NANDA-I, NIC and NOC in Anxiety Reduction and Control

Anxiety Disorder is a prevalent condition among Americans and an essential part of First Aid training for anxiety and BLS for Healthcare Providers.

Still, nurses face clinical deadlock situations where the judgment of data is challenging and varied. This need inspired the development of a common language to help nurses and medical practitioners diagnose patients better and come up with the proper treatment or outcomes.

NANDA-I, NIC, and NOC are the three elements in medicine that resulted from those efforts. These elements are standardized nursing languages common in nursing literature.

The American Nurses Association accepts the three standardized languages, namely;

  1. Diagnoses given by NANDA International (NANDA-I),
  2. Interventions by the Nursing Interventions Classification (NIC),
  3. The outcomes of the Nursing Outcomes Classification (NOC).

These are broad taxonomies that spell out terms for patient problems, interventions, and outcomes. According to a 2011 study, the implementation of NANDA-I, NIC, and NOC or NNN has improved nursing data efficiency.

To better understand NANDA-I, NIC, and NOC, we require a general patient scenario to understand these elements.

In this post, our patient scenario is anxiety. First, we will discuss the general public understanding of stress and then look at NANDA-I, NIC, and NOC definitions and their steps to dealing with anxiety.

What is the General Understanding of Anxiety?

Anxiety is persistent worry about daily life situations and is usually the fear of what is yet to happen.

First, it’s important to mention that experiencing occasional anxiety, like when tasked with a public speech, is normal.

Almost everyone has had that feeling once in their lifetime despite our age or gender. Picture stuff like the feeling you may have before or after an interview, your first day at school, and waiting for medical results.

However, anxiety worsens when this endless list of worries piles up, causes nervousness, and goes over a prolonged period. Sinking in your problems for long may take a toll on your well-being and threaten to bring your life to a halt.

The best approach to these endless worries is to consider them as a disorder and seek proper medication.

Anxiety disorder can include panic attacks, which can be remedied with First Aid training for anxiety and BLS for Healthcare Providers. Other forms of anxiety include post-traumatic stress, obsessive-compulsive disorder, among others.

But before visiting a therapist for any form of treatment, you must understand the various signs and symptoms of anxiety.

Below is a list of signs that will help you know if you have this mental disorder.

  1. Restlessness
  2. Sleeplessness
  3. Poor concentration
  4. Sweating
  5. Quick breathing
  6. Increased heartbeat and pulses.
  7. Feeling tired and weak.
  8. Panicking
  9. Deep breaths.

Digestive problems such as diarrhea, constipation, and excess gases in the alimentary canal can also be signs of anxiety.

That being said, let’s understand NANDA-I, NIC, and NOC definitions of anxiety.


Below are the elements of the three principles as regards anxiety.

  1. NANDA-I

Nurses began using a standardized language in the 1970s through the conception of NANDA’s diagnosis taxonomy. NANDA defines a nursing diagnosis as a clinical judgment about an individual, family, or community’s responses to actual or potential health issues/ life processes.

The diagnosis is the foundation for which a nurse chooses an intervention to attain the results they account for.

A genuine NANDA-I diagnosis consists of the label, the diagnosis definition, the signs and symptoms, and associated factors.

By 2009, the NANDA-I classification included 202 diagnoses. NANDA-I terms have been translated into fifteen different languages and are in use in thirty-two countries.

The NANDA-I issues a classification book after every three years.

NANDA-I for Anxiety

Anxiety is the vague, uneasy feeling of discomfort or dread accompanied by an autonomic response or a feeling of apprehension caused by anticipation of danger. The signs and symptoms of anxiety are broken down into.

  • Behavioral– diminished productivity, fidgeting, poor eye contact, vigilance, and restlessness.
  • Affective– anguish, focus on self, irritability, uncertainty, and worry
  • Physiological– tension on the face, and tremors of hands and body.
  • Parasympathetic– abdominal pain, decreased blood pressure and heart rate, faintness, fatigue, and urinary urgency
  • Cognitive– confusion, difficulty concentrating, forgetfulness, impaired attention, and fear of consequences excessively, and shaky tone
  • Sympathetic– anorexia, dryness of the mouth, increased heartbeat and blood pressure, pupil dilation, and heavy breathing

The related factors for anxiety include changes in the environment, financial position, fitness level, and related factors. Contact with toxins, substance abuse, situational crises, and the threat of death are other factors.

Anxiety disorder can cause panic attacks, which can be treated with First Aid training and anxiety and BLS for Healthcare Providers.

