Nursing Process - Diagnosis Flashcards

1
Q

It is based on the presence of associated s/sx

A

Actual Nursing Diagnosis

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2
Q

It describes the client’s health problem/status
or response for which nursing therapy is
given and is SPECIFIC

A

Problem statement/diagnostic label

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3
Q

Using the word ________, to describe either the problem or the etiology require more data about the client’s problem or etiology

A

possible

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4
Q

It composes of P r/t E

A

BASIC TWO-PART
NURSING DIAGNOSIS

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5
Q

Step where you identify problems that support TENTATIVE ACTUAL, RISK AND POSSIBLE DIAGNOSIS

A

Identifying Health Problems, Risks, & Strengths

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6
Q

Identify client strengths & problems

A

DIAGNOSING

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7
Q

statement of the client’s health state or response

A

Problem (P)

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8
Q

comprises a cluster of actual or risk nursing diagnoses that are predicted to be present because of a certain situation or event

A

Syndrome Nursing Diagnosis

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9
Q

wellness diagnoses & syndrome diagnoses

A

ONE-PART STATEMENT

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10
Q

NANDA diagnostic label + etiology = ?

A

Nursing diagnosis

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11
Q

Step in Analyzing Data

Skillful assessment minimizes gaps and inconsistencies of data

A

Identifying gaps and
inconsistencies of data

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12
Q

3 Purposes of Nursing Diagnosis

A
  1. Helps identify nursing priorities and helps direct nursing intervention based on identified priorities
  2. Helps the formulation of expected outcomes
  3. Helps identify how a client or group response to actual or potential help and life processes
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13
Q

Writing _______ ________ when defining
characteristics are present but the nurse
does not know the cause or contributing
factors

A

unknown etiology

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14
Q

Using _______ __
to divide the etiology
into two parts

A

secondary to

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15
Q

Nursing Diagnosis or Medical Diagnosis?

  • describes HUMAN RESPONSE, a client’s physical, socio-cultural, psychological & spiritual responses to an illness or a health problem
A

Nursing Diagnosis

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16
Q

Present when a particular disease or treatment is present

A

COLLABORATIVE PROBLEMS

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17
Q

In comparing data with standards you should identify _________?

A

significant cues

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18
Q

clusters of signs & symptoms that indicate the presence of a particular diagnostic label

A

Defining characteristics

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19
Q

A clinical judgment about individual, family, or community responses to actual or potential health problems/ life processes (NANDA International in Kozier, 2012)

A

Nursing Diagnosis

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20
Q

3 Steps of Diagnostic Process

A
  1. Analyzing Data
  2. Identifying Health PRisks, & Strengths
  3. Formulating Diagnostic Statement
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21
Q

factors contributing to or probable causes of the responses

A

Etiology (E)

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22
Q

5 Kinds of Nursing Diagnoses based on STATUS

A
  1. Actual diagnosis
  2. Health promotion diagnosis
  3. Risk nursing diagnosis
  4. Wellness diagnosis
  5. Syndrome diagnosis
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23
Q

Nursing Diagnosis or Medical Diagnosis?

  • refers to disease processes
A

Medical Diagnosis

24
Q

T or F

Use nursing terminology rather than medical terminology to describe the client’s response.

A

True

25
Q

T or F

Make sure that both elements of the
statement says the same thing.

A

False

both elements of the statement DO NOT say the same thing

26
Q

Nursing Diagnosis domain includes health states that
nurses are ______ and ___________

A

educated, licensed to
treat

27
Q

Step in Analyzing Data

process of determining the RELATEDNESS OF FACTS and determining whether any PATTERNS ARE PRESENT, whether the DATA REPRESENTS ISOLATED INCIDENTS
and the DATA ARE SIGNIFICANT

A

Clustering Cues

28
Q

Adding a _______ _____ to the general response or NANDA label to make it more precise

A

second part

29
Q

3 types of statement in Formulating Diagnostic Statement

A

a. basic two-part statement
b. basic three-part statement
c. one-part statement

30
Q

Step in Analyzing Data

include final check to ensure that data are COMPLETE and CORRECT

A

Identifying gaps and inconsistencies of data

31
Q

Nursing Diagnosis describes a ______________: deviations from health, presence of risk factors and areas of
enhanced personal growth

A

continuum of health states

32
Q

clinical judgment that a problem does not exist, but the presence of risk factors indicate that a problem is likely to develop unless nurses intervene

A

Risk Nursing Diagnosis

33
Q

Nursing Diagnosis or Medical Diagnosis?

  • refers to a condition that only physician can treat
A

Medical Diagnosis

34
Q

Nursing Diagnosis or Medical Diagnosis?

  • made by PHYSICIAN
A

Medical Diagnosis

35
Q

Nursing Diagnosis or Medical Diagnosis?

  • statement of NURSING JUDGEMENT
A

Nursing Diagnosis

36
Q

Type of POTENTIAL PROBLEM that nurses manage using both independent and physician-prescribed interventions

A

COLLABORATIVE PROBLEMS

37
Q

T or F

Word the problem so that it is legally advisable

A

False

Word the STATEMENT

38
Q

consist of a NANDA label only

A

ONE-PART STATEMENT

39
Q

Step where you establish the CLIENT’S STRENGTHS,
RESOURCES, and ABILITIES TO COPE

A

Identifying Health Problems, Risks, & Strengths

40
Q

defining characteristics manifested by the client

A

Signs and symptoms (S)

41
Q

diagnostic label in Nursing Diagnosis

A

Problem (P)

42
Q

T or F

Word the diagnosis specifically and precisely to provide answer for planning nursing intervention.

A

False

to provide PROBLEM not answer

43
Q

client problem that is present at the time of nursing assessment

A

Actual Nursing Diagnosis

44
Q

Nursing Diagnosis or Medical Diagnosis?

  • nursing actions – primarily dependent
A

Medical Diagnosis

45
Q

T or F

Be sure that cause & effect are correctly stated.

A

True

46
Q

Step where you determine whether the client’s problem is a nursing diagnosis or a collaborative
problem

A

Identifying Health Problems, Risks, & Strengths

47
Q

Using ______ ______ when there are too many etiologic factors

A

complex factors

48
Q

Step where you compare data with standards

A

Analyzing Data

49
Q

Nursing Diagnosis or Medical Diagnosis?

  • refers to a condition that nurses by virtue of their education, experience, and expertise are licensed to treat
A

Nursing Diagnosis

50
Q

T or F

Use nonjudgmental statements.

A

True

51
Q

describes human responses to levels of wellness in an individual, family or community that have
readiness for enhancement

A

Wellness Diagnosis

52
Q

identifies one or more probable causes of a health problem, gives direction to the required nursing
therapy & enables the nurse to individualize the client’s care

A

Etiology (related factors & risk factors)

53
Q

Step in Analyzing Data

possible sources of inconsistencies: measurement error, expectations and inconsistent or unreliable reports

A

Identifying gaps and inconsistencies of data

54
Q

T or F

State in terms of a need, not a problem.

A

False

in terms of a PROBLEM, not a NEED

55
Q

client’s preparedness to implement behaviors to improve health condition

A

Health Promotion Diagnosis

56
Q

Interpret assessment data

A

DIAGNOSING