chap 5

Question 1

why is analysis referred to as the diagnostic phase or clinical reasoning phase?

Answer 1

the end result/purpose is the identification of a nursing diagnosis, collaborative problem, or referral

Question 2

nursing diagnosis outcomes

Answer 2

• wellness diagnosis/health promotion
• actual diagnosis
• risk diagnosis

Question 3

critical thinking

Answer 3

how nurse processes info using knowledge, past experience, intuition, and cognitive abilities

Question 4

7 essential critical thinking characteristics

Answer 4

• keep an open mind
• use rationale to support opinions/decisions
• reflect ton thoughts before reaching a conclusion
• use past clinical experiences to build knowledge
• acquire an adequate knowledge bases that continues to build
• be aware of interactions of others
• be aware of environmentt

Question 5

diagnostic reasoning process

Answer 5

• define wellness of health promotion
• definition of risk nursing diagnoses
• documentation of collaborative problems with referrals
• documentation of parameter that nurses monitor

Question 6

essential components of the diagnostic phase

Answer 6

• group and organize data
• validate data and compare normal findings
• cluster data
• generate hypothesis regarding client’s problems
• formulate a professional clinical judgment
• validate judgment w/ client

Question 7

steps of diagnostic reasoning process

Answer 7

• identify strengths and abnormal data
• cluster data
• draw inferences
• propose possible nursing diagnosis
• check for defining characteristics
• document conclusions

Question 8

identifying strengths and abnormal data

Answer 8

nurses knowledge of anatomy, physiology, psych, and sociology
-use reference materials and attention to risk factors

Question 9

risk factors are based on

Answer 9

gender, age, ethnic background, genetic predisposition, family history, lifestyle

Question 10

cluster data

Answer 10

nurse looks at the strengths/abnormal findings for cues that are related

Question 11

draw inferences

Answer 11

nurse needs to document inferences about each cue cluster

Question 12

collaborative problems

Answer 12

certain physiological complications that nurses monitor to detect onset/changes in status

Question 13

wellness diagnosis/health promotion diagnosis

Answer 13

indicated that the client does NOT currently have the problem, but is vulnerable to it

Question 14

actual nursing diagnosis

Answer 14

indicates that the client is currently experiencing the stated problem/has a dysfunctional pattern

Question 15

cues

Answer 15

defining characteristics

Question 16

pitfalls of diagnosing

Answer 16

• occurs during the assessment phase (too few data, unreliable/invalid, not enough cues to support diagnosis)
• occurs during the data analysis phase (cues may be clustered but not related)

Question 17

ways to increase accuracy of diagnostic reasoning skills

Answer 17

• identify abnormal data/strengths
• cluster data
• draw inferences
• propose possible diagnosis
• check for presence of defining characteristics
• confirm/rule out nursing diagnoses
• DOCUMENT