Fundamentals Chapter 17 Nursing diagnosis

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The 4 types of nursing diagnoses
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Actual, Risk, Health promotion, Wellness
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Actual nursing diagnosis
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describes human response to health conditions or life processes that exist in an individual, family or community. Defining characteristics that cluster!
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Risk nursing diagnosis
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describes possible risk factors that may develop in a vulnerable patient
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Health promotion nursing diagnosis
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a clinical judgment of the clients motivation and desire to increase well being as expressed in their readiness to enhance their health-DOES NOT REQUIRE ANY CURRENT LEVELS OF WELLNESS
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Wellness nursing diagnosis
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a clinical judgment about an individual in transition from a specific level of wellness to a HIGHER LEVEL of wellness – used to achieve OPTIMAL levels of wellness
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What would make you chose “deficient knowledge” over “readiness for enhanced knowledge” when defining a clients diagnosis?
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If the client has no previous knowledge – Deficient knowledge. If the client is unsure or just doesnt have enough info – Readiness for enhanced knowledge
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defining characteristics
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clusters and patterns, clinical criteria or assessment findings that support a diagnosis
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clinical criteria
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objective or subjective signs and symptoms, clusters of signs or symptoms, or risk factors that lead to a diagnostic conclusion
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Nursing diagnostic errors occur by errors in:
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data collection, interpretation and analysis of data, clustering of data, or in the diagnostic statement.
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This improves communication between nurses and other HCP’s
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Nursing diagnosis
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This assists you in individualizing a clients nursing diagnosis and provides direction for your selection ofappropriate interventions
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The “related to” factor
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A nursing diagnosis is written in a two-part format, including:
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diagnostic label and a etiologic or related factor
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NANDA has developed a
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common language for all nurses and HCP’s
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What is the primary purpose of a nursing diagnosis?
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To recognize the patients response to an illness or situation based on the nurses observation
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clinical judgment describes
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actual or potential response to a health problem
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NANDA uses standard formal nursing diagnostic statements to:
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Provide common language. Increase communication. Distinguish nursing from medicine. Encourage development of nursing knowledge and research.
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Diagnostic reasoning
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A process using assessment data to create a nursing diagnosis.

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