The nurse is considering using the NANDA nursing diagnosis Impaired Ph

The nurse is considering using the NANDA nursing diagnosis Impaired Physical Mobility in the care plan of a newly admitted client. In order to make this problem statement more individual, the nurse should take which action?

1. Include what mobility is impaired.
2. Use Level 1, 2, 3, or 4 to describe immobility.
3. Describe what happens when the client attempts mobility.
4. Add strength assessment data.

ANSWER

Correct Answer: 1
Rationale 1: In order to make this broad nursing diagnosis more specific to the client, the nurse should include what mobility is impaired. For example, if the client cannot transfer from bed to chair, a more specific nursing diagnosis is Impaired Transfer Mobility.
Rationale 2: There are NANDA levels of activity intolerance, but not of immobility.
Rationale 3: Describing what happens when the client attempts mobility might be used in the “as manifested by” section of the nursing diagnosis, but not in the problem statement section.
Rationale 4: Strength assessment data might be used in the “as manifested by” section of the nursing diagnosis, but not in the problem statement section.