Karissa Botset Week 3 Case Study
NURS 3293 CASE STUDY WEEK 3 |LATEST UPDATE WITH
COMPLETE SOLUTIONS
Nursing Process: Nursing Diagnosis
During this phase of the nursing process you will analyze the assessment data obtained
on Mr. McClelland upon admission to your long-term care facility to identify his health
status, including strengths, problems, and factors contributing to the problems. An
abbreviated admission database is provided for you to facilitate your work through the
diagnostic process and formation of the pertinent nursing diagnoses for Mr. McClelland.
1. Why is the diagnostic phase of the nursing process critical to the development
of the plan of care?
This phase is important since this is when the nurse uses critical thinking skills
and judgement to make a diagnosis about a current or potential health
condition of the client. The diagnosis phase is the foundation of the health care
plan and course of treatment for the client.
2. Explain how nursing diagnoses and the use of nursing diagnostic labels help
validate nursing as a profession.
This validates nursing as a profession because it is the first potential diagnosis
of a client. It shows the nurse has accountability in their nursing care. It also
establishes standardization of patient care.
In the identification of health problems, the decision about how the problem will
be addressed drives the type of diagnosis (nursing, medical, or collaborative)
that the problem receives.
3. From the database obtained at admission, Mr. McClelland has an identified
health problem of "forgetfulness." His medical diagnosis is early-onset
dementia. Based on the definitions, discuss how the nursing diagnoses can be
determined from the health issue of "forgetfulness" and the collaborative
problems from the medical diagnosis of dementia.
This would be a risk nursing diagnosis. With the identified health problem of
forgetfulness,a nurse would make the diagnosis as a risk of dementia or a risk
of forgetfulness, because more information needs to be obtained in order to
confirm that result. He is also just forgetful, so this diagnosis might not be used
until later on.
4. How could the use of the medical diagnosis to determine appropriate nursing
diagnoses be detrimental to Mr. McClelland's plan of care?
If the diagnosis of dementia is obtained before the initial assessment of Mr.
McClelland, then the nurse could look into the signs of dementia while doing
the initial assessment. It could make the nursing diagnosis confirm the medical
diagnosis given.
5. Describe the five types of nursing diagnoses that may be identified for a
patient.
The actual nursing diagnosis- The human response that does exist
The Risk for, nursing diagnosis- Human responses that may develop planning
, Karissa Botset Week 3 Case Study
aimed at prevention
The possible nursing diagnosis- Suspected problems, need more data.
The wellness nursing diagnosis- Readiness of enhanced learning. Human
responses to levels of wellness.
The syndrome nursing diagnosis- Clusters of actual or potential diagnosis.
6. Utilizing Mr. McClelland's admission assessment, identify assessment findings
that may represent each type of status of nursing diagnosis. You may need to
use available references to determine the significance of data listed on the
admission database.
Type Example of Data from Admission Assessment
Actual Subjective Data Objective Data
Potential Dementia forgetfullness
Possible* Failure to thrive Not eating all food
Syndrome* Dementia fortgetfullness
Wellness (Health Doesn't want to be in long term Does not seemed
Promotion) care facility distressed
7. Through diagnostic reasoning, you will critically think through the data to
determine the holistic needs of the patient so that a plan of care can be
developed and implemented.
8. Referring to the listing of "Recognizing Cues," analyze the data provided on the
admission assessment. Highlight/underline the significant data (cues) about
Mr. McClelland. Label each finding with the appropriate cue.
Dementia- How long has he been diagnosed? Forgetfulness- When did this
start to occur? Failure to thrive- How much food to you eat through the day?
Recognizing Cues
The following may indicate cues.
A deviation from population norms
Example: For a well-conditioned athlete who is not a smoker, a heart rate of
120 beats per minute would probably be an unhealthy response (cue). But
remember that in addition, you must always consider whether the response is
normal for the patient or the situation.
