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Name 3 purposes of Nursing Diagnosis
- 1. To analyze and synthesize information
- 2. Provides a framework for a nursing care plan
- 3. Identifies strengths that the client has to draw on
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Name the 3 components of a Nursing Diagnosis
- 1. Problem- a concise description
- 2. Related faxctors (etiology)- cause of the problem, etiology, contributing or risk factors, is the 'related to' (RT)
- 3. Signs and Symptoms- defining characteristics of the problem, data gathered during the assessment, is the 'as evidenced by' (AEB)
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Name this type of nursing diagnosis.... The person has the problem, clinically balidated by major defining charateristics, has all three components.
Actual Diagnosis
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Name this type of Nursing Diagnosis....There is evidence that the client could develop the problem but no signs or symptoms yet; compare your patient's risk factors with the related factors; has two components (no S&S); some diagnosis can onlybe used as risk factors for (injury, infection).
Risk Diagnosis
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Name this type of Nursing Diagnosis...the person has the limited education regarding the problem
Knowledge deficit
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Name this type of Nursing Diagnosis...This type of diagnosis is useful and efficient way to describe a complex problem without documenting each component fo the problem as a distinc nursing diagnosis, compare your patient's signs and symptoms with the related factors and defining charateristics of the syndrome diagnosis you suspect; only one component stating they syndrome; only a few approved by NANDA
Syndrome Diagnosis
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What are 3 approved Syndrome Diagnosis
- 1. Rape trauma syndrome
- 2. Relocation stress syndrome
- 3. Risk for disuse syndrome
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Name this type of Nursing Diagnosis...Compare patient statements for desired to improve Health with the defining characteristics; only one component
Wellness Nursing Diagnosis
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What is an appropriate method to use when writing the 'related to' part of a diagnostic statement?
Identify major related factors that the nurse can address independently, If needed add "secondary to" to clarify other related factors
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When NANDA uses the word "specify" in parenthesis, what is it asking?
- It means you should be specific and add the necessary descriptive words to be sure the dianosis is clear.
- EXAMPLE; Impaired skin integrity (specify) would be IMPAIRED SACRAL SKIN INTEGRITY
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What are 3 listed errors to avoid when writing nursing diagnosis?
- 1. Don't write the diagnostic statement in such a way that it may be legally incriminanting
- 2. Don't rename a medical problem to make it sound like a nursing diagnosis
- 3. Don't make a nursing diagnosis out of a physician's order or a collaborative problem
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What are 3 puposes of outcomes for nursing diagnosis?
- 1. Measure of your plan of care
- 2. Directs intervention/nursing actions
- 3. Are motivation factors- when you have a specific time frame
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What are 4 principles of outcomes for nursing diagnosis?
- 1. Derived from a single nursing diagnosis - (note the words before the 'related to' section)*1diagnosis - 1 outcome.
- 2. Patient (or client) centered - always begin with 'patient will...' or 'client will...' or 'resident will...'
- 3. OBservable- nurse should be able to determine through observation if change has taken place.
- 4. Measurable - ask yourself if you would be able to tell whether the goal was met, this first section of the statement describes an improvement, control or absence of a problem.
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Time.....early expected benefits from nursing interventions ( usually within a week)
short-term
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Time...Benefits expected to be seen at certain point in time after the plan has been implemented (usually weeks to months)
Long-term (LTO)
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