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SHOPE CH. 16

QuestionAnswer
A nursing diagnosis is: A statement of the client response to a health problem that requires nursing intervention
The first part of the nursing diagnosis statement: Identifies and actual or potential health problem.
The second part of the nursing diagnosis statement: Identifies the probable cause of the client problem.
Which of the following is the correctly stated nursing diagnosis? Needs to be fed related to broken right arm.
52 y/o admitted to CCU. Denies chest pain, SOB, normal pulse and bp. Appears tense, doesn't want RN to leave bedside, states he's nervous. Which nursing diagnosis is appropriate? Anxiety related to ICU admission.
Actual nursing diagnosis Describes human responses to health conditions/life processes that exist in an individual, family or community. Judgement supported by defining characteristics.
Client centered problems Forming nursing diagnosis and individual care plan.
Collaborative problems Actual or potential physio. complications that can result from disease, trauma, Tx, Dx studies where nurses intervene in collaboration.
Defining characteristics The clinical criteria or assessment findings that support (validate) an actual nursing diagnosis.
Diagnostic process Includes decision making steps, gathering assessment database, validating, analyzing, interpreting data, ID Pt. needs and forming nursing Dx.
Etiology Cause of nursing diagnosis
Medical Diagnosis ID of a disease condition based on specific evaluation of S/S, Hx, and results of Dx procedures.
NANDA International Provides a common language for health problems nurses deal with.
Nursing Diagnosis Clinical judgement about individual, family, or community responses to actual or potential health problems or life processes.
Risk Nursing Diagnosis Describes human response to health conditions/life processes that may develop in a vulnerable individual, family, or community.
Wellness Nursing Diagnosis Describes human responses to levels of wellness in individ., fam., community that have a readiness for enhancement to higher level of wellnes.
This organization is the leader in nursing diagnosis classification: NANDA. Endorsed by ANA.
One of the purposes of the use of standard formal nursing diagnostic statements is to: Help nurses focus ont eh role of nursing in client care, among other purposes.
Critical thinking is: An active, organized, cognitive process used to carefully examine one's thinking and the thinking of others.
The nursing diagnosis: Family coping: potential for growth r/t unexpected birth of twins is an example of a: Wellness diagnosis-describes response to level of wellness in an individual ready for enhancement.
The nursing diagnosis: Risk for impaired skin integrity is an example of a: A risk nursing diagnosis-developing in a vulnerable person ie. spine injury
The word impaired in the diagnosis Impaired physical mobility is an example of: A discriptor- a diagnostic are used to give additional meaning to the diagnosis.
Nurse using auscultation to obtain a pulse is an example of: Objective measurement
A practice to avoid data collection errors is: Asking a coworker to see if they can validate the same finding.
"Unhappy and worried about health" is not a scientifically based diagnosis, and it can lead to error in: Diagnostic statement. Needs to be more precise like ineffective individual coping r/t fear of medical Dx.
Created by: stephanielhope
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