Which of the following statements regarding nursing diagnoses is accurate
Nursing Diagnosis ExamplesHow to write a nursing diagnosis Show
Nursing diagnosis is a clinical judgment about a person’s, families, groups, or community response to health conditions/life processes or vulnerability to that response. A nursing diagnosis serves as the foundation for deciding which nursing actions to use in order to accomplish outcomes for which the nurse is responsible. Nursing diagnoses are made based on the information gathered during the nursing assessment and allow the nurse to create a care plan. The development and implementation of a nursing diagnosis help nurses determine the best course of treatment for their patients. Nursing diagnoses are created after thoughtful consideration of a patient’s physical assessment. They can be used to track the patient’s care plan’s progress and influence the possible intervention for the patient, family, and community. Some nurses may regard nursing diagnoses as archaic and time-consuming. It is, nevertheless, an essential tool for promoting patient safety through the use of evidence-based nursing research. Purpose of Nursing DiagnosisAccording to NANDA International, a nursing diagnosis is “a judgment based on a comprehensive nursing evaluation.” It is based on the patient’s current status and health assessment, allowing nurses and other healthcare providers to see a patient holistically. The following are the purposes of nursing diagnosis:
History of Nursing DiagnosisNANDA–International, formerly known as the North American Nursing Diagnosis Association (NANDA), is the leading organization for defining, disseminating, and integrating standardized nursing diagnoses worldwide. In the 1950s, the term “nursing diagnosis” was first used in nursing literature. Kristine Gebbie and Mary Ann Lavin, both of Saint Louis University, saw the need to define the role of nurses in ambulatory care settings. The first national meeting of the NANDA was convened in 1973 to identify, create, and classify nursing diagnoses formally. National conferences were held in 1975, 1980, and every two years after that. In 1982, the association adopted the name North American Nursing Diagnosis Association (NANDA) to acknowledge the involvement of nurses from the United States and Canada. NANDA was renamed NANDA International (NANDA-I) in 2002 due to its significant membership growth outside of North America. Because of its prominence, the acronym NANDA was retained in the name. Each biennial conference continues to review, develop, and investigate diagnostic labels, with new and updated labels being considered. Nurses can submit diagnoses to the Diagnostic Review Committee for review. The NANDA-I board of directors gives final approval for the diagnosis to be added to the official label list. NANDA-I approved 267 diagnoses for clinical use, testing, and refining as of 2021 According to its website, NANDA international’s mission is as follows:
The Evolution of Nursing Diagnosis
Classification of Nursing Diagnoses or Taxonomy IIHow are nursing diagnoses organized, categorized, and listed? Taxonomy II, based on Dr. