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avoiding and correcting errors
- identify the client's response not the medical diagnosis
- identify a NANDA diagnostic statement rather that the symptom
- identify a treatavle etiology rather than a clinical sign or chronic problem
- identify the problem caused by the treatment or diagnostic study rather than the treatment or study itself
- identify the client response to the equipment rather than the equipment itself
- identify the client's problems rather than your promblems with nursing care
- identify the client problem rather than the nusrsing intervention
- identify the clietnt problem rather than the goal
- make progessional rather than prejudicial judgments
- avoid legally inadvisable statement
- identify the problem and etiology to avoid a circular statement
- identify only one client problem in the diagnostic statement
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sources of error
- data collection
- interpretation and analysis
- data clustering
- diagnostic statement
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components of a nursing diagnosis
- diagnostic label- the label
- etiology- the causitive factor, not cause and effect, r/t
- nursing data must support both
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types of nursing diagnosis
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diagnostic process
- analyze and interpret data
- recognize patterns- clusters and patterns of data often contain defining characteristics
- compare with normal standards
- make a reasoned conclusion
- identify client needs
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North American Nursing Diagnosis
- NANDA
- purpose is to develop, refine, and promote a taxonomy of nursing diagnostic terminology of general use for the professional nurse
- established in 1982
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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
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nursing diagnosis
a clinical judgment about individual, family or community responses to actual and potential health problems or life processes
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medical diagnosis
the 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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