00188 Tendency To Adopt Health Risk Behaviors

Domain 1: health promotion
Class 2: Health Management
Diagnostic Code: 00188
Nanda label: tendency to adopt health risk behaviors
Diagnostic focus: health behaviors
Approved 1986 • Revised 1998, 2006, 2008, 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « tendency to adopt health risk behaviors ” is defined as: deterioration of the ability to modify lifestyle and/or/or the actions so that they improve the level of well -being.

Definite characteristics

  • Failure to get optimal control sensation
  • Failure to take actions that prevent health problems
  • Minimize changes in health status
  • Reject the changes in the state of health
  • smoking
  • Inappropriate use of substances

Related factors

  • Inadequate social support
  • Inadequate understanding of health information
  • Low self -efficacy
  • Negative perception of the health provider
  • Negative perception of the recommended health strategy
  • Social anxiety
  • Stressors

Risk population

  • People at economic disadvantage
  • People with family history of alcoholism

Suggestions of use

This diagnosis is not specific enough to have clinical utility. If used, explanatory phrases should be added (as a tendency to adopt health risk behaviors: excessive alcohol consumption). When possible, use a different diagnostic label that identifies the specific mode in which the adjustment is altered (for example, ineffective denial, risk of violence addressed to others).

Suggested alternative diagnostics

Other examples

The patient will be able to:

  • Verbally express the acceptance of changes in the state of health
  • Verbally express your feelings about the required changes in your behavior and lifestyle
  • Start making changes in your behavior and lifestyle
  • Identify priorities for your own health
  • Demonstrate reduction in anxiety and fear in independent activities
  • Comply with the indicated treatments

NIC Interventions

  • Clarification of values: Help another person to clarify their own values ??in order to facilitate good decision making
  • Emotional support: Offering of comfort, acceptance and encouragement during moments of stress
  • Support in decision making: information and support to a patient who is making a decision regarding their health
  • Support for personal change: reinforcement of self -directed change, initiated by the patient to achieve personal importance objectives
  • Advice: use of an interactive process of help focused on the needs, problems or feelings of the patient and their loved ones, to improve or strengthen coping, problem solving and interpersonal relationships
  • Health Education: Development and offer of instruction and learning experiences to facilitate voluntary adaptation of behavior to improve the health of individuals, families, groups or communities
  • Preparation of a contract with the patient: negotiation of an agreement with a person, where a specific behavior change is reinforced
  • Establishment of shared objectives: collaboration with the patient to identify and give priority to the care objectives, and then develop a plan to achieve those objectives
  • Facilitation of personal responsibility: patient invitation to assume greater responsibility for their own behavior
  • Anticipatory Guide: Preparation of a patient for a situational and/or development crisis that is coming
  • Risk identification: Analysis of possible risk factors, determination of health risks and prioritization of risk reduction strategies for a person or group
  • Improvement of self -efficacy: reinforcement of a person’s trust in their ability to exhibit healthy behavior
  • Improvement of coping: patient assistance to adapt to stressful factors, changes or perceived threats, which interfere with the satisfaction of the demands and the roles of life
  • Behavior modification: Promotion of a behavior change

Nursing Activities


  • Evaluate the need for patient social support
  • Evaluate the quantity and quality of available social support
  • (NIC) Improvement of coping:
    • Evaluate the patient’s adjustment to changes in body image, as indicated
    • Evaluate the impact of the patient’s vital situation on roles and relationships
    • Evaluate the patient’s decision -making capacity

Collaboration activities

  • Channel to the patient to community agencies and/or support groups
  • Include the patient and the family at a multidisciplinary meeting to establish a care plan, for example:
    • Identify obstacles that prevent change in behavior and lifestyle
    • Identify personal strengths that facilitate the achievement of objectives
    • Review the necessary changes in behavior and lifestyle and select one as an initial objective


  • Provide an environment without criticism in which the patient and family can share concerns, anguish and fears
  • (NIC) Improvement of coping:
    • Help the patient identify the support systems you have (to learn new forms of coping and reduce insulation and fear)
    • Evaluate and comment on alternative responses to the situation

At home

  • above interventions can be used at home
  • Advise on the support system available
  • Evaluate family patterns of communication and interaction

Older people

  • Advise on the presence of depression or agitation in response to changes