  1. NIC (Nursing Interventions Classification)

NIC is a broad taxonomy of interventions that illustrate treatments that nurses execute. Cohen and Cesta define an intervention as the label given to a set of specific activities that nurses carry out as they help patients as they move toward an outcome. A nurse or physician can intervene.

Nursing interventions mainly focus on nursing behavior or actions that help patients move to a wanted outcome. Every NIC intervention contains a label name, a set of actions showing the right intervention, and a small background analysis record.

The label name and definition of the intervention are the only standardized content that does not change when documenting care.

Image Alt Tag: NANDA-I, NIC, and NOC

Individualized care is based on a selection of activities; nurses choose from a list of around 10-30 activities per intervention. They must choose the most suitable intervention for their patient.

For instance, when anxiety disorder worsens to panic attacks, nurses may employ First Aid training for anxiety and BLS for Healthcare Providers.

The nurse is also free to add new activities, but only if they align with the intervention’s definition. The Nursing Interventions Classification (NIC) has been translated into nine languages and regularly updated through users’ feedback and reviews.

NIC for Anxiety

The suggested label is Anxiety Reduction. The nurse should recognize the anxiety, identify the anxiety source for all anxious clients, and deal with the stress. Common interventions activities for anxiety reduction include:

  • Using presence, accepted physical contact, and speaking to encourage them to open up
  • Accepting the patient’s need to act defensively or remain quiet
  • Use of compassion if the case is rational to bring about a normal feeling
  • Avoiding constant reassurance that may lead to worry
  • Feeding the patient with information if the case is irrational to get them to talk about the importance of the event
  • Assessing the patient’s level of anxiety and their reaction physically
  • Mediate if possible to eliminate anxiety
  • Encourage positive thoughts and optimistic talk
  • Use massage, backrubs, and therapeutic touch

Lastly, encourage listening to soothing music and moving the patient to a comfortable location.

  1. NOC

NOC is a broad uniform categorization of medical outcomes on patients usable to assess nursing interventions’ findings. The patient’s outcome is the judging factor for the success of a nursing intervention.

Other than intervention, variables such as the process used in care provision, organizational and environmental variables influencing selection and provision of the intervention, patient’s characteristics as well the patient’s life circumstances may affect the patient’s outcome.

Each outcome contains a label name, a description, a record of signs to assess patient condition. NOC classification has been translated into ten languages, and information available on the Centre for Nursing Classification and Clinical Effectiveness web page.

NOC for Anxiety

Individualized outcomes should relate to the specific nursing diagnosis, stating behaviors that will indicate that the problem is resolving. Anxiety Control is the chosen label, and the outcomes are that the client will:

Have vital signs reflecting reduced compassionate encouragement

  • Have body actions showing a decrease in anxiety
  • Show better concentration
  • Show a comeback of ability to solve problems
  • Show amplified focus
  • Show some confidence.

Analyzing outcomes is essential in assessing the success of nursing interventions.

The Vital Role of NANDA-I, NIC, and NOC

These three classifications serve as the basis for nursing processes in nursing occupation, studies, and research.

NANDA-I, NIC, and NOC provide terms for

  • Diagnosing patient conditions
  • Gauging nursing competencies,
  • Sharing nursing care information across facilities,
  • Analyzing nursing effectiveness
  • Keeping nursing care records,
  • Sharing patient and care data throughout systems,
  • Assessing patient outcomes
  • Gauging nursing productivity
  • Understanding healthcare provider/nurse needs

Diagnosis is like the backbone of nursing; getting it right paves the way for a correct intervention and a positive ripple effect on outcomes. That’s why nurses must stick to NANDA-I diagnosis.

These three, however, make a complete healthcare process for any nurse or wannabe nurses.


Nurses face clinical deadlock situations where the judgment of data is challenging and varied. This need inspired the development of a common language to help nurses and medical practitioners diagnose patients better and come up with the proper treatment or outcomes.

Universal nursing knowledge is useful in eliminating confusion and ensuring the best care throughout medical facilities.

The linkage between NANDA-I, NIC, and NOC will help develop nursing language and the interaction between medical practitioners and their patients.

As nursing diagnosis methods improve, practitioners must use various nursing interventions and develop ways to measure their outcomes.

This knowledge also allows nurses to provide safe and quality nursing care. Nurses are better equipped to deal with different scenarios, and their decision-making is improved.

Nurses can improve outcomes through First Aid training for anxiety and BLS for Healthcare Providers.