Term
| Differentiate various types of nursing diagnoses. |
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Definition
| Actual diagnosis (problem or signs/symptoms present at the time of assessment); Risk diagnosis (problem doesn't exist but risk factors do); Wellness diagnosis (readiness for enhancement); Possible diagnosis (evidence about a health problem incomplete or unclear, requires more info to support or refute); Syndrome diagnosis (associated with a cluster of other diagnoses) |
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Term
| Identify the components of a nursing diagnosis. |
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Definition
| Problem statement (diagnostic label-describes health problem or response); Etiology (related factors & risk factors- id's 1+ causes of problem); Defining characteristics (cluster of signs/symptoms indicating the presence of particular diagnostic label) |
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Term
| Compare nursing diagnoses, medical diagnoses and collaborative problems |
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Definition
| The differences are based on description, orientation, responsibility for diagnosing, treatment orders, nursing focus, nursing actions, duration, classification system |
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Term
| Identify basic steps in the diagnostic process. |
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Definition
| Analyzing data; identifying health problems, risks, & strengths; formulating diagnostic statements |
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Term
| Describe various formats for writing nursing diagnoses. |
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Definition
| Basic 2 part statement: (P) problem, (E) etiology; Basic (3) part statement: (P) problem (E) Etiology (S) signs and symptoms |
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Term
| Describe the characteristics of a nursing diagnosis. |
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Definition
| Describes human responses to disease processes/health problems; oriented to the client; nurse responsible for diagnosing, treatment orders, actions; May change frequently; classification system in development |
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Term
| List guidelines for writing a nursing diagnosis statement |
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Definition
| state in terms of a problem, not a need; word the statement so it is legally advisable; nonjudgemental statements; do not re-write the same element twice; be sure cause & effect are stated correctly; word it specifically & precisely; using nursing terminology, not medical to describe client's response |
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Term
| Describe the evolution of the nursing diagnosis movement, including work currently in progress |
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Definition
| First taxonomy alphabetical; Taxonomy II: domains, classes, nursing diagnoses, 7 axes; Process for acceptance on new diagnosis NIC, NOC |
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Term
| List advantages of a taxonomy of nursing diagnoses. |
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Definition
| development of a standardized nursing language; nursing minimum data set |
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