Podcast
Questions and Answers
What best characterizes an actual nursing diagnosis?
What best characterizes an actual nursing diagnosis?
- A diagnosis describing the absence of health complications.
- A diagnosis reflecting a current client health problem. (correct)
- A diagnosis pertaining to an unobservable health threat.
- A diagnosis indicating potential health issues.
Which nursing diagnosis type focuses on health risks rather than current problems?
Which nursing diagnosis type focuses on health risks rather than current problems?
- Actual diagnosis
- Risk diagnosis (correct)
- Possible diagnosis
- Wellness diagnosis
What component of a NANDA nursing diagnosis identifies the health problem?
What component of a NANDA nursing diagnosis identifies the health problem?
- Etiology
- Assessment
- Symptom
- Problem (correct)
In a possible nursing diagnosis, what is usually lacking?
In a possible nursing diagnosis, what is usually lacking?
Which example illustrates a wellness diagnosis?
Which example illustrates a wellness diagnosis?
What does the etiology component of a NANDA diagnosis indicate?
What does the etiology component of a NANDA diagnosis indicate?
Which statement about risk diagnoses is true?
Which statement about risk diagnoses is true?
In which situation is a nursing diagnosis characterized as 'possible'?
In which situation is a nursing diagnosis characterized as 'possible'?
Flashcards
Nursing Diagnosis
Nursing Diagnosis
A clinical judgment about individual, family, or community response to actual or potential health problems or life processes.
Actual Diagnosis
Actual Diagnosis
A client problem present during assessment.
Risk Diagnosis
Risk Diagnosis
Judgment that a problem might develop, due to risk factors.
Wellness Diagnosis
Wellness Diagnosis
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Possible Diagnosis
Possible Diagnosis
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Problem (NANDA)
Problem (NANDA)
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Etiology (NANDA)
Etiology (NANDA)
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NANDA
NANDA
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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
- 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
- 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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