Ch. 4: Diagnosis-MJ Flashcards
Define: Interpreting assessment data using reasoning; a formal diagnostic statement of the client’s health status, containing both the problem and etiology
Diagnosing
Define: Describes a disease, illness, or injury; purpose to identify a pathology so appropriate medical treatment can be given
Medical diagnosis
Define: A statement of client health status that nurses can identify, prevent, or treat independently
Nursing diagnosis
A ____ diagnosis is more narrowly focused
Medical
A nursing diagnosis is more _____
Broad
A nursing diagnosis is the basis for planning client centered ___ and _____, so accuracy is essential
Goals and interventions
What does NANDA stand for?
North American Nurse Diagnosis Association
What are the components of NANDA nursing diagnosis?
Diagnostic label
Definition
Definign characteristics
Related factors
Risk factors
How do we choose a NANDA label?
- Identify the broad topic that seems to fit the cue cluster
- Narow your search (to the class or most likely labels)
- Use a nursing dianosis handbook; compare definitions and defining characteristcs of the diagnostic labels with your cue cluster
Whar are the 3 steps to analyzing and interpreting data?
- Identify significant data
- Cluster cues
- Identify data gaps and inconsistencies
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 _____.
Diagnosis
What are the 8 needs in order from most basic to highest?
Most basic: Physiological
Safety and security
Love and belonging
Self-esteem
Cognitive
Aesthetic
Self-actualization
Highest: Transcendence
Physiological is the most basic need that must be met before moving higher up in the hierarchy. What are physiological needs?
Food, air, water, shelter, sleep and rest, elimination, activity, temperature regulation
The second need that must be met before moving higher in the hierarchy is ______
Safety and security
What would be an examples of safety and security?
Includes both phuysical and pschological safety; law, order, shelter, stability
What is the third basic need that must be met before moving higher in Maslow’s Hierarcy of Human Needs?
Love and belonging
What are examples of love and belonging?
Giving and receiving afection, meaningful relationships, belonging to groups, roles
What is the 4th need on Maslow’s Hierarchy of Human Needs?
Self-esteem
What are examples of self-esteem?
Feelings of confidence, capability, and idependence; respect, recognition and appreciation from others
What is the 5th need in the hierarchy of human needs?
Cognitive
What are examples of cognitive needs?
Knowledge, understanding, exploration
What is the 6th need in the hierarcy of human needs?
Aesthetic
What are aesthetic needs?
Symmetry, order, beauty
What is the 7th need in the hierarchy?
Self-actualization
What are examples of self-actualization?
Personal growth, reaching one’s highest potential
What is the highest need that can be met in Maslow’s Hierarchy of Human Needs?
Transcendence
What are examples of transcendence?
Connecting to something beyond the self; helping others reach their potential
Based on this nursing diagnosis, which need is this: Impaired gas exchange; imbalanced nutriton: less than body requirements
Psychological (1)
Based on this nursing diagnosis, which need is this: Risk for falls, fear, risk for self-directed violence
Safety and security (2)
Based on this nursing diagnosis, which need is this: Impaired social interaction, ineffective sexuality pattern, risk for impaired attachment
Love and belonging (3)
Based on this nursing diagnosis, which need is this: Chronic low self-esteem; social isolation
Self-esteem (4)
Based on this nursing diagnosis, which need is this: Acute confusion, impaired memory, delayed growth and development
Cognitive (5)
What 3 needs is it unusual to have a nursing diagnosis with?
Aesthetic
Self-aculization
Transcendence
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?
Readiness for enhanced spiritual well-being
Spiritual distress (and risk for spiritual distress)
What are Maslow’s Hierarchy of Human Needs from most basic to highest?
Physicological (most basic)
Safety and security
Love and belonging
Self-esteem
Cognitive
Aesthetic
Self-aculization
Transcendence (highest)
What need must be met first: physiological or transcendence?
Physiological
