Domain 9. Coping-stress tolerance
Class 2. Coping responses
Diagnostic Code: 00241
Nanda label: Impaired mood regulation
Diagnostic focus: Mood regulation
Nursing Diagnosis: Impaired Mood Regulation
Introduction to Nursing Diagnosis
Mood regulation is an important part of physical and emotional health. Prevalence of mood disturbance increases with age, typically occurring in adulthood and continuing into later life. Mood disorders can be severe and interfere with everyday living. Nurses can play an important role in recognizing signs and symptoms of mood disorders and providing interventions for promoting clients’ well-being and quality of life.
NANDA Nursing Diagnosis Definition
The American Nurses Association defines impaired mood regulation as a pattern of persistent psychological or physiological response to stimuli that results in feelings of distress and increased vulnerability to depression or anxiety.
Defining Characteristics
Subjective characteristics of impaired mood regulation include feelings of worthlessness, loss of interest in activities, or an inability to experience pleasure. Objective characteristics include somatic or verbal expressions of anger, agitation, social withdrawal, difficulty initiating activities, and poor concentration.
Related Factors
There are many factors that can contribute to impaired mood regulation such as biological, genetic, environmental, psychological, family, and cultural elements. Biological factors can include changes in hormone levels due to aging, use/abuse of drugs or alcohol, or a significant physical illness. Genetic influences may come from a family history of mood disorders or depression. Environmental factors could include stress, change in life circumstances, or a traumatic event. Psychological factors may include low self-esteem, body dissatisfaction, or negative thought patterns. Family and cultural influences can influence beliefs and behaviors around mood regulation, including the role of gender, religion, societal expectations, upbringing, and customs.
Associated Conditions
Mood regulation can be associated with a variety of conditions, such as major depression, anxiety, bipolar disorder, post-partum depression, and post-traumatic stress disorder. Physical conditions or illnesses can also be a factor, including substance abuse, chronic pain, and neurologic conditions.
Suggestions for Use
Nurses can use nursing diagnosis to provide individualized interventions for their clients. Interventions should be tailored to each client’s specific needs, taking into consideration physical, psychosocial, spiritual, and developmental considerations.
Suggested Alternative NANDA Nursing Diagnosis
• Anxiety
• Risk For Suicide
• Risk For Infection
• Risk For Disorganized Infant Behavior
• Powerlessness
• Deficient Knowledge
• Altered Family Processes
Usage Tips
When using a nursing diagnosis, nurses must consider the client’s individual needs. They should assess the client’s overall medical and mental health history, lifestyle, and environment to determine the best possible interventions.
NOC Outcomes
Nurses should strive to meet the following outcomes when treating clients with impaired mood regulation:
• Self-Care: The client is able to manage their activities of daily living independently.
• Mood: The client’s mood is regulated in a healthy manner.
• Coping: The client is able to effectively cope with stressors.
• Quality of Life: The client is able to maintain a high quality of life.
• Mental Health: The client understands and actively works to maintain their mental health.
• Participation: The client is able to manage their social and interpersonal relationships without extreme distress.
Evaluation Objectives and Criteria
The evaluation objectives and criteria will vary based on the individual client and their specific needs. The nurse should discuss the desired outcome with the client and design a plan to reach those goals. The nurse should collect data regarding the client’s symptomology, level of functioning, lifestyle, and environment regularly in order to track progress and make adjustments to the intervention plan as needed.
NIC Interventions
Nurses can provide interventions for clients with impaired mood regulation through the following strategies:
• Cognitive Behavioral Therapy: Utilizing strategies to modify negative thoughts and behaviors
• Psychoeducation: Educating the client about mental health and managing their condition
• Social Support: Providing support and resources to the client
• Diet/exercise: Encouraging healthy lifestyle practices
• Medication Management: Assisting the client in taking medications correctly if prescribed
• Relaxation Techniques: Teaching the client relaxation techniques such as yoga and deep breathing
Nursing Activities
Nursing activities for clients with impaired mood regulation can focus on providing support, education, and interventions to help them reach their desired outcomes. This includes conducting assessments, monitoring vitals, educating the client on their condition and how to manage it, providing emotional support and resources, and connecting the client with community services and other professionals.
