What is a nursing diagnosis? A statement of client health status that nurses can identify, prevent,
or treat independently. It is a diagnosis of the patient's response to a
medical condition.
What is an actual diagnosis based on? The presence of associated signs and symptoms at the time of the
nursing assessment.
What is the difference between an at risk An actual diagnosis (also called problem-focused diagnosis) is a
diagnosis and an actual diagnosis? client problem present at the time of the nursing assessment. A risk
diagnosis is one where a problem does not exist, but the presence
of risk factors indicates that a problem is likely to develop.
What is a risk diagnosis based on? The patient's current health status, past health history, and other risk
factors that may increase the patient's likelihood of experiencing a
health problem.
,What is a medical diagnosis? Identification of a disease condition based on specific evaluation of
signs and symptoms → made by a physician
Which type of diagnosis will be used when a b. risk diagnosis
patient is vulnerable to having an undesirable
response?
a. problem-focused diagnosis (aka actual
diagnosis)
b. risk diagnosis
c. health-promotion diagnosis (aka wellness
diagnosis)
,Which type of diagnosis will be used when a a. problem-focused diagnosis (aka actual diagnosis)
patient has an undesirable response to a health
condition/process?
a. problem-focused diagnosis (aka actual
diagnosis)
b. risk diagnosis
c. health-promotion diagnosis (aka wellness
diagnosis)
Which diagnosis is used when the focus is on c. health-promotion diagnosis (aka wellness diagnosis)
being healthy as opposed to preventing an
illness?
a. problem-focused diagnosis (aka actual
diagnosis)
b. risk diagnosis
c. health-promotion diagnosis (aka wellness
diagnosis)
, Format for an actual nursing diagnosis 1. diagnosis
2. related to
3. as evidenced by
Format for a risk diagnosis 1. risk for
2. related to
The collection of subjective and objective assessment
patient information on which you will base your
care plan.
The act of analyzing the assessment data and diagnosing
making conclusions.
The action phase of the plan with the use of implementation
nursing interventions