Podcast
Questions and Answers
What best characterizes an actual nursing diagnosis?
What best characterizes an actual nursing diagnosis?
Which nursing diagnosis type focuses on health risks rather than current problems?
Which nursing diagnosis type focuses on health risks rather than current problems?
What component of a NANDA nursing diagnosis identifies the health problem?
What component of a NANDA nursing diagnosis identifies the health problem?
In a possible nursing diagnosis, what is usually lacking?
In a possible nursing diagnosis, what is usually lacking?
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Which example illustrates a wellness diagnosis?
Which example illustrates a wellness diagnosis?
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What does the etiology component of a NANDA diagnosis indicate?
What does the etiology component of a NANDA diagnosis indicate?
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Which statement about risk diagnoses is true?
Which statement about risk diagnoses is true?
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In which situation is a nursing diagnosis characterized as 'possible'?
In which situation is a nursing diagnosis characterized as 'possible'?
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Study Notes
Fundamentals of Nursing - 3rd Lecture
- This lecture covers nursing diagnoses, including different types and components.
Diagnosing
- This is the second phase of the nursing process.
- Nurses interpret assessment data, identify client strengths and problems, and formulate diagnostic statements.
- According to NANDA, a diagnosis is a clinical judgment about an individual, family, or community's response to actual or potential health problems or life processes.
Types of Nursing Diagnoses
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Actual diagnosis: A client problem present at the time of assessment.
- Examples: Anxiety, Ineffective breathing pattern
-
Risk diagnosis: A clinical judgment that a problem doesn't currently exist but risk factors suggest it may develop.
- Example: Risk for infection
-
Wellness diagnosis: Describes the human responses to wellness levels in individuals, families, and communities with readiness for enhancement.
- Example: Readiness for enhanced family coping
- Possible diagnosis: Evidence about a health problem is incomplete or unclear.
Components of NANDA Nursing Diagnosis
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Problem: Describes the client's health problem or response requiring nursing intervention.
- Examples: Anxiety, Fluid Volume Deficit, Ineffective breathing pattern, Knowledge deficit, Risk for infection
-
Etiology: Identifies the probable causes of the health problem.
- Example: Constipation related to inactivity and insufficient fluid intake.
-
Defining characteristics: The cluster of signs and symptoms indicating a specific problem.
- Example: Anxiety related to breathlessness and medication side effects, as manifested by patient verbalization and facial expressions.
Examples of Nursing Diagnoses
-
Chest pain: Related to increased oxygen demand and decreased oxygen supply, as manifested by patient verbalizations, facial expression (furrowed eyebrows).
- Problem: Chest pain
- Etiology: Increased oxygen demand and decreased oxygen supply
- Defining characteristics: Patient verbalizations, facial expression.
-
Risk for infection: Related to the presence of open surgical wounds in the chest and left leg.
- Problem: Risk for infection
- Etiology: Presence of open surgical wounds in the chest and left leg.
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