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Questions and Answers
What is the primary purpose of a nursing diagnosis?
What is the primary purpose of a nursing diagnosis?
To provide a clinical judgment about health responses and guide nursing interventions.
How does a nursing diagnosis differ from a medical diagnosis?
How does a nursing diagnosis differ from a medical diagnosis?
A nursing diagnosis focuses on the patient's responses to health conditions rather than identifying the medical condition itself.
Why are nursing diagnoses considered important in the nursing process?
Why are nursing diagnoses considered important in the nursing process?
They help prioritize nursing care and direct interventions to improve patient outcomes.
What is one key characteristic that distinguishes a nursing diagnosis from a problem that the nurse faces?
What is one key characteristic that distinguishes a nursing diagnosis from a problem that the nurse faces?
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In what way do nursing diagnoses contribute to the development of care plans?
In what way do nursing diagnoses contribute to the development of care plans?
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What distinguishes a risk nursing diagnosis from other types of diagnoses?
What distinguishes a risk nursing diagnosis from other types of diagnoses?
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What are the two main components of a health promotion diagnosis?
What are the two main components of a health promotion diagnosis?
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Define a syndrome nursing diagnosis and provide an example.
Define a syndrome nursing diagnosis and provide an example.
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What characterizes a possible nursing diagnosis?
What characterizes a possible nursing diagnosis?
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What are the three components of a nursing diagnosis?
What are the three components of a nursing diagnosis?
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Study Notes
Nursing Diagnosis: Definitions
- A nursing diagnosis is a statement regarding a health issue or potential problem within a client's health status, recognized as treatable by a nurse.
- Defined as a clinical judgment about individual, family, or community experiences in relation to actual or potential health problems.
- It serves as a basis for selecting nursing interventions to achieve accountable outcomes.
Nursing Diagnosis vs. Other Terms
- Not merely a label or an alternate explanation for medical diagnoses.
- Distinct from prescriptions or diagnostic studies, unrelated to nurse-specific issues during patient care.
- Focuses on actual and potential patient health problems where independent nursing actions can lead to resolution.
Purposes of Nursing Diagnosis
- Aids in identifying nursing priorities, directing interventions accordingly.
- Formulates expected outcomes that align with quality assurance requirements from insurance providers.
- Helps identify client responses to health events, emphasizing available resources for problem resolution.
- Establishes a common language for communication among nursing professionals and the healthcare team.
- Provides a basis for evaluating the effectiveness of nursing care.
Risk Nursing Diagnosis
- Indicates a potential problem's likely development due to specific risk factors.
- Components include a risk diagnostic label and associated risk factors, e.g., Risk for Falls.
Health Promotion Diagnosis
- Reflects motivation to enhance well-being and transition to a higher wellness level.
- Typically stated as one-part statements without related factors, e.g., Readiness for Enhanced Parenting.
Syndrome Diagnosis
- Involves a cluster of existing or anticipated nursing diagnoses associated with a specific situation.
- Written as a one-part statement, e.g., Chronic Pain Syndrome.
Possible Nursing Diagnosis
- Describes a suspected health problem needing further data to confirm or deny.
- Examples include Possible Chronic Low Self-Esteem and Possible Social Isolation.
Components of a Nursing Diagnosis
- Typically consists of three components: the problem, its etiology, and defining characteristics.
- The problem statement effectively encapsulates the nurse's rationale for providing care.
- For risk diagnoses, signs/symptoms are absent; etiology focuses on factors increasing susceptibility.
Writing a Nursing Diagnosis
- Can be drafted in one-part, two-part, or three-part formats.
- Commonly utilizes the PES format (Problem, Etiology, Signs/Symptoms).
One-Part Nursing Diagnosis Statement
- Used primarily for health promotion and syndrome diagnoses.
- Examples include Readiness for Enhanced Coping.
Two-Part Nursing Diagnosis Statement
- Contains a diagnostic label and validation or risk factors.
- Examples include Risk for Infection related to compromised defenses.
Three-Part Nursing Diagnosis Statement
- Comprises a diagnostic label, contributing factors, and signs/symptoms.
- Example: Impaired Physical Mobility related to decreased muscle control as evidenced by inability to control lower extremities.
NANDA International
- Formed in 1982 to standardize nursing terminology, develops and refines nursing diagnosis nomenclature.
- NANDA's first national conference held in 1973; subsequent conferences occurred biennially.
- Taxonomy II includes three levels: domain, classes, and nursing diagnoses.
Taxonomy Domains
- Contains 13 domains related to various aspects of health including health promotion, nutrition, and safety.
- Examples of domains include Comfort, Activity/Rest, and Coping/Stress Tolerance.
Nursing Diagnosis Examples
- Activity Intolerance: Inability to complete desired activities due to energy limitations.
- Grieving: A complex response to loss, encompassing emotional and physical aspects.
- Hopelessness: Limited perception of available personal choices or alternatives.
- Impaired Physical Mobility: Limitation in purposeful body movements or extremities.
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Description
Explore the essential concepts of nursing diagnosis, including its definitions, purposes, and distinctions from other medical terms. Understand how nursing diagnoses guide interventions and shape patient care strategies.
