Diagnosis

Question 1

Identification of a disease condition based on a specific evaluation of physical signs & symptoms, pt medical history & results of diagnostic tests & procedures

Answer 1

Medical diagnosis

Question 2

Medical diagnosis’ stay

Physicians

Answer 2

constant as a condition remains

licensed to treat disease & conditions

Question 3

Clinical judgment concerning a human response to health conditions/life processes, or vulnerability for that response by an individual, family, or community that a nurse is licensed & competent to treat

Answer 3

Nursing Diagnosis

Question 4

Example of nursing diagnosis

Answer 4

acute p! (a response to an injury)

nurses are licensed to treat acute p!

Question 5

Nursing diagnoses can be

Answer 5

problem focused
a state of health promotion
potential risk
Ever changing

Question 6

An actual or potential physiological complication that nurses monitor to detect the onset of changes in a pt’s health status

Answer 6

Collaborative problem

Question 7

Nurses in collaboration

Answer 7

Nurses intervene in collaboration with personnel from other HC disciplines

Question 8

Types of nursing diagnoses

Answer 8

Problem-focused (label)
Risk diagnosis
Health Promotion

Question 9

Describes a clinical judgment concerning an undesirable human response to a health/condition life process that exists in individual, family, community

Answer 9

Problem-focused

Based on signs/symptoms

Question 10

Two parts of problem-focused

Answer 10

Defining characteristics

Related factors

Question 11

Observable assessment cues such as a patient behavior, physical signs
Supports problem-focused diagnosis

Answer 11

defining characteristics

Question 12

Etiological or causative factor for the diagnosis

Answer 12

Related factors

Question 13

Example of medical diagnosis

Answer 13

surgical procedure, chemical burn

Question 14

Nursing diagnosis are

Answer 14

ever changing on the basis of patient’s needs

Question 15

Example of related factor

Answer 15

Acute p! related to incision

Question 16

Examples of problem focused diagnosis

Answer 16

Decreased cardiac output
Chronic functional constipation
Impaired gas exchange

Question 17

Vulnerability of an individual, family, group, or community for developing an undesirable human response to health conditions/life process

Answer 17

Risk Diagnosis

Question 18

Have not occured

Potential to specific response

Answer 18

Risk diagnosis

Question 19

Risk diagnosis’ are labeled as

Answer 19

risk factors

“risk for infection”

Question 20

Motion & desire to increase well being

Can be very specific in nature or broad

Answer 20

Health promotion

Question 21

Examples of health promotion

Answer 21

readiness to enhanced knowledge

Question 22

Sources for the diagnostic process

Answer 22

faculty, advanced practiced nurses, documentation systems, practice guidelines

Question 23

a. A set of cues, the signs or symptoms gathered during assessment
b. Putting everything together

Answer 23

Data clustering

Question 24

Each clinical criterion is

Answer 24

An objective or subjective sign, symptom or risk factor

Question 25

deliberate collection thru PE

Answer 25

Intentional assessment

Question 26

noticing cues that are important w/o planning to do so

Answer 26

Unintentional assessment

Question 27

When comparing patterns, judge whether s/s are:

Answer 27

Expected for a patient (consider current condition, history)

Whether they are within the range of healthy responses

Question 28

When isolating characteristics out of the norm—you can

Answer 28

identify a specific problem

Question 29

FOUR categories of related factors (4 things)

Answer 29

i. Pathophysiological (biological or psychological)
ii. Treatment-related
iii. Situational (environmental or personal)
iv. Maturational

Question 30

Identify correct diagnostic label with:

Answer 30

i. Associated defining characteristics or risk factors

ii. A related factor

Question 31

“related to” associates with

Answer 31

etiology contributes to or is associated with the patient’s diagnosis

Question 32

Three-part method

Answer 32

Problem (impaired physical mobility)
Etiology (incisional p!)
Symptoms or defining characteristics (evidenced by restricted turning)

Question 33

Errors occur during

Answer 33

Data collection
Interpretation & analysis of data
Clustering
Diagnostic statement

Question 34

A nursing diagnosis will ensure you:

Answer 34

select relevant & appropriate nursing interventions