Nursing Process - Diagnosis

Question 1

It is based on the presence of associated s/sx

Answer 1

Actual Nursing Diagnosis

Question 2

It describes the client’s health problem/status
or response for which nursing therapy is
given and is SPECIFIC

Answer 2

Problem statement/diagnostic label

Question 3

Using the word ________, to describe either the problem or the etiology require more data about the client’s problem or etiology

Answer 3

possible

Question 4

It composes of P r/t E

Answer 4

BASIC TWO-PART
NURSING DIAGNOSIS

Question 5

Step where you identify problems that support TENTATIVE ACTUAL, RISK AND POSSIBLE DIAGNOSIS

Answer 5

Identifying Health Problems, Risks, & Strengths

Question 6

Identify client strengths & problems

Answer 6

DIAGNOSING

Question 7

statement of the client’s health state or response

Answer 7

Problem (P)

Question 8

comprises a cluster of actual or risk nursing diagnoses that are predicted to be present because of a certain situation or event

Answer 8

Syndrome Nursing Diagnosis

Question 9

wellness diagnoses & syndrome diagnoses

Answer 9

ONE-PART STATEMENT

Question 10

NANDA diagnostic label + etiology = ?

Answer 10

Nursing diagnosis

Question 11

Step in Analyzing Data

Skillful assessment minimizes gaps and inconsistencies of data

Answer 11

Identifying gaps and
inconsistencies of data

Question 12

3 Purposes of Nursing Diagnosis

Answer 12

1. Helps identify nursing priorities and helps direct nursing intervention based on identified priorities
2. Helps the formulation of expected outcomes
3. Helps identify how a client or group response to actual or potential help and life processes

Question 13

Writing _______ ________ when defining
characteristics are present but the nurse
does not know the cause or contributing
factors

Answer 13

unknown etiology

Question 14

Using _______ __
to divide the etiology
into two parts

Answer 14

secondary to

Question 15

Nursing Diagnosis or Medical Diagnosis?

• describes HUMAN RESPONSE, a client’s physical, socio-cultural, psychological & spiritual responses to an illness or a health problem

Answer 15

Nursing Diagnosis

Question 16

Present when a particular disease or treatment is present

Answer 16

COLLABORATIVE PROBLEMS

Question 17

In comparing data with standards you should identify _________?

Answer 17

significant cues

Question 18

clusters of signs & symptoms that indicate the presence of a particular diagnostic label

Answer 18

Defining characteristics

Question 19

A clinical judgment about individual, family, or community responses to actual or potential health problems/ life processes (NANDA International in Kozier, 2012)

Answer 19

Nursing Diagnosis

Question 20

3 Steps of Diagnostic Process

Answer 20

1. Analyzing Data
2. Identifying Health PRisks, & Strengths
3. Formulating Diagnostic Statement

Question 21

factors contributing to or probable causes of the responses

Answer 21

Etiology (E)

Question 22

5 Kinds of Nursing Diagnoses based on STATUS

Answer 22

1. Actual diagnosis
2. Health promotion diagnosis
3. Risk nursing diagnosis
4. Wellness diagnosis
5. Syndrome diagnosis

Question 23

Nursing Diagnosis or Medical Diagnosis?

• refers to disease processes

Answer 23

Medical Diagnosis

Question 24

T or F

Use nursing terminology rather than medical terminology to describe the client’s response.

Answer 24

True

Question 25

T or F Make sure that both elements of the statement says the same thing.

Answer 25

False both elements of the statement DO NOT say the same thing

Question 26

Nursing Diagnosis domain includes health states that nurses are ______ and ___________

Answer 26

educated, licensed to treat

Question 27

Step in Analyzing Data process of determining the RELATEDNESS OF FACTS and determining whether any PATTERNS ARE PRESENT, whether the DATA REPRESENTS ISOLATED INCIDENTS and the DATA ARE SIGNIFICANT

Answer 27

Clustering Cues

Question 28

Adding a _______ _____ to the general response or NANDA label to make it more precise

Answer 28

second part

Question 29

3 types of statement in Formulating Diagnostic Statement

Answer 29

a. basic two-part statement b. basic three-part statement c. one-part statement

Question 30

Step in Analyzing Data include final check to ensure that data are COMPLETE and CORRECT

Answer 30

Identifying gaps and inconsistencies of data

Question 31

Nursing Diagnosis describes a ______________: deviations from health, presence of risk factors and areas of enhanced personal growth

Answer 31

continuum of health states

Question 32

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

Answer 32

Risk Nursing Diagnosis

Question 33

Nursing Diagnosis or Medical Diagnosis? - refers to a condition that only physician can treat

Answer 33

Medical Diagnosis

Question 34

Nursing Diagnosis or Medical Diagnosis? - made by PHYSICIAN

Answer 34

Medical Diagnosis

Question 35

Nursing Diagnosis or Medical Diagnosis? - statement of NURSING JUDGEMENT

Answer 35

Nursing Diagnosis

Question 36

Type of POTENTIAL PROBLEM that nurses manage using both independent and physician-prescribed interventions

Answer 36

COLLABORATIVE PROBLEMS

Question 37

T or F Word the problem so that it is legally advisable

Answer 37

False Word the STATEMENT

Question 38

consist of a NANDA label only

Answer 38

ONE-PART STATEMENT

Question 39

Step where you establish the CLIENT'S STRENGTHS, RESOURCES, and ABILITIES TO COPE

Answer 39

Identifying Health Problems, Risks, & Strengths

Question 40

defining characteristics manifested by the client

Answer 40

Signs and symptoms (S)

Question 41

diagnostic label in Nursing Diagnosis

Answer 41

Problem (P)

Question 42

T or F Word the diagnosis specifically and precisely to provide answer for planning nursing intervention.

Answer 42

False to provide PROBLEM not answer

Question 43

client problem that is present at the time of nursing assessment

Answer 43

Actual Nursing Diagnosis

Question 44

Nursing Diagnosis or Medical Diagnosis? - nursing actions – primarily dependent

Answer 44

Medical Diagnosis

Question 45

T or F Be sure that cause & effect are correctly stated.

Answer 45

True

Question 46

Step where you determine whether the client’s problem is a nursing diagnosis or a collaborative problem

Answer 46

Identifying Health Problems, Risks, & Strengths

Question 47

Using ______ ______ when there are too many etiologic factors

Answer 47

complex factors

Question 48

Step where you compare data with standards

Answer 48

Analyzing Data

Question 49

Nursing Diagnosis or Medical Diagnosis? - refers to a condition that nurses by virtue of their education, experience, and expertise are licensed to treat

Answer 49

Nursing Diagnosis

Question 50

T or F Use nonjudgmental statements.

Answer 50

True

Question 51

describes human responses to levels of wellness in an individual, family or community that have readiness for enhancement

Answer 51

Wellness Diagnosis

Question 52

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

Answer 52

Etiology (related factors & risk factors)

Question 53

Step in Analyzing Data possible sources of inconsistencies: measurement error, expectations and inconsistent or unreliable reports

Answer 53

Identifying gaps and inconsistencies of data

Question 54

T or F State in terms of a need, not a problem.

Answer 54

False in terms of a PROBLEM, not a NEED

Question 55

client’s preparedness to implement behaviors to improve health condition

Answer 55

Health Promotion Diagnosis

Question 56

Interpret assessment data

Answer 56

DIAGNOSING