Jen ch 17

Question 1

medical diagnosis

Answer 1

the identification of a disease condition based on a specific evaluation of physical signs, symptoms, the patient’s medical history and the results of diagnostic tests and procedures

Question 2

nursing diagnosis

Answer 2

such as acute pain or nausea is a clinical judgment about individual, family, or community responses to actual and potential health problems or life processes that the nurse is licensed and competent to treat; What makes the nursing diagnostic process unique is having patients involved, when possible, in the process

Question 3

collaborative problem

Answer 3

an actual or potential physiological complication that nurses monitor to detect the onset of changes in a patient’s status; When collaborative problems develop, nurses intervene in collaboration with personnel from other health care disciplines

Question 4

NANDA-I

Answer 4

North American Nursing Diagnosis Association International

Question 5

data cluster

Answer 5

set of signs or symptoms gathered during assessment that you group together in a logical way.

Question 6

defining characteristics

Answer 6

Data clusters are patterns of data that contain defining characteristics, the clinical criteria that are observable and verifiable. Each clinical criterion is an objective or subjective sign, symptom, or risk factor that, when analyzed with other criteria, leads to a diagnostic conclusion

Question 7

related factor

Answer 7

a condition, historical factor, or etiology that gives a context for the defining characteristics and shows a type of relationship with the nursing diagnosis

Question 8

actual nursing diagnosis

Answer 8

describes human responses to health conditions or life processes that exist in an individual, family, or community; The selection of an actual diagnosis indicates that there are sufficient assessment data to establish the nursing diagnosis

Question 9

risk nursing diagnosis

Answer 9

escribes human responses to health conditions or life processes that may develop in a vulnerable individual, family, or community. These diagnoses do not have related factors or defining characteristics because they have not occurred yet. Instead a risk diagnosis has risk factors. Risk factors are the environmental, physiological, psychological, genetic, or chemical elements that place a person at risk for a health problem

Question 10

health promotion nursing diagnosis

Answer 10

clinical judgment of a person’s, family’s, or community’s motivation, desire, and readiness to increase well-being and actualize human health potential as expressed in their readiness to enhance specific health behaviors such as nutrition and exercise. Health promotion diagnoses can be used in any health state and do not require current levels of wellness. A person’s readiness is supported by defining characteristics

Question 11

diagnostic label

Answer 11

the name of the nursing diagnosis as approved by NANDA International. It describes the essence of a patient’s response to health conditions in as few words as possible

Question 12

etiology

Answer 12

Study of all factors that may be involved in the development of a disease

Question 13

PES

Answer 13

• P (problem)—NANDA-I label—Example: impaired physical mobility

• E (etiology or related factor)—Example: incisional pain
• S (symptoms or defining characteristics)—briefly lists defining characteristic(s) that show evidence of the health problem. Example: evidenced by restricted turning and positioning