Diagnosing (ch 13)

Question 0

Health problem

Answer 0

A condition that needs an intervention to prevent or resolve a disease/illness or to promote coping and wellness.

Question 1

Purpose of diagnosing?

Answer 1

1. Identify how and individual, group, or community responds to actual or potential health/life processes.
2. ID factors that contribute to or cause health problems. (Etiology)
3. ID resources or strengths the individual, group, or community can use to prevent/resolve probs.

Question 2

Purpose of diagnosis (easier definition)

Answer 2

To clarify the exact nature of the problems and risk factors you need to achieve the overall expected outcomes if care.

Question 3

Nursing diagnosis

Answer 3

Actual or potential health problems that can be prevented or resolved by independent nursing interventions.
Nursing diagnosis may change from day to day as patients responses change.

Question 4

Medical diagnosis

Answer 4

ID diseases and physician directs the primary treatment.

Question 5

Collaborative problems

Answer 5

“Certain physiologic complications that nurses monitor to detect onset or change in status”

Nurses manage collaborative problems using physician prescribed and nursing interventions to minimize the complication of the event.

Question 6

Diagnostic error

Answer 6

Erroneously labeling selected patient health patterns as unhealthy while failing to detect an actual unhealthy behavior

Question 7

Standard

Answer 7

Norm. A generally accepted rule, measure, pattern, or model to which data can be compared in the same class or category.

Question 8

Data cluster

Answer 8

Grouping of data patient or cues that points to the existence of a patient health problem.

*nursing diagnoses should always be derived from clusters of significant data rather than from a single cue.

Question 9

Actual nursing diagnosis

Answer 9

Problem that has been validated by the presence of major definitions characteristics.

Question 10

Risk nursing diagnosis

Answer 10

Clinical judgements that an individual, family, or community is more vulnerable to develop the problem than others in a similar situation.

Question 11

Possible nursing diagnosis

Answer 11

Statement describing a suspected problem for which additional data are needed.

*Additional data is used to confirm or rule out the suspected problem

Question 12

Wellness diagnosis

Answer 12

Clinical judgement about an individual, group, community in transition from a specific level of wellness.
Two Cues must be present
1. Desire for higher level of wellness
2. Effective present status or function

Question 13

Syndrome nursing diagnosis

Answer 13

Comprise a cluster of actual or risk nursing diagnosis that are predicted to be present because of a certain event or situation.
(Examples: rape-trauma, post-trauma)

Question 14

PES

Stands for?

Answer 14

Problem.- what is unhealthy? this suggests patient outcomes
Etiology- physiologic, psychological,sociologic, spiritual and environmental factors believed to be related to the problem as the Cause or contributing factor. *etiology directs nursing intervention.
Signs and symptoms- signal the existence of the actual or potential health problem.

Question 16

Three activities required to Predict, Prevent, Manage, and Promote

Answer 16

1. Predict the most common and most dangerous complications and take immediate action to (a)prevent and (b) manage if unable to prevent
2. Look for evidence of risk factors. If ID’d, aim to reduce/control them= preventing the problems.
3. In all situations encourage behaviors that promote optimum functioning, independence, & sense of well being.

Question 17

Diagnosis begins after the nurse has?

Answer 17

Collected and recorded the patient data

Question 18

What is the difference between a medical and nursing diagnosis?

Answer 18

Medical: describe problem for which the physician directs the primary care
Nursing: describes problems treated by the nurse within the scope of independent nursing practice

Question 19

To write a diagnostic statement for a collaborative problem..

Answer 19

focus on the potential complications of the problem

Question 20

Focus of nursing diagnosis

Answer 20

monitoring human responses to actual or potential health problems

Question 21

Focus of collaborative problem

Answer 21

monitoring pathophysiologic responses of body organs or systems

Question 22

Focus of Medical diagnosis

Answer 22

correcting or preventing pathology of specific organs or body systems

Question 23

Cue

Answer 23

significant data or data that influence this analysis, should raise a red flag

Question 24

Your best source of information?

Answer 24

an aware patient

Question 25

NANDA describes five types of nursing diagnosis

Answer 25

Actual
Risk
Possible
Wellness
Syndrome

Question 26

Two cues must be present for a wellness diagnosis

Answer 26

• desire for higher level of wellness

- effective present status or function

Question 27

The diagnostic statement of wellness diagnosis is one part statement that contains the label Readiness for Enhanced, followed by?

Answer 27

desired higher level of wellness-related factors are not included

Question 28

Defining characteristics

Answer 28

subjective or objective data that signal the existence of the actual or potential health problem

Question 29

The nursing diagnosis statement is written in terms of?

Answer 29

patient problem, alteration in health state, or patient strength for which nursing provides the primary therapy

Question 30

The use of nursing diagnoses also allows the patients to be?

Answer 30

informed and willing participants in their care

Question 31

nursing diagnosis is a powerful tool for?

Answer 31

indiviualizing patient care and ensures that nurses’ energies are being used in the most efficient way to meed to the patients’ needs