Ch 15 Diagnosing Flashcards
Collaborative problem
Actual or potential health problems that may occur from complications of disease, diagnostic studies, or the treatment regimen; the nurse works together with other members of the healthcare team towards its resolution
Cue
Significant information that is helpful in making decisions
Data cluster
Grouping of patient data or cues that point to the existence of a patient health problem
Diagnosing
Analysis of patient data to identify patient strengths and health problems that independent nursing intervention can prevent or resolve
Diagnostic error
Failure to detect an actual unhealthy behavior or condition
Health problem
Condition related to health requiring intervention if disease or illnesses to be prevented or resolved and coping and wellness are to be promoted
Health promotion nursing diagnosis
Behavior of an individual motivated by a personal desire to increase well-being and health potential
Medical diagnosis
Statement about a specific disease process using Termanology from a well developed classification system accepted by the medical profession
Nursing diagnosis
Actual or potential health problem that an independent nursing intervention can prevent or resolve (Actual problem is present; possible problem may be present, but more data are needed to confirm or disconfirm the problem; and potential problem may occur) Defining characteristics are present as risk factors
Risk nursing diagnosis
Clinical judgments that an individual, family, or community is more vulnerable to develop the problem than others in the same or similar situation
Standard
Acceptable, expected level of performance established by authority, custom, or consent
Syndrome
Cluster of actual or risk nursing diagnoses that are predicted to be present because of a certain event or situation
