MED 101 Chapter 15: Diagnosing Exam Review |100% PASS| Correctly Solved

MED 101 Chapter 15: Diagnosing Exam Review |100% PASS| Correctly Solved The nurse is caring for an adolescent verbalizing a desire to seek counseling for grief related to the death of a close friend. The nurse determines that an appropriate nursing diagnosis for this client is Readiness for Enhanced Coping. What type of nursing diagnosis is Readiness for Enhanced Coping? • Health promotion nursing diagnosis • Risk nursing diagnosis • Syndrome nursing diagnosis Actual nursing diagnosis *Ans* Health promotion nursing diagnosis Explanation: Readiness for Enhanced Coping is an example of a health promotion nursing diagnosis. Two cues must be present for a valid health promotion nursing diagnosis: a desire for a higher level of wellness and an effective present status or function. An actual nursing diagnosis represents a problem that has been validated by the presence of major defining characteristics. A risk nursing diagnosis is a clinical judgment that concludes that an individual, family, or community is more vulnerable to develop the problem than are others in the same or a similar situation. A syndrome nursing diagnosis comprises a cluster of actual or risk nursing diagnoses that are predicted to be present because of a certain event or situation. A client with HIV has been admitted to a health care facility. Which nursing diagnosis should be the priority, keeping in mind the client's condition? • Risk for Imbalanced Nutrition • Risk for Infection • Risk for Ineffective Coping • Risk for Activity Intolerance *Ans* Correct response: • Risk for Infection Explanation: Clients with HIV have decreased immunity and are prone to infections. Infection in a client with HIV is life-threatening, because it makes the client vulnerable to other infections, and also impairs their already weakened immune functions. Clients with HIV may not have problems with other activities and food. They may often feel depressed, but this is not the highest priority. The nurse is caring for a client who is experiencing a collaborative problem. The nurse should plan the client's care based on an understanding that this problem is characterized by: • a risk or wellness human response to health problems. • a convenient means for communication among team members. • an emergent condition that requires rapid nursing response. • a result of disease, trauma, treatment, or diagnostic studies. *Ans* Correct response: • a result of disease, trauma, treatment, or diagnostic studies. Explanation