10. Fluid volume deficit r/t dehydrating effects of caffeine 9. Impaired social interactions r/t inappropriate topics of conversation discussing bodily functions 8. Anxiety r/t time constraints, threatened loss of social activities and anticipation of constant clinical quizzing 7. Functional constipation r/t lack of time to go to the bathroom associated with moving at speed of light and still not getting everything done 6. Impaired skin integrity r/t decubitus ulcer formation from sitting for long periods of time while studying 5. Ineffective breathing pattern r/t anxiety attacks before exams 4. Risk for self-injury r/t excessive carrying of 2,000-lb. textbooks 3. Sleep pattern disturbance r/t waking up at 4 a.m. for clinical after getting to sleep at 2 a.m. from working on care plans 2. Altered thought process: caffeine-induced psychosis r/t increased coffee consumption 1. Self-care deficit r/t being a nursing student