Nursing Diagnosis

Impaired Social Interaction related to Disturbance in Self-Concept (00052)

Definition: Insufficient or excessive quantity or ineffective quality of social exchange.

Domain. 7 Role Relationship

Class. 3 Role Performance

Nursing Outcomes Classification

After 6 weeks of nursing process, client are expected to be able to achieve these criteria:

 Self-Esteem (1205)

Definition: Personal judgment of self-worth.

Self-Esteem as evidenced by showing the ability to:

 [120505] Describe him/herself (5);

 [120515] Has willingness to confront others (5);
 [120504] Has the ability to maintain eye contact (5); and
 [120519] Has adequate feelings about self-worth (5).

Social Involvement (1503)

Definition: Social interactions with persons, groups, or organizations

Social Involvement as evidenced by showing the ability to:

 [150301] Interacts with close friend (5);

 [150302] Interacts with neighbour (5);
 [150303] Interacts with family members (5);
 [150304] Interacts with members of work group(s) (5); and
 [150307] Participates in organized activity (5).
Nursing Intervention Classification

 [5100] Socialization Enhancement

Definition: Facilitation of another person’s ability to interact with others.

 Use role playing to practice improved communication skills and techniques.

Rational: Role playing has function to develop client’s interpersonal communication skills.
 Encourage social and community activities.
Rational: By following some social and community activities, the client’s socialization will
be enhanced, so does the self-concept.
 Explore strengths and weaknesses of current network of relationships.
Rational: The disturbance in self-concept and impaired social interaction could be started
from the network of relationship. The strength of network of relationship helps
client to enhance the socialization.
 Give positive feedback when client reaches out to others.
Rational: To motivate client to always improve his/her communication skills or experience
a conversation with others. The feedback must be realistic. This intervention can
make client less anxiety.
 [5400] Self-Esteem Enhancement

Definition: Assisting a client to increase his or her personal judgment of self-worth.

 Monitor client’s statements of self-worth.

Rational: The client’s statement of self-worth is defining what is client think about
him/herself, and this can affect their self-concept. The negative statement should
be changed into the positive one during the nursing process.
 Encourage eye contact in communicating with others.
Rational: To motivate client to make a good interpersonal communication with another,
little by little.
 Facilitate an environment and activities that will increase self-esteem.
 Rational: Client needs a suitable environment and activities for him or her as one of the
support system to increase self-esteem. Suitable environment and activities can
maximize the increase of self-esteem.
 Monitor levels of self-esteem over time, as appropriate.
Rational: Monitoring self-esteem level to measure the success of the intervention, because
self-esteem is the main indicator of the nursing care planning.
 [5440] Support System Enhancement

Definition: Facilitation of support to client by family, friends, and community.

 Identify psychological response to situation and availability of support system.

Rational: The client’s responses to situation and availability of support system decides what
support system suitable for the intervention. This help nurse to decides which one
is better to help client.
 Involve family, significant others, and friends in the care and planning.
Rational: A support from a close ones relatives or friends can motivate the client, so client
doesn’t feel alone. Beside, involving family or friends in the care planning can
makes them able to treat client at home.

Sources:

Dochteran, J. M., & Bulechek, G. M. (2013). Nursing Interventions Classification (NOC). 6th ed.
America: Mosby Elseiver

Herdman, T.H. & Kamitsuru, S. (2014). NANDA International Nursing Diagnoses: Definitions &
Classification, 2015–2017. 10nd ed. Oxford: Wiley Blackwell.

Moorhead, S., Jhonson, M., Maas, M., & Swanson, L. (2013). Nursing Outcomes Classification
(NOC). 5th ed. United states of America: Mosby Elseiver.