You are working with a client who is in the manic phase and having difficulty sleeping, with only 0 to 2 hours of sleep recorded by the night shift nurse
Which of the following would you write as a nursing diagnosis using North American Nursing Diagnosis Association (NANDA) classifications? a. difficulty sleeping, manic related, evidenced by complaint of problems sleeping
b. loss of sleep, sensory related, evidenced by staying up most of the night according to staff
c. sleep pattern disturbance, related to sensory alterations, evidenced by sleep record (0 to 2 hours per night)
d. sensory overload, biochemically related, evidenced by lack of sleep
C
The most appropriate NANDA classification would be, "Sleep pattern disturbance, related to sensory alterations, evidenced by sleep record (0 to 2 hours per night)." This particular diagnosis contains all three parts needed for a NANDA diagnosis. The parts include the problem, what the problem is related to, and how the problem is demonstrated. The other three options would not be correct for this client, according to NANDA.
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