are directed at
prevention.
838 NURSE’S POCKET GUIDE