Exam 3: Chapter 15: Diagnosing Flashcards

1
Q

Purpose of Diagnosing?

A

Identify how an individual, group, or community responds to actual or potential health and life processes
Identify factors that contribute to, or cause, helth problems
Identify resources or strengths on which the individual, group, or community can draw to prevent or resolve problems

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2
Q

What is a Health problem?

A

A condition that necessitates intervention to prevent or resolve disease or illness or to promote coping and wellness

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3
Q

Nursing Concerns and Responsibilities (Alfaro) (1)

A

Recognizing safety and infection-transmission risk and addressing these immediately

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4
Q

Nursing Concerns and Responsibilities (Alfaro) (2)

A

Identifying human responses - how problems, signs and symptoms, and treatment regimens impact on patients lives - and promoting optimum function, independence and quality of life

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5
Q

Nursing Concerns and Responsibilities (Alfaro) (3)

A

Anicipating possible complications and taking steps to prevent them

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6
Q

Nursing Concerns and Responsibilities (Alfaro) (4)

A

Initiating urgent interventions. You should not wait to make a final diagnosis if there are signs and symptoms indicating the need for immediate treatment

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7
Q

What are nursing diagnoses?

A

Actual or potential health problesm that can be prevented or resolved by independent nursing intervention

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8
Q

What is a medical diagnosis?

A

Describes problems for which the physician directs the primary treatment. Remaisn the same for as long as the disease is treatment

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9
Q

What are Collaborative Problems?

A

Certian physiologic complications that nurses monitor to detect onset or changes in status. Nurses manage collaborative problems using physican-prescribed and nurse interventions to minimize the complications of the event.

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10
Q

Data Interpretation and Analysis Categories and Examples

A
Recognizing Significant Data: Comparing Data to Standards
Recognizing Patterns or Clusters
Identifying Strengths and Problems
Identifying Potential Complications
Reaching Conclusions
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11
Q

Three Steps for Formulation of Nursing Diagnoses?

A

Problems –> Etiology –> Defining Characteristics

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12
Q

Nursing Diagnoses: Problem

A

Identifies what is unhealthy about patient (nursing diagnosis statement)

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13
Q

Nursing Diagnoses: Etiology

A

Identifies factors maintaining the unhealthy state (cause of nursing diagnoses)

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14
Q

Nursing Diagnoses: Defining Characteristics

A

Identifies the subjective and objective data that signals the existence of a problem (presenting signs and symptoms that prove the nursing diagnoses, NOT THE ETIOLOGY)

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15
Q

Example of Nursing Diagnoses

A

Pain (1) R/T (2) Ankle Sprain AEB (3) pt rates pain a 7 on 0-10 pain scale.

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16
Q

What is a Problem-Focused Nursing Diagnosis

A

Clinical judgement concerning a undesirable human response to a health condition/life process that exists in an individual, family, group, or community

17
Q

What is a Risk Nursing Diagnosis

A

Clinical judgement concerning the vulnerability of an individual, family, group, or community for developing an undesirable human response to health conditions

18
Q

Benefits of Nursing Ddiagnoses

A

Individualizing patient care
Allows patient to be informemd and participate in their care
Communication among nurse and healthcare providers

19
Q

Common Errors in Writing Nursing Diagnoses

A

Writing Diagnosis in terms of needs and response
Identifying a problem signs and symptoms of illness
Identifying as a patienet provlem or etiology what cannot be changes
Reversing Clauss
Having both clauses say the same thing.

20
Q

What will Risk for not have in Nursing Diagnosis?

A

It will not have AEB