When writing a nursing diagnosis, the nurse uses:
Nursing terminology
The nurse uses the problem, etiology, and signs and symptoms (PES) format when using the nursing diagnosis:
Ineffective airway clearance related to infectious process, as manifested by excessive mucus and retained secretions
The nurse uses "secondary to" in order to divide what process into two parts?
Etiology
The advantages of using taxonomy of nursing diagnoses include:
Utilizing a single principle or set of principles developed by other nursing professionals;
Maintaining currency in nursing practice because taxonomies are refined, revised, and updated as needed;
Promoting a classification system or set of categories for
The first taxonomy of nursing diagnosis was classified:
Alphabetically
When writing a nursing diagnosis, the nurse must distinguish a problem from:
A need
The nurse, working in a clinic, admits a client for a routine annual checkup. The client identifies no current health problems. The nursing diagnosis best used for this client is a(n):
Wellness diagnosis
The purpose of a nursing diagnosis is to:
Identify a client's problem and etiology
Nursing diagnosis differs from medical diagnosis because the nursing diagnosis refers to:
The human response to medical treatment
The nurse formulates nursing diagnoses following a framework when using:
Function health patterns
An expert nurse is able to develop a nursing diagnosis by working with the client. A novice nurse uses the three steps in creating a nursing diagnosis, which are:
Analyzing data;
identifying health problems, risks, and strengths;
and formulating the diagnostic statements
The nurse is developing a nursing diagnosis for a client with a seizure disorder. What step does the nurse perform after analyzing data?
Identify the client's problems and strengths
The nurse, working in a long-term care facility, is caring for an older adult client. The nurse notices that the client has no visitors and is pleased with attention and conversation from then nursing staff. Until more data is collected, the nurse may wri
A possible nursing diagnosis
Independent nursing interventions for a collaborative problem focus mainly on:
Monitoring and preventing potential complications
The nurse develops a collaborative problem such as:
Potential complication of immobility: decubitus ulcer
Based on a client's problem in the presence of signs and/or symptoms
Actual diagnosis
No problem exists but factors in the client's status leads the nurse to be concerned that a problem could occur
Risk nursing diagnosis
Used for a healthy client who seeks to improve or maintain health
Wellness diagnosis
Used when inadequate data is available to support or refute a diagnosis
Possible nursing diagnosis
Used when a diagnosis is associated with a cluster of other diagnoses
Syndrome diagnosis
Fear related to language barrier as manifested by apprehension, increased alertness, and increased perspiration
Actual diagnosis
Risk for perioperative positioning injury related to edema
Risk nursing diagnosis
Health-seeking behaviors related to desired to improve nutrition
Wellness diagnosis
Risk for impaired parenting related to unknown etiology
Possible nursing diagnosis
Post-trauma syndrome related to witness of a homicide as manifested by depression and substance abuse
Syndrome diagnosis
The qualifiers of a nursing diagnosis are:
Deficient, excess, impaired, decreased, ineffective, and compromised
Consider the following nursing diagnosis: ineffective breathing pattern related to respiratory muscle fatigue as evidenced by use of accessory muscles. Which part of this statement represents the etiology for this diagnosis?
Respiratory muscle fatigue
Using the table shown, the difference between a nursing diagnosis and a medical diagnosis with regard to orientation is that the nursing diagnosis is oriented to
The individual
Ineffective tissue perfusion related to interruption of venous blood flow secondary to deep vein thrombosis
Nursing diagnosis
Deep vein thrombosis
Medical diagnosis
Potential complication of thrombophlebitis: Pulmonary embolus
Collaborative problem
The student nurse is developing a plan of care for a client. In what order is the diagnostic process accomplished?
Analyze the data;
identify health problems, risks, and strengths;
formulate the diagnostic statement
When analyzing data, the nurse examines:
Functional health patterns
When writing a basic two-part diagnostic statement, the nurse includes:
Problem and etiology
Readiness for enhanced parenting is an example of a:
Wellness diagnosis
When formulating nursing diagnoses, the nurse can be assisted by reviewing the client's:
Functional health patterns
In 1982, NANDA accepted the "nine patterns of unitary man" as an organizing principle. The nurse identifies these patterns as being based on whose models and theories?
Roy and Rogers
In 1997, NANDA changed the name of its journal to emphasize that nursing diagnosis is part of a larger, developing system of standardized nursing language. The nurse identifies this system as including what two classification systems?
Nursing interventions and nursing outcomes
The nurse describes the components of a nursing diagnosis as:
The etiology;
defining characteristics;
the problem and definitions
In order to analyze data using a deductive approach, the nurse used which of the following frameworks?
Functional health patterns
The nurse, working in a clinic, admits a client for a routine annual checkup. The client identifies no current health problems. The nursing diagnosis best used for this client is a(n):
Wellness diagnosis
Taxonomy II (NANDA International, 2005) has three levels that include:
Domains, classes, and nursing diagnoses
When writing a nursing diagnosis, the nurse uses:
Nursing terminology
Nursing diagnosis differs from the medical diagnosis because the nursing diagnosis refers to:
The human response to medical treatment
One of the advantages of using a three-part nursing diagnostic statement such as the problem-etiology-signs/symptoms (PES) format includes:
Standardizes organization of client data
The diagnostic statement most representative of a nursing diagnosis is:
Disturbed sleep pattern
When writing a quality nursing diagnostic statement, it is important for the nurse to:
Use nonjudgmental statements;
word the diagnosis specifically and precisely to provide direction for planning nursing interventions;
be sure that cause and effect are correctly stated (i.e., the etiology causes the problem or puts the client at risk for t