Questions and Answers
Which of the following is a risk nursing diagnosis related to nutrition?
What is an actual nursing diagnosis related to nutrition?
Impaired Swallowing
The definition of health-promotion nursing diagnosis is diagnosis label + __________.
defining characteristics
What does a measurable patient-centered goal for Risk for Aspiration involve?
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Actual nursing diagnosis = diagnosis label + related factors + __________.
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What measurable goal should a patient with Imbalanced Nutrition: Less than Body Requirements aim for?
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Which professional is responsible for coordinating timely, cost-effective services post-discharge?
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What primary need does a speech therapist address for patients related to nutrition?
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What is an example of a risk nursing diagnosis related to nutrition?
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What goal should a patient with Readiness for Enhanced Nutrition focus on?
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In the context of nutrition, what should a stroke patient who is scheduled for a feeding tube have diagnosed?
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Study Notes
Nursing Diagnosis Related to Nutrition
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Risk nursing diagnoses identify potential nutrition-related issues, including:
- Risk for Aspiration
- Risk for Imbalanced Nutrition: More/Less than Body Requirements
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Actual nursing diagnoses indicate existing nutrition-related problems, such as:
- Impaired Swallowing
- Feeding: Self-Care Deficit
- Imbalanced Nutrition: More/Less than Body Requirements
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Health-promotion nursing diagnoses focus on enhancement opportunities, featuring:
- Readiness for Enhanced Nutrition
- Readiness for Enhanced Knowledge
Components of Nursing Diagnoses
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Risk nursing diagnoses combine a diagnosis label with identified risk factors.
- Example: Risk for Imbalanced Nutrition: Less than Body Requirements due to chronic nausea and loss of appetite.
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Actual nursing diagnoses consist of a diagnosis label, related factors, and defining characteristics.
- Example: Impaired Swallowing linked to neurologic damage from a cerebrovascular accident, demonstrated by gagging and choking.
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Health-promotion nursing diagnoses include a diagnosis label along with confirming characteristics.
- Example: Readiness for Enhanced Nutrition evidenced by desire for a balanced diet and knowledge of nutritional guidelines.
Patient-Centered Goals
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For Risk for Aspiration, aim for the patient to show no signs of aspiration, such as maintaining clear lungs and normal respiratory rate during hospitalization.
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For Feeding: Self-Care Deficit, the goal involves the patient using assistive devices for self-feeding before discharge.
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For Imbalanced Nutrition: Less than Body Requirements, the objective is for the patient to gain 1 to 2 lbs weekly until weight normalizes.
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For Imbalanced Nutrition: More than Body Requirements, the target is for the patient to recognize obesity-related factors prior to discharge.
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For Readiness for Enhanced Nutrition, the goal is for the patient to identify nutrient-rich food options and express awareness of balanced meal choices before leaving the facility.
Collaborative Care Planning
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Individual dietary preferences and cultural/religious nutritional needs must be integrated into care plans.
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Registered dietitians provide nutritional education and address psychosocial/economic factors affecting nutrition.
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Case managers coordinate necessary services post-discharge, such as durable medical equipment and follow-up care.
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Speech therapists play a key role for patients with swallowing impairments requiring restorative therapy.
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Psychologists might be consulted when psychological issues influence a patient's nutritional recovery.
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Unlicensed assistive personnel assist with feeding tasks.
Case Example
- A stroke patient experiences coughing and choking while eating solids and liquids, indicating a potential diagnosis of Impaired Swallowing as determined by failing a swallow evaluation, leading to the consideration of a feeding tube.
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Description
Test your understanding of nursing diagnoses concerning nutrition-related issues, including risk, actual, and health-promotion diagnoses. The quiz covers essential components that define these diagnoses and their implications for patient care. Enhance your knowledge and application of nursing diagnoses in a nutritional context.