Conclusion
Mood regulation is an important part of physical and mental health. Nurses can play an important role in identifying signs and symptoms of mood disorders, providing interventions, and helping clients manage and regulate their moods. Through careful assessment and implementation of guidelines, nurses can help improve the quality of life of their clients and ensure they achieve their desired outcomes.
FAQs
Q1: What is an Impaired Mood Regulation?
A1: Impaired mood regulation is a psychological or physiological disruption in the regulation of emotions and moods, resulting in feelings of distress and increased susceptibility to depression or anxiety.
Q2: What Causes Impaired Mood Regulation?
A2: There are many potential causes, including biological, genetic, environmental, psychological, family and cultural factors. These can include hormonal changes due to aging, drug or alcohol use, stress, and negative thought patterns.
Q3: What Are the Signs and Symptoms of Impaired Mood Regulation?
A3: Subjective signs of impaired mood regulation include feelings of worthlessness, loss of interest in activities, and an inability to experience pleasure. Objective signs include somatic or verbal expressions of anger, agitation, social withdrawal, difficulty initiating activities, and poor concentration.
Q4: What Are the Nursing Interventions for Impaired Mood Regulation?
A4: Nursing interventions can focus on cognitive-behavioral therapy, psychoeducation, social support, diet/exercise regimens, medication management, and relaxation techniques.
Q5: How Can Nurses Monitor Progress in Clients with Impaired Mood Regulation?
A5: Nurses should assess the client’s symptoms, level of functioning, lifestyle, and environment on a regular basis in order to monitor progress and make necessary adjustments to the intervention plan.
{
“@context”: “http://schema.org/”,
“@type”: “FAQPage”,
“mainEntity”: [{
“@type”: “Question”,
“name”: “What is an Impaired Mood Regulation?”,
“acceptedAnswer”: {
“@type”: “Answer”,
“text”: “Impaired mood regulation is a psychological or physiological disruption in the regulation of emotions and moods, resulting in feelings of distress and increased susceptibility to depression or anxiety.”
}
}, {
“@type”: “Question”,
“name”: “What Causes Impaired Mood Regulation?”,
“acceptedAnswer”: {
“@type”: “Answer”,
“text”: “There are many potential causes, including biological, genetic, environmental, psychological, family and cultural factors. These can include hormonal changes due to aging, drug or alcohol use, stress, and negative thought patterns.”
}
}, {
“@type”: “Question”,
“name”: “What Are the Signs and Symptoms of Impaired Mood Regulation?”,
“acceptedAnswer”: {
“@type”: “Answer”,
“text”: “Subjective signs of impaired mood regulation include feelings of worthlessness, loss of interest in activities, and an inability to experience pleasure. Objective signs include somatic or verbal expressions of anger, agitation, social withdrawal, difficulty initiating activities, and poor concentration.”
}
}, {
“@type”: “Question”,
“name”: “What Are the Nursing Interventions for Impaired Mood Regulation?”,
“acceptedAnswer”: {
“@type”: “Answer”,
“text”: “Nursing interventions can focus on cognitive-behavioral therapy, psychoeducation, social support, diet/exercise regimens, medication management, and relaxation techniques.”
}
}, {
“@type”: “Question”,
“name”: “How Can Nurses Monitor Progress in Clients with Impaired Mood Regulation?”,
“acceptedAnswer”: {
“@type”: “Answer”,
“text”: “Nurses should assess the client’s symptoms, level of functioning, lifestyle, and environment on a regular basis in order to monitor progress and make necessary adjustments to the intervention plan.”
}
}]
}