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NANDA-I Definition

A mental state characterized by shifts in mood or affect and which is comprised of a constellation of affective, cognitive, somatic, and/or psychologic manifestations varying from mild to severe.

NANDA-I Defining Characteristics

Altered verbal behavior

Appetite change

Disinhibition

Dysphoria

Excessive guilt

Excessive self-awareness

Excessive self-blame

Flight of thoughts

Hopelessness

Impaired attention

Irritable mood

Psychomotor agitation

Psychomotor retardation

Sad effect

Self-blame

Social alienation

NANDA-I Related Factors

Altered sleep-wake pattern

Anxiety

Difficulty functioning socially

External factors influencing self concept

Hypervigilance

Loneliness

Pain

Recurrent thoughts of death

Recurrent thoughts of suicide

Social Isolation

Substance misuse

Weight change

NANDA-I Associated Conditions

Chronic disease

Psychosis

Functional impairment

AUTHOR'S NOTE

The top 5 mental illnesses listed as primary diagnoses for hospitalization are mood disorders, substance-related disorders, delirium/dementia, anxiety disorders, and schizophrenia (Halter, 2018). Mood disorders include bipolar disorders and major depressive disorders (APA, 2019). Impaired Mood Regulation as approved by NANDA-I above represents manifestations of individuals with bipolar or major depressive disorders. Some of the related factors represent signs and symptoms of mood disorders, e.g., alteration in sleep pattern, appetite changes, hypervigilance: some are individual's responses to Impaired Mood Regulation as social isolation, weight change, loneliness, substance abuse, recurrent thoughts of death, recurrent thoughts of suicide, impaired social functioning, anxiety. The principle treatment for bipolar or major depressive disorders are medications, which can stabilize the individual's mood fluctuations.

Impaired Mood Regulation is not the focus of nursing interventions. Using a Functional Health Assessment, the nurse, the individual, and family will determine which patterns are disrupted by the individual's mood disorder. Some related nursing diagnoses are Risk for Self-Harm, Risk for Suicidal Behavior, Insomnia, Ineffective Coping, Compromised Family Coping, Defensive Coping, Impaired Social Interaction, Risk for Violence to Others, and Ineffective Denial. Refer to the specific nursing diagnoses throughout this text.