00222 Inefficient Impulse Control

Domain 5: perception/cognition
Class 4: cognition
Diagnostic Code: 00222
Nanda label: Inefficient impulse control
Diagnostic focus: impulse control
Approved 2010 • Revised 2017 • Evidence level 2.1

NANDA Nursing Diagnosis Definition

Nanda nursing diagnosis « ineffective impulse control is defined as: fast -planned rapid reactions pattern, in the face of internal or external stimuli without taking into account the negative consequences of these reactions for the impulsive person or for others.

Definite characteristics

  • Act without thinking
  • Ask personal questions despite the discomfort of the other
  • Dangerous behavior
  • game addiction
  • Deterioration of the ability to regulate finance
  • Share personal data inappropriate
  • Irritable mood
  • Take too many trusts with strangers
  • Search for sensations
  • Sexual promiscuity
  • Arrebatos of evil

Related factors

  • Cognitive dysfunction
  • Desperateness
  • mood disorder
  • Neurocomportal manifestations
  • smoking
  • Inappropriate use of substances

Associated problems

  • Development alteration
  • Disabilities of development
  • Neurocognitive disorder
  • Personality disorder

Suggestions of use

The ineffective impulse control could be the product of diseases or diagnoses such as , despair , Ineffective coping , i social isolation , or it may be a symptom. It is necessary to identify the focus of the results and interventions, as well as choose the diagnosis with the defining characteristics that best fit the patient.

NOC Results

Noc results have not yet been developed for this diagnosis, although the following could be useful.

  • Impulses self -control: self -control of compulsive or impulsive behaviors
  • Self -control of distorted thoughts: self -containment of the alterations of perception, the processes of thought and the content of thought
  • Social interaction skills: personal behaviors that favor effective relationships

Evaluation objectives and criteria

  • The patient does not suffer from ineffective impulse control, as shown by distorted thoughts, impulse control and social interaction skills
  • The patient shows impulse self -control, which is manifested by the following indicators (specify from 1 to 5: never, sometimes, sometimes, often or usually):
    • Identify impulsive harmful behaviors
    • Identify the consequences of impulsive acts
    • Avoid high -risk situations
    • Control your impulses
  • Other examples

    • Respect personal limits by interacting with others
    • It is sensitive to the feelings and discomfort of others
    • Avoid sharing personal details inappropriate
    • Avoid random games
    • Avoid sexual promiscuity
    • Control the outbursts of anger

    NIC Interventions

    • NIC interventions have not yet been developed for this diagnosis, although the following could be useful.
    • Help in the control of anger: facilitation of anger expression in an adaptive way and without violence
    • Training for impulse control: Help the patient to control their impulsive behaviors through the application of problem -solving strategies in social and interpersonal situations
    • Establishment of limits: establishment of the parameters of the desirable and acceptable behavior of the patient
    • Behavior management: hyperactivity/lack of attention: Provision of a therapeutic environment that safely integrates the deficit of care and/or the hyperactivity of the patient and while encouraging a functioning
    • optimal

    Nursing Activities

    Valuations

    • Evaluate the underlying causes of impulsive behavior (such as low self -esteem, anger, cognitive disorders, development delay)
    • Determine the cognitive baseline and the level of patient development
    • Detect inappropriate anger expressions, personal information shared inappropriately and other signs and symptoms of ineffective impulse control

    Patient and family education

    • (NIC) Behavior management: hyperactivity/lack of attention:
      • Teach problems solving skills
      • Teach or reinforce adequate social skills

    Collaboration activities

    • Administer the required medications (for example, for hyperactivity)

    Others

    • Establish limits with the patient
    • Do not argue with the patient
    • Help the patient recognize when he feels angry or frustrated
    • Remember the person that a feeling is a sign to stop and think (and perhaps use words), but not to act
    • Help the patient practice the verbal expression of feelings instead of behaving aggressively
    • Give opportunities to the patient to practice problem solving, and encourage him to do so even in situations outside the therapeutic environment
    • Provide positive reinforcement (for example, praise self -control efforts)
    • Help the patient evaluate the results of the chosen acts