Chap 7- DIagnosis/ Analysis Flashcards
WHat is a nursing diagnosis?
It describes the patient’s response to the disease process, provide a convenient way to communicate nursing therapies or interventions.
Nursing diagnoses can be in response to actual or potential health problems.
True
Actual Diagnosis
what pt is presenting with, chief complaint, “something they have”
Potential Problem
“at risk for” pt doesnt have it, but could because…
A patient can have multiple diagnoses.
True
diagnosis when pt is ready for enhanced coping
wellness diagnosis
What are the components of the “Nursing Diagnosis”? Actual Diagnosis
DIagnostic Label- Problem Statement/ Descriptors
Linking Statement- Etiology/ Cause- Associated Factors
Signs or System- As Evidenced by
What are components of the nursing diagnosis for a “Risk For” ND?
Diagnostic Label- Problem Statement
Linking Statement - Etiology/Cause
No S&S as there are none to witness/hasnt happened yet. AT RISK FOR
Can a patient have multiple nursing diagnoses?
Yes
When is the patient’s problem/diagnosis found?
During the assessment
How many parts are there in an actual nursing dx?
3 parts
Diagnostic Label:The problem
Etiology/Cause
Sign or Syx
How many parts are there in an “Risk For” nursing dx?
2 parts
Diagonostic Label
Etiology/ Cause
Why is the nursing dx important?
Allows nurse to plan care
Provides means of communicating nurse environment
The nursing diagnosis that a nurse formulates will not be the same as the medical dx of the patient. T or F
True
Major problem with cue clustering?
How does this happen?
Insufficient and inaccurate, insufficient cues can be given due to nurse not asking appropriate questions.
Nurse must prioritize asking the right questions to collect the best cues.
