Nursing Foundations - Unit 2 (Diagnosing)

olanjones's version from 2016-05-06 16:01

Section 1

Question Answer
What does a medical diagnosis describe?The specific disease process responsible for a pattern of pathophysiological responses
What does a nursing diagnosis describe?The human response to health conditions/life processes
What is a collaborative diagnosis?Recognition of potential medical problems that is managed by the nurse but will require physician prescribed interventions
What are the 4 types of nursing diagnoses?1. Actual 2. Health promotion 3. Risk 4. Syndrome
What does an Actual nursing diagnosis describe?A problem that exists at the time of diagnosis
What does a Health promotion diagnosis describe?The patient's readiness to implement health-improving behaviors
What does a Risk nursing diagnosis describe?A problem that is likely to develop without intervention
What does a Syndrome diagnosis describe?A cluster of diagnosis that have similar interventions

Section 2

Question Answer
What is the purpose of NANDA diagnostic labels?To develop common terms for the purpose of nursing diagnostics. This also further promotes nursing as a profession.
What are the three components of NANDA nursing diagnoses?1. Problem and definition (diagnosis) 2. Etiology (cause/causes) 3. Defining characteristics (signs&symptoms)
What are the characteristics of a one-part nursing diagnosis?A refined diagnostic label from which the diagnosis can be derived. Used for health promotion and syndrome diagnoses
What are the components of a two-part nursing diagnosis?The problem (diagnostic label) and the etiology joined by r/t
What are the components of a three-part nursing diagnosis?Problem, Etiology, and Signs & Symptoms. The signs & symptoms validate why the diagnostic label was chosen
What variations may be used in diagnostic statements?Unknown etiology (defining characteristics but unknown cause), Complex factors (too many/complicated factors to list), Secondary to (divides etiology into parts, makes it more descriptive)
What are descriptors?additions to the NANDA label (such as location of dx) to make it more precise
What are qualifiers?terms added to the NANDA label (such as deficient, impaired, decreased) that give additional meaning

Section 3

Question Answer
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

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