Introduction to Nursing Diagnosis: Ineffective Denial
Nursing diagnosis of Ineffective Denial involves the inability to accept reality and avoid facing a situation. It is similar to avoidance, but not the same. The NANDA definition describes it as "the state in which an individual is unable to recognize the presence or gravity of a stressor or threat".
Nursing Diagnosis Definition
Ineffective Denial: an individual's inability to venture into the unknown and accept reality and/or recognize the presence or gravity of a stressor or threat.
Defining Characteristics
Subjective Data
- Uses rationalizations and denial
- Refuses to acknowledge feeling overwhelmed
- Cannot formulate a plan for coping with a stressor or threat
- Refusal to accept the truth, even after it is presented
Objective Data
- Clinical manifestations of withdrawal or avoidance
- Inappropriate coping strategies
- Exaggerated focus on trivial matters
- Lack of insight into how to address the situation
Psychodynamic and environmental factor that can contribute to Ineffective Denial include fear of the unknown, fear of change, and fear of abandonment. Other factors include isolation, depression, and poor social support.
Risk Population
Those at risk of demonstrating this nursing diagnosis include children, adolescents, the elderly, and minorities.
Associated Problems
Problems associated with Ineffective Denial can range from increased anxiety to impaired problem-solving skills. Difficulty adapting to new situations and increased risk for substance abuse are also possible.
Suggestions for Use
This diagnosis can be used when individuals experience difficulty acknowledging an unpleasant reality. It can be used for short-term or long-term interventions.
Suggested Alternative Nursing Diagnosis
Alternative nursing diagnoses that could be considered with Ineffective Denial include Anxiety, Ineffective Coping, and Social Isolation.
Usage Tips
It is important to assess the individual's current situation and ascertain what support systems they have in place. Establishing a safe environment will help with the process of addressing the problem.
NOC Results
NOC Results associated with this diagnosis include Coping, Risk Control, Self-Concept, Stress Tolerance, and Substance Abuse.
NIC Interventions
NIC Interventions that can help with Ineffective Denial include Advocacy / Supportive Program Maintenance, Crisis Intervention, Cognitive Restructuring, Emotional Self-Awareness, and Reality Orientation.
Conclusion and FAQ
In conclusion, nursing diagnosis of Ineffective Denial should be used when an individual is unable to recognize the presence or gravity of a stressor or threat. It is important to understand the related factors and associated problems in order to provide the most effective care.
FAQ:
1. What is nursing diagnosis Ineffective Denial?
Answer: nursing diagnosis of Ineffective Denial involves the inability to accept reality and avoid facing a situation. It is described as "the state in which an individual is unable to recognize the presence or gravity of a stressor or threat".
2. What are associated problems of Ineffective Denial?
Answer: Associated problems of Ineffective Denial include increased anxiety, impaired problem-solving skills, difficulty adapting to new situations, and increased risk for substance abuse.
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