00138 Risk for other-directed violence

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00138 Risk for other-directed violence

Definition of the NANDA label

Situation in which there is a danger that the individual will adopt behaviors that may be physically, emotionally or sexually harmful to other people.

Susceptible to behaviors in which an individual demonstrates that he or she can be physically, emotionally, and/or sexually harmful to others.

Risk factors

• Body language: stiff posture, clenched fists and jaws, hyperactivity, pacing, shortness of breath, threatening postures.
• History of violence against others (eg hitting, kicking, spitting, scratching, throwing objects, biting, attempting to rape, raping, molesting, urinating / defecating on another person).
• History of threats of violence (eg, verbal threats against property, people, social threats, curses, threatening notes / letters or gestures, sexual threats).
• History of violent antisocial behavior (eg, stealing, persistent borrowing, continual demands for privilege, constant disruption of meetings, refusal to eat, refusal to take medication, disregarding instructions.
• History of indirect violence (eg, tearing clothes, smashing objects on walls, painting walls, urinating on the floor, defecating, kicking, tantrums, running down hallways, yelling , throwing objects, breaking windows, banging on doors, sexual advances).
• Neurological impairment (positive EEG, computed tomography, or magnetic resonance imaging; positive neurological findings; head trauma; seizure disorders).
• Cognitive impairment (learning disorders, attention deficit, decreased intellectual functioning).
• History of child abuse.
• History of witnessing family violence during childhood.
• Cruelty to animals.
• Start fires.
• Prenatal and perinatal complications or abnormalities.
• History of alcohol or illegal drug use.
• Pathological intoxication.
• Psychotic symptomatology (eg, auditory, visual, command hallucinations; paranoid delusions; vague, erratic, illogical thought processes).
• Motor vehicle problems (eg, frequent traffic violations, use of motor vehicle to release anger).
• Suicidal behavior.
• Impulsiveness.
• Availability or possession of firearms.

At risk population

• History of childhood abuse
• History of cruelty to animals
• History of fire-setting
• History of motor vehicle offense
• History of substance misuse
• History of witnessing family violence

Associated condition

• Alteration in cognitive functioning
• Neurological impairment
• Pathological intoxication
• Perinatal complications
• Prenatal complications
• Psychotic disorder

NOC

• Control of aggression.

NIC

• Prevention of violence.
• Enhancement of security.
• Promote family involvement.
• Behavior management.
• Help to control anger.
• Set limits.
• Physical restraint.

This diagnosis will retire from the NANDA-I Taxonomy in the 2021-2023 edition unless additional work is completed to bring it up to a level of evidence 2.1 or higher.

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