Funda week 7 8 9 10

Question 1

is the pivotal step of the nursing process in which the nurse interprets assessment
data,
identify client strengths and health problems and formulates diagnostic statements.

Answer 1

DIAGNOSIS

Question 2

is a clinical judgment concerning human response to health conditions/life
processes,
or a vulnerability for that response, by an individual, family, group, or community.
provides the basis for the selection of nursing interventions to achieve outcomes for which
the nurse has accountability

Answer 2

Nursing diagnosis

Question 3

are developed based on data obtained during the
nursing assessment and enable the nurse to develop the care plan.

Answer 3

Nursing diagnoses

Question 4

is made
by the physician or advance health care practitioner that deals more with the disease, medical
condition, or pathological state only a practitioner can treat.

Answer 4

medical diagnosis

Question 5

is the principal organization for
defining, distribution and integration of standardized nursing diagnoses worldwide.

It’s purpose is to define, refine and promote a
taxonomy of nursing diagnostic terminology of general use to professional nurses.

Answer 5

North American Nursing Diagnosis Association (NANDA)

Question 6

is a classification system or set of categories arranged on the basis of a single
principle or set of principles.

Answer 6

taxonomy

Question 7

is a client problem that is present at the time of the nursing assessment.
It is based on the presence of associated signs and symptoms.

Answer 7

Actual Diagnosis

Question 8

a clinical judgment that a problem does not exist, but the presence
of risk factors indicates that a problem is likely to develop unless nurses intervene.

Answer 8

Risk nursing diagnosis

Question 9

• which concerns the motivation and desire to increase wellbeing and to move closer to a person’s own optimum health potential. These diagnoses use
  terms related to a patient’s readiness for specific health behaviors.

Answer 9

Health promotion diagnosis

Question 10

a clinical judgment concerning with a cluster of problem or risk
nursing diagnoses that are predicted to present because of a certain situation or event.
They, too, are written as a one-part statement requiring only the diagnostic label.

Answer 10

Syndrome diagnosis

Question 11

identifies one or more probable causes of
the health problem, gives direction to the required nursing therapy and enables the nurse to
individualize the client’s care

is linked with the problem statement with the phrase
“related to“.

Answer 11

Etiology (related factors and risk factors)

Question 12

are the cluster of signs and symptoms that indicate the presence
of a particular diagnostic label.

Answer 12

defining characteristics

Question 13

involves comparing patient data against standards, clustering the cues,
and identifying gaps and inconsistencies.

Answer 13

Analyzing Data

Question 14

In this decision-making step after data analysis, the nurse together with the client, identify
problems that support tentative actual, risk, and possible diagnoses. It involves
determining whether a problem is a nursing diagnosis, medical diagnosis, or a collaborative
problem. It is also at this stage is wherein the nurse and the client identify the client’s
strengths, resources, and abilities to cope.

Answer 14

❖ Identifying Health Problems, Risks, and Strengths

Question 15

is the last step of the diagnostic process wherein
the nurse creates diagnostic statements.

Answer 15

Formulation of diagnostic statement

Question 16

is a deliberative, systematic phase of the nursing process that involves decision
making and problem solving. It includes setting priorities, establishing goals, identifying desired
client outcomes, and determining specific nursing interventions.

Answer 16

Planning

Question 17

is the process of establishing a preferential sequence for address nursing
diagnoses and interventions. In this step, the nurse and the client begin planning which nursing
diagnosis requires attention first. Diagnoses can be ranked and grouped as to having a high,
medium, or low priority.

Answer 17

Setting priorities

Question 18

are broad statements about the client’s status.

Answer 18

Goals

Question 19

are the more specific, observable criteria used to evaluate whether the
goals have been met.

Answer 19

Desired outcomes

Question 20

The phase in which the nurse implements the nursing interventions.
Purpose: To assist the client to meet desired goals/outcomes; promote wellness; prevent illness
and disease; restore health; and facilitate coping with altered functioning. The phase in which the
nurse implements the nursing interventions.

Answer 20

IMPLEMENTING

Question 21

A planned, ongoing, purposeful activity in which clients and health care professionals
determine the client’s progress toward achievement of goals/outcomes and the effectiveness of
the nursing care plan.

Answer 21

EVALUATING

Question 22

are subjective data or objective data that can be directly observed by the nurse; that
is, what the client says or what the nurse can see, feel, smell or measure.

Answer 22

cues

Question 23

are the nurse’s interpretation or conclusions made based on the cues.

Answer 23

inference

Question 24

is the systematic and continuous collection, organization, validation, and
documentation of data.

Answer 24

assessment