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nursing 203
| Question | Answer |
|---|---|
| A nursing diagnosis | a clinical judgment about individual, family, or community responses to actual or potential health problems/life processes. |
| A nursing diagnosis | provides the basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable. |
| A classification system for nursing diagnosis | involves knowledge of nursing practice, theoretical framework, and the characteristics of taxonomies. |
| A medical diagnosis | describes a disease or pathology of specific organs or body systems. |
| collaborate health problems. | are both physician and nurse prescribed actions |
| Collaborative health problems | refer to actual or potential physiologic complications that can result from disease, trauma, or treatment. |
| Descriptors or modifiers are | words used to give additional meaning to a nursing diagnosis. Examples include anticipatory, compromised, decreased, deficient, delayed, disproportionate, disabled, disorganized, disturbed, dysfunctional, effective, excessive, etc. |
| Defining characteristics are the | observable “cues or inferences that cluster as manifestations of an actual illness or wellness health state, or nursing diagnosis.” Each piece of information is considered a clinical cue. |
| Related factors | describe the conditions, circumstances, or etiology that contribute to the problem. Terms that can be used include: associated with, related to, or contributing to. |
| The term risk factor is | used to describe clinical cues in risk nursing diagnoses and are not used for actual nursing diagnoses. |
| Risk nursing diagnosis describes | human responses to health conditions/life process that may develop in a vulnerable family, individual, or community |
| A wellness nursing diagnosis is a | diagnostic statement that describes human responses to levels of wellness in an individual, family, or community, that have a readiness for enhancement. It is a one part statement including the diagnostic label. |
| Actual nursing diagnosis | Three-part statement includes diagnostic label, related factors, and defining characteristics |
| Risk nursing diagnosis | Two-part statement includes diagnostic label and risk factors |
| Possible nursing diagnosis | Two-part statement includes diagnostic label and related factors (unknown) |
| Wellness diagnosis | One-part statement includes diagnostic label |
| Outcome identification | is the formulation of goals and measurable outcomes that provide the basis for evaluating nursing diagnoses. |
| The Nursing-Sensitive Outcomes Classification system (NOC) is | organized according to categories, classes, labels, outcome indicators, and measurement activities for outcomes. |
| A patient outcome is an | educated guess, made as a broad statement, about what the patient’s state will be after the nursing intervention is completed. |
| Planning is the | fourth phase of the nursing process, refers to the development of nursing strategies designed to ameliorate patient problems. |
| Nursing interventions are | any treatment, based upon clinical judgment and knowledge, that a nurse performs to enhance patient outcomes. |
| The evaluation of a nursing intervention | written statement that determines the patient’s status in relation to the outcome criteria at a particular time. |
| Assessment commonly refers to | the evaluation or appraisal of a patient’s health state. It is the systematic collection of subjective and objective data. |
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