accurate answers and
explanations
Nursing diagnosis - correct answer <<<✨✨✨second phase of the nursing process
Nursing diagnoiss - correct answer <<<✨✨✨clinical judgment about individual, family, or
community responses to actual or potential health problems or life processes
Nursing diagnosis - correct answer <<<✨✨✨purporse is to ID strengths and helath problems and
those than can be prevented or resolved as a nurse
Interventions - correct answer <<<✨✨✨what you will do for the patients
Nursing diagnosis - correct answer <<<✨✨✨started in 1980 when the ANA published official
nursing diagnoses. Nursing is the diagnosis and treatment to responses of an actual health problem
1995 - correct answer <<<✨✨✨updates statement that diagnoses facilitate communication among
HCP. Not only among HCP, but also among the recipients. Good practice of communication helps
provide the choice of treatment, subsequent evaluation
nursing process - correct answer <<<✨✨✨assessment, diagnosis, planning, implementation,
evaluation. Validate the data, determine the meaning of the data, cluster related ideas, identify client
needs, make a nursing diagnosis.
Nursing diagnosis - correct answer <<<✨✨✨a statement that describes the client's actual or
potential response to a health problem that is within the nursing scope of practice. It provides the basis
for selection of nursing interventions to achieve outcomes for which the nurse is responsible.
, Nursing diagnosis - correct answer <<<✨✨✨problems that the patients have. No lung sounds. The
problem is ineffective breathing, not that you cant hear. Elevate the level of terminology and thinking.
Assessment - correct answer <<<✨✨✨making a nursing diagnosis is the link or bridge between the
assessment (listening to lungs sounds) and making interventions (get albuterol, sut bed up and admin to
pt). if you don't make an accurate diagnosis, you can incorrectly do interventions that may not be
helpful. Very critical!
Standardized nursing diagnosis language - correct answer <<<✨✨✨evolution, rationales for using
standardized language, taxonomies. We need a standard language because our dialogue is specific. Also
gives us autonomy as a nursing practice.
NANDA - correct answer <<<✨✨✨continues to meet every other year to look at specific nursing
diagnoses, evidence, literature, and review whether the language is still appropriate
Taxonomies - correct answer <<<✨✨✨system of identifying, naming, nad classifying phenomena;
includes NANDA (North American Nursing Diagnosis Association), Taxonomy II (multiaxial system, up to
7 parameters), Omaha System (Visiting Nurse Assoc.), Saba system (home health care), Psychiatric
nursing diagnoses (practice specific)
NANDA - correct answer <<<✨✨✨established in 1982 to develop, refine, and promote a taxonomy
of nursing diagnostic terminology of general use for professional nurses. Provides a common language
for nurses to use in dealing with patient health problems. Common language is important for each of
use to know when we do communicate with other HCP that there is an understanding
The health axis - correct answer <<<✨✨✨types of nursing diagnoses include actual nursing
diagnoses, risk for nursing diagnoses, wellness nursing diagnoses, collaborative problems
Actual nursing diagnosis - correct answer <<<✨✨✨exists at the present time. i.e. unable to empty
uring from bladder. Actual nursing diagnosis of urinary retention. Present moment based on the facts
Risk for nursing diagnosis - correct answer <<<✨✨✨may be applied to vulnerable populations,
patient may be at an increased risk for injury. An example of this is an older patient in a nursing home at