Nursing Diagnosis Practice Flashcards

Flashcards covering the definition, components, types, and clinical applications of nursing diagnoses based on NANDA-I and clinical scenarios.

Nursing Diagnosis

A clinical judgement concerning a human response to health conditions/life processes, or susceptibility to that response, that is recognised in an individual, family or community (NANDA I et al, 2024).

Clinical judgement

A process that draws upon all available data, is informed by an extensive knowledge base, and results in the formation of a clinical conclusion (Connor et al, 2022).

Human responses

People’s experiences with, and responses to, health, illness and life events (Doenges, 2022).

Medical Diagnosis

The medical determination of a disease or syndrome, which focusses on the disease process and the cause of this.

NANDA-International (NANDA-I)

A global organization that collates and publishes nearly 300 recognised nursing diagnoses to standardise terminology and define likely presentations.

Average number of diagnoses (Sanson et al, 2019)

A study of an Italian Oncology unit identified that each patient had an average of $5.7$ diagnoses.

Biological Diagnoses Examples

NANDA-I categories including Ineffective breathing pattern, (Acute/chronic) pain, Risk for infection, Impaired standing ability, and (Excessive/inadequate) fluid volume.

Psychological Diagnoses Examples

NANDA-I categories including Excessive anxiety, Non-suicidal self injurious behaviour, Post-trauma syndrome, and Disrupted body image.

Social Diagnoses Examples

NANDA-I categories including Excessive loneliness, Risk for occupational illness, Decreased self-care ability syndrome, and Risk for other directed violence.

Spiritual Diagnoses Examples

NANDA-I categories including Impaired spiritual wellbeing, Excessive death anxiety, Impaired resilience, and Maladaptive grieving.

Ineffective gas exchange

A nursing diagnosis for a patient who is tachypnoeic and hypoxic.

Hyperthermia

A nursing diagnosis indicated by a raised temperature, suggesting potential underlying infection.

Risk for ineffective airway clearance

A diagnosis related to increased sputum production where the nurse must assess cough effectiveness and consistency.

Risk for self harm and/or suicide

A diagnosis requiring assessment of ongoing risk and mitigation in the care plan, as seen in cases of overdose with intent to end life.

Caregiver role strain

A nursing diagnosis that considers the increased strain on family members or parents and their ability to cope with a patient's condition.

Risk for impaired skin integrity

A diagnosis identifying device-related pressure risks, such as those caused by a cast or use of crutches.

Second stage of the nursing process

The Nursing Diagnosis phase, which follows the assessment stage and defines the problem.

Disadvantages of Nursing Diagnosis

Potential downsides include the patient’s own understanding of the diagnosis and the process becoming ‘too’ systematic.

Mohammed Case Vital Signs

BP $150/85\,mmHg$, HR $110\,bpm$, RR $28\,breaths/min$, $SpO_2\,85\%$ on room air, and Temp $38.5^{\circ}C$.

Sarah Case Background

A 25 year old woman admitted after taking an overdose of $58 \times 500\,mg$ Paracetamol tablets.