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Foundations: Ch. 1-8, 18, & 41 > Ch. 4: Diagnosis-MJ > Flashcards

Ch. 4: Diagnosis-MJ Flashcards

1
Q

Define: Interpreting assessment data using reasoning; a formal diagnostic statement of the client’s health status, containing both the problem and etiology

A

Diagnosing

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2
Q

Define: Describes a disease, illness, or injury; purpose to identify a pathology so appropriate medical treatment can be given

A

Medical diagnosis

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3
Q

Define: A statement of client health status that nurses can identify, prevent, or treat independently

A

Nursing diagnosis

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4
Q

A ____ diagnosis is more narrowly focused

A

Medical

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5
Q

A nursing diagnosis is more _____

A

Broad

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6
Q

A nursing diagnosis is the basis for planning client centered ___ and _____, so accuracy is essential

A

Goals and interventions

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7
Q

What does NANDA stand for?

A

North American Nurse Diagnosis Association

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8
Q

What are the components of NANDA nursing diagnosis?

A

Diagnostic label

Definition

Definign characteristics

Related factors

Risk factors

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9
Q

How do we choose a NANDA label?

A
  1. Identify the broad topic that seems to fit the cue cluster
  2. Narow your search (to the class or most likely labels)
  3. Use a nursing dianosis handbook; compare definitions and defining characteristcs of the diagnostic labels with your cue cluster
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10
Q

Whar are the 3 steps to analyzing and interpreting data?

A
  1. Identify significant data
  2. Cluster cues
  3. Identify data gaps and inconsistencies
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11
Q

In Maslow’s Hierarchy of Human Needs, basic needs must be met before a person can focus on more higher needs. This helps nurses priortize _____.

A

Diagnosis

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12
Q

What are the 8 needs in order from most basic to highest?

A

Most basic: Physiological

Safety and security

Love and belonging

Self-esteem

Cognitive

Aesthetic

Self-actualization

Highest: Transcendence

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13
Q

Physiological is the most basic need that must be met before moving higher up in the hierarchy. What are physiological needs?

A

Food, air, water, shelter, sleep and rest, elimination, activity, temperature regulation

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14
Q

The second need that must be met before moving higher in the hierarchy is ______

A

Safety and security

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15
Q

What would be an examples of safety and security?

A

Includes both phuysical and pschological safety; law, order, shelter, stability

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16
Q

What is the third basic need that must be met before moving higher in Maslow’s Hierarcy of Human Needs?

A

Love and belonging

17
Q

What are examples of love and belonging?

A

Giving and receiving afection, meaningful relationships, belonging to groups, roles

18
Q

What is the 4th need on Maslow’s Hierarchy of Human Needs?

A

Self-esteem

19
Q

What are examples of self-esteem?

A

Feelings of confidence, capability, and idependence; respect, recognition and appreciation from others

20
Q

What is the 5th need in the hierarchy of human needs?

A

Cognitive

21
Q

What are examples of cognitive needs?

A

Knowledge, understanding, exploration

22
Q

What is the 6th need in the hierarcy of human needs?

A

Aesthetic

23
Q

What are aesthetic needs?

A

Symmetry, order, beauty

24
Q

What is the 7th need in the hierarchy?

A

Self-actualization

25
Q

What are examples of self-actualization?

A

Personal growth, reaching one’s highest potential

26
Q

What is the highest need that can be met in Maslow’s Hierarchy of Human Needs?

A

Transcendence

27
Q

What are examples of transcendence?

A

Connecting to something beyond the self; helping others reach their potential

28
Q

Based on this nursing diagnosis, which need is this: Impaired gas exchange; imbalanced nutriton: less than body requirements

A

Psychological (1)

29
Q

Based on this nursing diagnosis, which need is this: Risk for falls, fear, risk for self-directed violence

A

Safety and security (2)

30
Q

Based on this nursing diagnosis, which need is this: Impaired social interaction, ineffective sexuality pattern, risk for impaired attachment

A

Love and belonging (3)

31
Q

Based on this nursing diagnosis, which need is this: Chronic low self-esteem; social isolation

A

Self-esteem (4)

32
Q

Based on this nursing diagnosis, which need is this: Acute confusion, impaired memory, delayed growth and development

A

Cognitive (5)

33
Q

What 3 needs is it unusual to have a nursing diagnosis with?

A

Aesthetic

Self-aculization

Transcendence

34
Q

The book doesn’t give an example for a nursing diagnosis for aesthetic and self-actualization, but it does give a nursing diagnosis example for transcendence. What is it?

A

Readiness for enhanced spiritual well-being

Spiritual distress (and risk for spiritual distress)

35
Q

What are Maslow’s Hierarchy of Human Needs from most basic to highest?

A

Physicological (most basic)

Safety and security

Love and belonging

Self-esteem

Cognitive

Aesthetic

Self-aculization

Transcendence (highest)

36
Q

What need must be met first: physiological or transcendence?

A

Physiological

37
Q
A

Foundations: Ch. 1-8, 18, & 41 (11 decks)

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