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20 Cards in this Set
- Front
- Back
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What steps are in Diagnosing?
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-Analyze data
-Identify health problems, risks and strengths -Formulate diagnostic statements |
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WHat are diagnostic labels?
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the standardized NANDAnames for the diagnoses.
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Etiology-
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causal relationship between a problem and its related/risk factors.
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Health promotion diagnosis-
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relates to client's preparedness to implement behaviors to improve their health condition.
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Risk nursing diagnosis-
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clinical judgement that is a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene.
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Wellness diagnosis-
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"describes human responses to levels of wellness in an individual, family, or community"
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What are the 4 types of diagnoses?
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An actual diagnosis, health promotion diagnosis, risk nursing diagnosis, and wellness diagnosis.
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An actual diagnosis-
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a client problem that is present time of nursing assessment. Ex. Ineffective Breathing Pattern or Anxiety.
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What are some "Qualifiers" to the NANDA labels?
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Deficient (inadequate amount, quality, or degree; incomplete.)
Decreased (lesser in size, amount, or degree) Ineffective (not producing the desired effect) Compromised (to make vulnerable to threat) |
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Defining characteristics-
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cluster of signs and symptoms that indicate the presence of a particular diagnostic label.
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Nursing Diagnosis-
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statement of nursing judgement and refers to a condition that nurses, by virtue of their education, experience, expertise, are licensed to treat.
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independent functions-
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areas of health care that are unique to nursing and separate and distinct from medical management
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Dependent functions-
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physician prescribed therapies and statements
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What are the 3 steps to analyzing data?
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1. Compare data against standards (identify significant cues)
2. Cluster the cues (generate tentative hypotheses) 3. Identify gaps and inconsistencies |
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Standard/Norm-
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generally accepted measure, rule, model, or pattern.
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A cue is significant if:
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- Points + or - change in clients health status or pattern
-Varies from norms of the client population Indicates a development delay |
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When does the nurse determine if there's a problem or risk?
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After grouping and clustering the data.
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Basic two-part statement:
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1. Problem (P)- statement of the client's response (NANDA label)
2. Etiology (E)- factors contributing to or probable causes of the responses **for chart look on Koizer pg. 207 |
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Basic three-part statements
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1. Problem (P)- statement of the client's response (NANDA label)
2. Etiology (E)- factors contributing to or probable causes of the responses 3. Signs and symptoms (S)- defining characteristics manifested by the client **for chart look on Koizer pg. 207 |
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Syndrome diagnosis-
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diagnosis associated with a cluster of other diagnoses
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