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| After you assess a client thoroughly to gather a database, the next step of the nursing process is to form____ ____that determine the nursing care a client receives |
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| Together, ______ diagnoses and ________problems represent the range of client conditions that require nursing care |
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| the identification of a disease condition based on a specific evaluation of physical signs, symptoms, the client's medical history, and the results of diagnostic tests and procedures. |
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| a clinical judgment about individual, family, or community responses to actual and potential health problems or life processes |
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| an actual or potential physiological complication that nurses monitor to detect the onset of changes in a client's status |
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| Nursing diagnoses provide the basis for selection of ____ ____ to achieve outcomes for which you, as a nurse, are accountable |
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| arly theorists, by defining nursing intervention in terms of _____ _____ ___ were partly responsible for the interest and eventual use of nursing diagnosis in contemporary nursing. |
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| In 1982 a professional association ____________ was established |
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| e North American Nursing Diagnosis Association (NANDA) |
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| The diagnostic process flows from the assessment process and includes decision-making steps. These steps include : |
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| data clustering, identifying client needs, and formulating the diagnosis or problem. |
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| Clusters and patterns of data often contain ____ _____ the clinical criteria or assessment findings that support an actual nursing diagnosis. |
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| objective or subjective signs and symptoms, clusters of signs and symptoms, or risk factors that lead to a diagnostic conclusion. |
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| While focusing on patterns of defining characteristics, you also compare a client's pattern of data with data that are consistent with ____,____ patterns |
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| NANDA-I (2007) has identified four types of nursing diagnoses: |
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| actual diagnoses, risk diagnoses, and wellness diagnoses and health promotion nursing diagnoses. |
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| what diagnosis describes human responses to health conditions or life processes that exist in an individual, family, or community. |
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| what diagnosis describes human responses to health conditions/life processes that will possibly develop in a vulnerable individual, family, or community |
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| What diagnosis is a clinical judgment of a person's, family's, or community's motivation and desire to increase well-being and actualize human health potential as expressed in their readiness to enhance specific health behaviors, such as nutrition and exercise. This diagnoses can be used in any health state and do not require current levels of wellness |
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| health promotion nursing diagnosis |
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| what diagnosis describes human responses to levels of wellness in an individual, family, or community that have a readiness for enhancement |
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| wellness nursing diagnosis |
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1. A nursing diagnosis is:
1. The diagnosis and treatment of human responses to health and illness
2. The advancement of the development, testing, and refinement of a common nursing language
3. A clinical judgment about individual, family, or community responses to actual and potential health problems or life processes
4. The identification of a disease condition based on a specific evaluation of physical signs, symptoms, the client's medical history, and the results of diagnostic tests |
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2. Lisa reviews data she has regarding Ms. Devine's pain symptoms. She compares the defining characteristics for acute pain with those for chronic pain. In the end she selects acute pain as the correct diagnosis. This is an example of Lisa avoiding an error in:
1. Data collection
2. Data clustering
3. Data interpretation
4. Making a diagnostic statement |
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3. One of the purposes of the use of standard formal nursing diagnostic statements is to:
1. Evaluate nursing care
2. Gather information on client data
3. Help nurses to focus on the role of nursing in client care
4. Facilitate understanding of client problems among health care providers |
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4. The nursing diagnosis readiness for enhanced communication is an example of a(n):
1. Risk nursing diagnosis
2. Actual nursing diagnosis
3. Potential nursing diagnosis
4. Wellness nursing diagnosis |
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5. The nursing diagnosis hypothermia is an example of a(n):
1. Risk nursing diagnosis
2. Actual nursing diagnosis
3. Potential nursing diagnosis
4. Wellness nursing diagnosis |
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6. The word impaired in the diagnosis Impaired physical mobility is an example of a:
1. Descriptor
2. Risk factor
3. Related factor
4. Nursing diagnosis |
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7. In the examples listed below, which nurse is acting to avoid a data collection error?
1. The nurse asks a colleague to chart his or her assessment data.
2. The nurse considers conflicting cues in deciding the correct nursing diagnosis.
3. The nurse assessing the edema in a client's lower leg is unsure of its severity and asks a co-worker to check it with him or her.
4. After doing an assessment the nurse critically reviews his or her level of comfort and competence with interview and physical assessment skills. |
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8. “Unhappy and worried about health” is not a scientifically based nursing diagnosis, and it can lead to error in:
1. Data collection
2. Data clustering
3. Medical diagnosis
4. Diagnostic statement |
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9. Casey is reviewing a client's list of nursing diagnoses in the medical record. The most recent nursing diagnosis is diarrhea related to intestinal colitis. This is an incorrectly stated diagnostic statement, best described as:
1. Identifying the clinical sign instead of an etiology
2. Identifying a diagnosis based on prejudicial judgment
3. Identifying the diagnostic study rather than a problem caused by the diagnostic study
4. Identifying the medical diagnosis instead of the client's response to the diagnosis |
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10. Which of the following are defining characteristics for the nursing diagnosis impaired urinary elimination? (Choose all that apply.)
1. Nocturia
2. Frequency
3. Urine retention
4. Inadequate urinary output
5. Receiving intravenous fluids
6. Sensation of bladder fullness |
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