Open Resources for Nursing (Open RN)

Table A contains commonly used NANDA-I 2021-2023 nursing diagnoses categorized by domain. Many of these concepts are discussed in various chapters of this book. Nursing students may use Gordon’s Functional Health Patterns framework to cluster assessment data by domain and then select appropriate NANDA-I nursing diagnoses. For more information, refer to a current nursing care planning resource.

Table A Sample 2021-2023 NANDA-I Diagnoses by Domain[1]

Domain Class & Nursing Diagnosis
Health Promotion Health Awareness

  • Sedentary lifestyle

Health Management

  • Frail elderly syndrome
  • Ineffective health maintenance
Nutrition Ingestion

  • Imbalanced nutrition: less than body requirements
  • Readiness for enhanced nutrition
  • Impaired swallowing

Metabolism

  • Risk for unstable blood glucose level

Hydration

  • Risk for electrolyte imbalance
  • Deficient fluid volume
  • Excess fluid volume
  • Risk for imbalanced fluid volume
Elimination and Exchange Urinary function

  • Impaired urinary elimination
  • Functional urinary incontinence
  • Overflow urinary incontinence
  • Reflex urinary incontinence
  • Stress urinary incontinence
  • Urge urinary incontinence
  • Urinary retention

Gastrointestinal function

  • Constipation
  • Risk for constipation
  • Diarrhea
  • Bowel incontinence

Respiratory function

  • Impaired gas exchange
Activity/Rest Sleep/Rest

  • Insomnia
  • Disturbed sleep pattern

Activity/Rest

  • Risk for disuse syndrome
  • Impaired bed mobility
  • Impaired physical mobility
  • Impaired wheelchair mobility
  • Impaired sitting
  • Impaired standing
  • Impaired transfer ability
  • Impaired walking

Energy balance

  • Fatigue
  • Wandering

Cardiovascular/Pulmonary responses

  • Activity intolerance
  • Ineffective breathing pattern
  • Decreased cardiac output
  • Ineffective peripheral tissue perfusion

Self-care

  • Bathing self-care deficit
  • Dressing self-care deficit
  • Feeding self-care deficit
  • Toileting self-care deficit
Perception/Cognition Attention

  • Unilateral neglect

Cognition

  • Acute confusion
  • Chronic confusion
  • Deficient knowledge
  • Readiness for enhanced knowledge
  • Impaired memory

Communication

  • Readiness for enhanced communication
  • Impaired verbal communication
Self-Perception Self-concept

  • Hopelessness
  • Readiness for enhanced self-concept

Self-esteem

  • Chronic low self-esteem

Body image

  • Disturbed body image
Role Relationship Caregiving roles

  • Caregiver role strain
  • Risk for caregiver role strain

Family relationships

  • Dysfunctional family processes

Role performance

  • Impaired social interaction
Sexuality Sexual function

  • Sexual dysfunction
Coping/Stress Tolerance Post-trauma responses

  • Risk for relocation stress syndrome

Coping responses

  • Anxiety
  • Ineffective coping
  • Death anxiety
  • Fear
  • Grieving
  • Complicated grieving
  • Powerlessness

Neurobehavioral stress

  • Risk for autonomic dysreflexia
Life Principles
  • Readiness for enhanced spiritual well-being
  • Decisional conflict
  • Spiritual distress
Safety/Protection Infection

  • Risk for infection

Physical injury

  • Ineffective airway clearance
  • Risk for aspiration
  • Risk for bleeding
  • Risk for falls
  • Risk for injury
  • Impaired dentition
  • Risk for pressure ulcer
  • Impaired skin integrity
  • Impaired tissue integrity

Violence

  • Risk for suicide

Environmental hazards

  • Risk for poisoning

Defensive processes

  • Risk for allergy response

Thermoregulation

  • Hyperthermia
  • Hypothermia
Comfort Physical comfort

  • Impaired comfort
  • Nausea
  • Acute pain
  • Chronic pain

Social comfort

  • Risk for loneliness
Growth/Development
  • Risk for delayed development

 


  1. Herdman, T. H., & Kamitsuru, S. (Eds.). (2018). Nursing diagnoses: Definitions and classification, 2018-2020. Thieme Publishers New York.

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Appendix A: Sample NANDA-I Diagnoses Copyright © by Open Resources for Nursing (Open RN) is licensed under a Creative Commons Attribution 4.0 International License, except where otherwise noted.

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