What are the characteristics of a well written nursing diagnosis?
Stated in terms of problem, legally advisable & non-judgmental wording, elements of dx are not saying the same thing, cause & effect clearly stated, dx provides direction for planning/intervention, uses nursing terminology to describe client response and probable cause of response
How should a collaborative problem be written?
begins with Potential complication (PC): and the disease or treatment present that may produce it
What common errors are made when writing a nursing diagnosis?
Using the medical dx for r/t, using s&s as etiology, lack of specificity, combining two diagnoses, writing legally inadvisable statements
What are "defining characteristics"?
the cluster of s&s that indicate the presence of a particular diagnostic label
What are the dependent functions of nursing?
the medical orders that the nurse is obligated to carry out
What are the independent functions of nursing?
the responsibilities of the nurse that are separate and distinct from medical management