Changes in usual health patterns are not explained by developmental or
situational changes
Example: What change has Todd (Meet Your Patient) experienced in the 3
days before admission to the ED? Is there any developmental or situational
NURS 3293 CASE STUDY WEEK 3 |LATEST UPDATE WITH
COMPLETE SOLUTIONS
Nursing Process: Nursing Diagnosis
During this phase of the nursing process you will analyze the assessment data obtained
on Mr. McClelland upon admission to your long-term care facility to identify his health
status, including strengths, problems, and factors contributing to the problems. An
abbreviated admission database is provided for you to facilitate your work through the
diagnostic process and formation of the pertinent nursing diagnoses for Mr. McClelland.
1. Why is the diagnostic phase of the nursing process critical to the development
of the plan of care?
This phase is important since this is when the nurse uses critical thinking skills
and judgement to make a diagnosis about a current or potential health
condition of the client. The diagnosis phase is the foundation of the health care
plan and course of treatment for the client.
2. Explain how nursing diagnoses and the use of nursing diagnostic labels help
validate nursing as a profession.
This validates nursing as a profession because it is the first potential diagnosis
of a client. It shows the nurse has accountability in their nursing care. It also
establishes standardization of patient care.
In the identification of health problems, the decision about how the problem will
be addressed drives the type of diagnosis (nursing, medical, or collaborative)
that the problem receives.
3. From the database obtained at admission, Mr. McClelland has an identified
health problem of "forgetfulness." His medical diagnosis is early-onset
dementia. Based on the definitions, discuss how the nursing diagnoses can be
determined from the health issue of "forgetfulness" and the collaborative
problems from the medical diagnosis of dementia.
This would be a risk nursing diagnosis. With the identified health problem of
forgetfulness,a nurse would make the diagnosis as a risk of dementia or a risk
of forgetfulness, because more information needs to be obtained in order to
confirm that result. He is also just forgetful, so this diagnosis might not be used
until later on.
4. How could the use of the medical diagnosis to determine appropriate nursing
diagnoses be detrimental to Mr. McClelland's plan of care?
If the diagnosis of dementia is obtained before the initial assessment of Mr.
McClelland, then the nurse could look into the signs of dementia while doing
the initial assessment. It could make the nursing diagnosis confirm the medical
diagnosis given.
5. Describe the five types of nursing diagnoses that may be identified for a
patient.
The actual nursing diagnosis- The human response that does exist
The Risk for, nursing diagnosis- Human responses that may develop planning
, Karissa Botset Week 3 Case Study
aimed at prevention
The possible nursing diagnosis- Suspected problems, need more data.
The wellness nursing diagnosis- Readiness of enhanced learning. Human
responses to levels of wellness.
The syndrome nursing diagnosis- Clusters of actual or potential diagnosis.
6. Utilizing Mr. McClelland's admission assessment, identify assessment findings
that may represent each type of status of nursing diagnosis. You may need to
use available references to determine the significance of data listed on the
admission database.
Type Example of Data from Admission Assessment
Actual Subjective Data Objective Data
Potential Dementia forgetfullness
Possible* Failure to thrive Not eating all food
Syndrome* Dementia fortgetfullness
Wellness (Health Doesn't want to be in long term Does not seemed
Promotion) care facility distressed
7. Through diagnostic reasoning, you will critically think through the data to
determine the holistic needs of the patient so that a plan of care can be
developed and implemented.
8. Referring to the listing of "Recognizing Cues," analyze the data provided on the
admission assessment. Highlight/underline the significant data (cues) about
Mr. McClelland. Label each finding with the appropriate cue.
Dementia- How long has he been diagnosed? Forgetfulness- When did this
start to occur? Failure to thrive- How much food to you eat through the day?
Recognizing Cues
The following may indicate cues.
A deviation from population norms
Example: For a well-conditioned athlete who is not a smoker, a heart rate of
120 beats per minute would probably be an unhealthy response (cue). But
remember that in addition, you must always consider whether the response is
normal for the patient or the situation.
Changes in usual health patterns are not explained by developmental or
situational changes
Example: What change has Todd (Meet Your Patient) experienced in the 3
days before admission to the ED? Is there any developmental or situational
