Ch. 4: Diagnosis-MJ

Question 1

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

Answer 1

Diagnosing

Question 2

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

Answer 2

Medical diagnosis

Question 3

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

Answer 3

Nursing diagnosis

Question 4

A ____ diagnosis is more narrowly focused

Answer 4

Medical

Question 5

A nursing diagnosis is more _____

Answer 5

Broad

Question 6

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

Answer 6

Goals and interventions

Question 7

What does NANDA stand for?

Answer 7

North American Nurse Diagnosis Association

Question 8

What are the components of NANDA nursing diagnosis?

Answer 8

Diagnostic label

Definition

Definign characteristics

Related factors

Risk factors

Question 9

How do we choose a NANDA label?

Answer 9

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

Question 10

Whar are the 3 steps to analyzing and interpreting data?

Answer 10

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

Question 11

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 _____.

Answer 11

Diagnosis

Question 12

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

Answer 12

Most basic: Physiological

Safety and security

Love and belonging

Self-esteem

Cognitive

Aesthetic

Self-actualization

Highest: Transcendence

Question 13

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

Answer 13

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

Question 14

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

Answer 14

Safety and security

Question 15

What would be an examples of safety and security?

Answer 15

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

Question 16

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

Answer 16

Love and belonging

Question 17

What are examples of love and belonging?

Answer 17

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

Question 18

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

Answer 18

Self-esteem

Question 19

What are examples of self-esteem?

Answer 19

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

Question 20

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

Answer 20

Cognitive

Question 21

What are examples of cognitive needs?

Answer 21

Knowledge, understanding, exploration

Question 22

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

Answer 22

Aesthetic

Question 23

What are aesthetic needs?

Answer 23

Symmetry, order, beauty

Question 24

What is the 7th need in the hierarchy?

Answer 24

Self-actualization

Question 25

What are examples of self-actualization?

Answer 25

Personal growth, reaching one's highest potential

Question 26

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

Answer 26

Transcendence

Question 27

What are examples of transcendence?

Answer 27

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

Question 28

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

Answer 28

Psychological (1)

Question 29

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

Answer 29

Safety and security (2)

Question 30

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

Answer 30

Love and belonging (3)

Question 31

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

Answer 31

Self-esteem (4)

Question 32

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

Answer 32

Cognitive (5)

Question 33

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

Answer 33

Aesthetic Self-aculization Transcendence

Question 34

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?

Answer 34

Readiness for enhanced spiritual well-being Spiritual distress (and risk for spiritual distress)

Question 35

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

Answer 35

Physicological (most basic) Safety and security Love and belonging Self-esteem Cognitive Aesthetic Self-aculization Transcendence (highest)

Question 36

What need must be met first: physiological or transcendence?

Answer 36

Physiological