DIAGNOSIS Flashcards
_________ refers to the reasoning process, whereas the term diagnosis is a statement or conclusion regarding the nature of a phenomenon.
diagnosing
___________ contains a diagnostic phrase or diagnostic label followed by an etiology phrase.
nursing diagnosis
______________ is also known as a problem-based diagnosis.
actual nursing diagnosis
_____________ is a clinical judgment that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene.
risk nursing diagnosis
______________ is a clinical nursing judgement when a client has several similar nursing diagnoses such as impaired respiratory status related to increased secretions and restricted pulmonary airflow related to a lack of alveoli elasticity.
syndrome diagnosis
The ______________, or diagnostic label, describes the client’s health problem or response for which nursing therapy is given.
problem statement
____________ are words that are added to the nursing diagnosis to provide additional meaning to the diagnostic statement.
qualifiers
The ____________ component of a nursing diagnosis identifies one or more probable causes of the health problem, gives direction to the required nursing therapy, and enables the nurse to individualize the client’s care.
etiology
____________ are the cluster of signs and symptoms that indicate the presence of a particular diagnostic label.
defining characteristics
Nursing diagnoses relate primarily to the nurse’s ________________, that is, the areas of healthcare that are unique to nursing and separate and distinct from medical management.
Independent function
With regard to medical diagnoses, nurses are obligated to carry out physician prescribed therapies and treatments, that is, ______________
dependent function
____________ is a generally accepted measure, rule, model, or pattern.
standard or norm
includes the Problem and Etiology.
basic two-part statement
nursing diagnosis statement is called the PES format and includes the Problem, Etiology, signs and symptoms.
basic three-part