MC Nursing Diagnosis Ch 17
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
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| Medical Diagnosis | Identification of a disease condition based on a specific evaluation of physical signs, symptoms, the client's medical history, and the results of diagnostic tests and procedures.
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| Nursing Diagnosis | A clinical judgement about individual, family, or community responses to actual and potential health problems or life processes.
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| Collaborative Problem | An actual or potential physiological complication that nurses monitor to detect the onset of changes in a client's status. (Nurses manage collaborative problems such as homorrhage, infection, and cardiac arrhythmia using both physician-prescribed and nurs
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| Client-Centered Problems | Early theorists defined nursing intervention in terms of client-centered problems.
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| Defining Characteristics | The clinical criteria or assessment findings that support actual nursing diagnosis.
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| Clinical Criteria | Objective or subjective signs and symptoms, clusters of signs and symptoms, or risk factors that lead to a diagnostic conclusion.
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| Actual Nursing Diagnosis | An actual nursing diagnosis describes human responses to health conditions of life processes that exist in an individual, family, or community. (Ex: Acute Pain.)
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| Risk Nursing Diagnosis | Describes human responses to health conditions/life processes that will possibly develop in a vulnerable individual, family, or community. (Ex: Risk for infection.)
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| Health Promotion Nursing Diagnosis | Clinical judgment of a person's, family's, or community's, motivation and desire to increase well-being and actualize human health potential as expressed in their readiness to enhance specific health behaviors, such as nutrition and exercise. (Ex: Readine
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| Wellness Nursing Diagnosis | Human responses to levels of wellness in an individal, family, or community that have a readiness for enhancement. (Readiness for ehnaced coping related to successful cancer treatment.)
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| Diagnostic Label | The name of the nursing diagnosis as approved by NANDA.
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| Related Factors | Condition or etiology identified from the clint's assessment data. It is associated w/ the client's actual problem.
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| Etiology | Part of nursing diagnosis always w/in the domain of nursing practice and a condition that responds to nursing interventions.
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| Definition | Definition describes the characteristics of the human response identified.
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| Risk Factors | Environmental, physiological, psychological, genetic, or chemical elements that increase the vulnerability of an individual, family or community to an unhealthful event.
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| Support of the Diagnostic Statement | Nursing assement data needs to support the diagnostic label, and the related factors need to support the etiology.
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| Culture and N.Diagnoses | Cultural differnces, impaired communication, client value system all could impact diagnostic conclusions.
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| Error Sources in Nursing Diagnostic Process | Errors occur during data collection, clustering, interpretation, and statement of diagnosis.
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| Practice Ti[ps to Avoid Data Collection Errors | Be knowledgeable & experienced in assessment techniques. Approach assessment in steps. Review your clinical assessments. Determine veracity of data by having co-worker validate findings. Be organized and have approp. forms/equipment.
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| Error in Data Clustering | Don't make nursing diagnosis fit the signs and symptoms obtained.
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| Errors in Diagnostic Statement | Word correctly. Use NANDA terminology. Problem and etiology need to be w/in scope of nursing.
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