Study Guide - Chapter 16

Diagnosing

What is diagnosing/what are the 3 things you identify in diagnosis?

• Pt’s response to current health

• Factors that contribute to their health problems

• Resources + strength that can be used to resolve health problem

What is a nursing diagnosis?

Health problems that can be prevented or resolved via nursing interventions

What is the difference b/w nursing diagnosis, medical diagnosis, and collaborative problems?

Nursing dx - pt problems nurses can treat independently
Medical dx - problems that require physical led treatment
Collaborative problems - uses physician + nursing prescribed interventions

What is NANDA and why is it important for nursing diagnosis?

North American nursing diagnosis association; it standardizes nursing dx language/terminology

Explain the 4 steps of data interpretation and analysis

1 - recognize sig. data

2 - recognize patterns/clusters

3 - identify strengths/problems and potential complications

4 - reach a conclusion

What are the components of a nursing dx?

Problem, etiology, and defining characteristics/risk factors

What are the types of nursing dx? Give examples of each

Problem focused (impaired breathing)

Risk (risk for falls)

Health promotion (readiness for enhanced coping)

What are some errors in creating nursing diagnosis?

Premature diagnosis based on incomplete data

Erroneous diagnoses due to inaccurate database

Errors of omission

Routine diagnoses that are not nuanced and personalized to pt