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16 Cards in this Set
- Front
- Back
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The purpose of the North American Nursing Diagnosis Association
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is to define, refine, and promote a taxonomy of nursing diagnostic terminology.
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Diagnosis is
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a reasoning process that uses critical thinking.
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Professional standards of care hold that
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registered nurses are responsible for making nursing diagnoses, even though others may contribute data or implement care.
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A nursing diagnosis is a
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clinical judgment about the client’s responses to actual and potential health problems or life processes.
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A nursing diagnosis provides the basis for
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selecting independent nursing interventions to achieve outcomes for which the nurse is accountable.
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There are various types of nursing diagnoses:
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actual, risk, wellness, possible, and syndrome.
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A nursing diagnosis has three components:
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the problem (and its definition), the etiology, and the defining characteristics. Each component serves a specific purpose.
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Nursing diagnoses differ from
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medical diagnoses and collaborative problems in orientation, duration, and nursing focus.
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A collaborative problem is a
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type of potential problem that nurses manage using both independent and physician-prescribed interventions.
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he three phases of the diagnostic process are
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data analysis; identification of the client’s health problems, health risks, and strengths; and formulation of diagnostic statements.
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In data analysis and processing
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the nurse compares data against standards to identify significant cues, clusters the data, and identifies gaps and inconsistencies.
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Significant cues are those that
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(a) point to change in a client’s health status or pattern, (b) vary from norms of the client population, or (c) indicate a developmental delay.
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It is important to identify
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client strengths as well as problems.
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The basic format for a nursing diagnostic statement is
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“Problem relatedtoetiology.”However, there are several variations on this format.
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The development of a taxonomy of nursing diagnosis labels
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an ongoing process.
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he organizing principles for the NANDA Taxonomy II are the seven axes:
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diagnostic concept, time, unit of care, age, potentiality, descriptor, and topology.
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