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20 Cards in this Set
- Front
- Back
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(def)
a clinical judgement about individual, family, or community responses to actual and potential health problems/life processes. |
Nursing Diagnosis
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(def)
a clinical judgement about an individual, group, or community in transition from a specific level of wellness to a higher level of wellness. |
Wellness nursing diagnosis
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What two cues must be present for an individual or group to have a wellness diagnosis?
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-desire for level of wellness
-effective present status or function |
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Whats the difference between a medical diagnosis and a nursing diagnosis?
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-nursing
describes response to a disease process, or condition changes as the clients response changes -medical describes specific disease remains constant throughout the duration of the illness |
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-anxiety R/T perception about health status
Is this a medical or nursing diagnosis? |
Nursing Diagnosis
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Congestive Heart Failure
Is this an example of a nursing or medical diagnosis? |
Medical
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What are the 4 advantages of using nursing diagnoses?
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1. communication among nurses usinf a standard terminology
2. Promote holistic care (clients database comes from health history and physical exam) 3. gives direction for planning indep. nursing interventions (nursing diagosis should be treated by nursing interventions) 4. promotes professional accountability and autonomy by defining describing the indep. are of nursing practice ( list of nurising diagnosis a nurse can treat) |
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Diagnosis is process that uses two things. What are they?
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-Analysis (seperation into components)
-Synthesis (putting togethter the parts into the whole) |
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What is an example of analysis being used the nursing process?
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-head to toe physical system
-gordons functional health patterns |
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T or F
You need to make inferences about data by comparing data to standards. |
True
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What are some examples that you can compare your data to?
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-normal health patterns
-normal vital signs -laboratory values -growth and development -Erikson's developmental stages |
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(def)
process of determining the relatedness of data and grouping the data. |
Clustering data
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T or F
Clustering data decreases the accuracy of inferences |
False
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The nurse and the client can make what conclusions?
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-no problem exsists
-no problem exsists, but potential problem is present -a problem exsists that the nurse can treat -a problem exsists that the nurse can not treat and must be referred |
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(def)
a description of the client's health problem for which nursing therapy is given |
Diagnostic label
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(def)
these factors identify one or more probable causes of the health problem/diagnostic label, give direction to nursing interventions, and individualized the nursing diagnosis. |
Related factors
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(def)
cluster of signs and symptoms/clinical criteria that support the prezence of the diagnostic category label |
Defining characteristics
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What is the three part statement used for actual diagnosis?
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P-problems or diagnostic label
E-etiology of relaated to factors S-signs and symptoms or defining characteristics |
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What is the two part statement for risk diagnosis?
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P-problems of diagnostic label
E- Etiology of realted to factors |
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(def)
diagosis are ranked in order of importance. |
Importance
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