NR 226 - Exam 1 - Ch 17 Nursing Diagnosis Questions and Answers

NR 226 - Exam 1 - Ch 17 Nursing Diagnosis Questions and Answers Medical Diagnosis The identification of a disease condition based on a specific evaluation of physical signs, symptoms, the patient's medical history and the results of diagnostic tests and procedures Nursing Diagnosis A clinical judgment about individual, family, or community responses to actual or potential health problems or life processes that the nurse is licensed and competent to treat Collaborative Problem An actual or potential physiological complication that nurses monitor to detect the onset of changes in a patient's status Diagnostic Reasoning This process involves using the assessment data you gathered about a patient to logically explain a clinical judgement, in this case a nursing diagnosis Data Cluster A set of signs and symptoms gathered during assessment that you group together in a logical way Defining Characteristics The clinical criteria that are observable and verifiable; data clusters are patterns of data that contain _________. Clinical Criterion An objective or subjective sign, symptom, or risk factor that, when analyzed with other criteria, leads to a diagnostic conclusion Related Factor This allows you to individualize a nursing diagnosis for a specific patient The three different types of nursing diagnosis: Actual Nursing Diagnosis Risk Nursing Diagnosis Health Promotion Nursing Diagnosis Actual Nursing Diagnosis Describes human responses to health conditions or life processes that exist in an individual, family, or community Risk Nursing Diagnosis Describes human responses to health conditions or life processes that may develop in a vulnerable individual, family, or community Health Promotion Nursing Diagnosis A clinical judgment of a person's family's or community's motivation, desire, and readiness to increase well-being and actualize human health potential as expressed in their readiness to enhance specific health behaviors Diagnostic Label The name of the nursing diagnosis as approved by NANDA 2 - part Nursing Diagnosis Diagnostic label and Etiology 3 - part Nursing Diagnosis Called PES: Problem, Etiology, Symptoms Reasons for Diagnostic Errors Error in interpretation and analysis of data Error in data clustering Error in diagnostic statement Guidelines to Reduce Errors in Diagnostic Statements 1. Identify patient's response 2. Identify a NANDA-I diagnostic statement rather than the symptom 3. Identify a treatable etiology or risk factor rather than a clinical sign or chronic problem that is not treatable through nursing interventions 4. Identify a problem caused by the treatment 5. Identify the patient response to the equipment rather than the equipment itself 6. Identify the patient's problems rather than the problems with nursing care 7. Identify the patient problem rather than the nursing intervention 8. Identify the patient problem rather than the goal of care 9. Make professional rather than prejudicial judgments 10. Avoid legally inadvisable statements 11. Identify the problem and etiology to avoid a circular statement. 12. Identify only one patient problem in the diagnostic statement