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11 Cards in this Set

  • Front
  • Back

Actual Nursing Diagnosis

identify the existing problems or concerns of a patient, describe the response of a patient to a current need, problem, or life process

Clustering

involves organizing patient assessment data into groups with similar underlying causes

Defining Characteristics

cues or clusters of related assessment data that are signs, symptoms, or indications of an actual or health-promotion nursing diagnosis

Nursing diagnosis methodology

The second step of the nursing process. When deciding on an accurate nursing diagnosis for a patient, the nurse makes clinical judgments about a patient's experiences and responses to identified problems or life events expressed during the data collection process

parts of the Actual Nursing Diagnosis

1. diagnosis label


2. related factors


3. defining characteristics

parts of the Risk Nursing Diagnosis

1. Diagnosis label


2. Risk Factors

Health - Promotion Diagnosis parts

1. Diagnosis label


2. Defining characteristics

Risk Nursing diagnosis

Identify specific potential problems in individuals vulnerable to developing complications due to their current disease state or life experience



Health promotion nursing diagnosis

clinical judgments based on the expressed desire of patients, family members, or groups for change

Steps for identifying Nursing Diagnosis

1. Careful analysis and clustering of patient data


2. verification of the specific nursing diagnosis for use with each individual patient

Accurate Nursing Diagnosis

Provides a framework on which nurses provide care to patients in an organized and effective manner. Accurate nursing diagnoses promotes positive patient outcomes, quality patient care, and patient satisfaction