Nur 1025 Chapter 17

Question 1

What are 4 categories of related to factors??

Answer 1

pathophysiology
Treatment related
Maturational
Situational

Question 2

How problem diagnosis differ from risk diagnosis???

Answer 2

..

Question 3

Name 3 types of error you can make when formulating a nursing diagnosis??

Answer 3

data collection error
Diagnosis statement error
Analysis and interpretation of data

Question 4

Name 3 categories of nursing diagnoses

Answer 4

problem focused
Risk diagnosis
Health Promotion

Question 5

Is a set of assessment finding/defining characteristics

Answer 5

data cluster

Question 6

Nursing prescribes for and treat clients and groups response to situations that includes 5 categories

Answer 6

pathophysiological 
Treatment related 
Personal 
Environmental 
Maturational

Question 7

Is a problem that requires both medicine and nursing intervention to treat

Answer 7

collaborative problem

Question 8

A patient is entering to the clinic with a infected leg wound, the patient’s health care prescribes antibiotic the nurse monitors for fever and provide wound care and a dietitian recommend a therapeutic diet
This is an example of:

Answer 8

collaborative problem

Question 9

True or false

All physiological complication are collaborative problem???

Answer 9

false

They are not

Question 10

True or false
If a nurse can prevent the onset of a complication or provide the primary treatment for it then the diagnosis is a nursering diagnosis

Answer 10

true

Question 11

Types of nursing diagnosis

Answer 11

problem focused
Risk diagnosis
Health promotion

Question 12

is a set of assessment findings/defining characteristics.

Answer 12

Data cluster

Question 13

seeing a patient grimace and hold a body part while you turn and repo-
sition the patient in bed is a example of
A- unintentional data
B- intentional data

Answer 13

A

Question 14

When forming a diagnosis what components you should have on mind

Answer 14

diagnostic label
Related factors
Major assessment finding
And diagnostic validity

Question 15

Errors occur in the nursing diagnostic process during data collec-
tion, analysis of data clusters or patterns, and interpretation in choos-
ing a nursing diagnostic statement
Mention some sources of diagnostic error

Answer 15

1-error data collection
2-Error data clustering
2-Error analysis and interpretation of data
4-error in a diagnostic statement

Question 16

A nursing student is working with a faculty member to identify a nurs-
ing diagnosis for an assigned patient. The student has assessed that
the patient is undergoing radiation treatment, has liquid stool, and
the skin is clean and intact. The student selects the nursing diagnosis
Impaired Skin Integrity. The faculty member explains that the student
has made a diagnostic error for which of the following reasons?
1. Incorrect clustering of data
2. Wrong diagnosis
3. Condition is a collaborative problem
4. Premature ending assessment

Answer 16

2

Question 17

Review the following nursing diagnoses and identify the diagnoses
that are stated correctly. (Select all that apply.)
1. Offer frequent skin care because of Impaired Skin Integrity
2. Risk of Infection
3. Chronic Pain related to osteoarthritis
A.
Activity Intolerance related to physical deconditioning
5. Lack of Knowledge related to laser surgery

Answer 17

2

4

Question 18

Which of the following is a diagnostic error involving identification
of a goal of care rather than a patient need?
1. Patient obtains social support care related to caregiver stress
2. Fear related to open-heart surgery
3. Acute Pain related to splinting of incision
4. Impaired Family Coping related to insufficient caregiver support

Answer 18

1

Question 19

The nurse collects a nursing history and interviews the patient.
Place the following steps for making a nursing diagnosis in the cor
rect order.
1. Consider the context of patient’s health problem and select a
related factor.
2. Review assessment data, noting objective and subjective clinical
information.
3. Cluster clinical data elements that form a pattern.
4. Identify appropriate assessment findings for diagnosis.
5. Identify a nursing diagnosis.

Answer 19

2
3
5
1
4

Question 20

A nurse interviews and conducts a physical examination of a
patient that includes the following findings: reduced move.
ment of lower leg, reduced range of motion in left knee, and
difficulty turning in bed without assistance. This data set is an
example of:
1. Collaborative data set.
2. Diagnostic label.
3. Related factors.
4. Data cluster.

Answer 20

4

Question 21

A nurse reviews data gathered regarding a patients response to a diag.
nosis of cancer. The nurse notes that the patient is restless, avoids eie
contact, has increased blood pressure, and expresses a sense of helpless-
ness. The nurse compares the pattern of assessment findings for Ansi.
ety with those of Fear and selects Anxiety as the correct diagnosis. This
is an example of the nurse avoiding an error in? (Select all that apply)
1. Data collection
2. Data clustering
3. Data interpretation
4. Making a diagnostic statement
5. Goal setting

Answer 21

2
3
4