Help
Options
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't Know
Remaining cards (0)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
funda of nurs ch 17
fundamentals of nursing 8e chapter 17 complete
| Question | Answer |
|---|---|
| Desire to increase well being & actualize human health potential | health promotion nursing diagnosis |
| the clinical criteria or assessment findings that support an actual nursing diagnosis | defining characteristics |
| describes human responses to health conditions or life processes that exist in an individual, family or community | actual nursing diagnosis |
| identification of a disease condition | medical diagnosis |
| actual or potential physiological complication that is monitored in collaboration w/others | collaborative problem |
| human responses to health conditions that may possibly develop in a vulnerable individual, family or community | risk nursing diagnosis |
| List the purposes of the using a standard formal nursing diagnostic statement | provides precise definition of prob, allows communication btwn nurses, distinguishes role from physician, helps nurse focus on scope of practice, fosters knowledge, promotes creation of guidelines |
| Define data cluster component of the diagnostic reasoning process | is a set of signs or symptoms gathered during assessmt that help you group them together in a logical way |
| Define defining characteristics component of the diagnostic reasoning process | they are clinical criteria that are observable and verifiable |
| Define clinical criteria component of the diagnostic reasoning process | they are subjective signs, symptoms or risk factors |
| Explain the process of identifying health problems (interpretation) | analyze cluster of data, interpret information & select the appropriate nursing diagnosis |
| to individualize a nursing diagnosis you identify the associated related factors explain | is a condition, historical factor, or etiology that gives a context for defining characteristics & shows a relationship |
| define wellness nursing diagnosis | it describes the human responses to levels of wellness in an individual, family or community |
| explain diagnosis label component of the nursing diagnosis | is the name of the diagnosis as approved by NANDA; it describes the essence of the patients response to the health problem |
| explain Related factor component of the nursing diagnosis | is a condition or etiology(cause) identified from the patients assessment data, or actual/potential responses to the health problem |
| . explain etiology component of the nursing diagnosis | it is the cause for the nursing diagnosis w/in the domain of nursing practice |
| explain PES format component of the nursing diagnosis | P-problem, E-etiology(cause), S-symptoms or defining characteristics |
| Identify the purpose of concept mapping a nursing diagnosis | it is a way to graphically represnt the connections among concepts (nursing diagnosis) & ideas that are related to a central subject (patients problem) |
| Sources of diagnostic errors during steps of the nursing process; identify errors in collection of data | Lack of knowledge, inaccurate data, missing data, disorganized |
| Sources of diagnostic errors during steps of the nursing process; identify errors in interpretation and analysis | Inaccurate interpretation, failure to consider conflicting cues, insufficient number of cues, invalid cues, failure to consider cultural influences |
| Sources of diagnostic errors during steps of the nursing process; identify errors in data clustering | insufficient cluster of cues, premature or early closure, incorrect clustering |
| Sources of diagnostic errors during steps of the nursing process; identify errors in the diagnostic labeling | wrong labeling, evidence exist for another diagnosis, collaborative problem, failure to validate w/patient, failure to seek guidance |
| Explain how you would document a patients nursing diagnoses | enter them either on the written plan of care or in agencies electronic health info record, list nurs diag chronically (highest priority 1st)date diag at time of entry, review list, & reevaluate the priority |
| a nursing diagnosis: ID nursing problem, isnot changed during the course of a patients hospitalization, is derived from physicians hist & physical exam, is a statement of a patient response to health prob that requires nursing intervention | is a statement of a patient response to health prob that requires nursing intervention (provide basis for the selection of intervention to achieve outcomes that nurse is responsible for |
| The 1st part of the nursing diagnosis statement is: may be stated as a med diagnosis, ID the cause of patient problem, ID appropriate nursing intervention, ID an actual or potential health prob | ID an actual or potential health prob;it is the diagnostic label that describes the essence of a patients response to health conditions |
| The 2nd part of the nursing diagnosis statement is: usually stated as a med diagnosis, ID the expected outcome of nursing care, ID the probable cause of the patient problem, is connected to 1st part of statement w/the phrase related to. | is connected to 1st part of statement w/the phrase related to; it is associated w/patients actual or potential response to the health prob |
| which is the correct stated nursing diagnosis: need be fed related to broken right arm, impaired skin integrity related to fecal incontinence, abnormal breathe sounds caused by weak cough reflex, impaired physical mobility related to rheumatoid arthritis. | impaired skin integrity related to fecal incontinence; it is the actual or potential response to the health problem |
| Judgment that is clinically validated by the presence of major defining characteristics. | actual nursing diagnosis |
| Physiological complication that requires the nurse to use nursing- and health care provider–prescribed interventions to maximize patient outcomes. | collaborative problem |
| Set of signs or symptoms that are grouped together in logical order. | data cluster |
| Related signs and symptoms or clusters of data that support the nursing diagnosis. | defining characteristics |
| Study of all factors that may be involved in the development of a disease. | etiology |
| Formal statement of the disease entity or illness made by the physician or health care provider. | medical diagnosis |
| Formal statement of actual or potential health problem that nurses can legally & independently treat; the second step of the nursing process, during which the patient's actual & potential unhealthy responses to an illness or condition are identified. | nursing diagnosis |
| Any condition or event that accompanies or is linked with the patient's health care problem | related factor |
| Describes human responses to health conditions/life processes that may develop in a vulnerable individual, family, or community. | risk nursing diagnosis |
| Initial psychosocial relationship that develops between parents and the neonate. | attachment |
| Element or compound that, when melted or dissolved in water or other solvent, dissociates into ions and can carry an electrical current. | electrolyte |
| Situation in which body temperature exceeds the set point. | hyperthermia |
| Abnormal lowering of body temperature below 35° C, or 95° F, usually caused by prolonged exposure to cold. | hypothermia |
| is an objective or subjective sign, symptom, or risk factor that, when analyzed with other criteria, leads to a diagnostic conclusion. | clinical criterion |
| a 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 nursing diagnosis |
| define PES format | P (prob) NANDA-I label eg impaired physical mobility; E (etiology/related factor) eg: incisional pain;S (symptoms/defining characteristics)lists defining characteristic that show evidence of prob eg: evidenced by restricted turning & positioning |
| Some agencies prefer a three-part nursing diagnostic label. In this case the diagnostic label consists of the NANDA-I label, the related factor, and the defining characteristics | the PES format |
| the name of the nursing diagnosis as approved by NANDA International; describes essence of a patient's response to health conditions in as few words as possible | diagnostic label All NANDA-I approved diagnoses also have a definition. The definition describes the |
| Most settings use a two-part format in labeling a nursing diagnosis: A diagnostic label followed by a statement of a related factor; two-part format provides a diagnosis meaning & relevance for a particular patient | the NANDA-I |
Created by:
larue10510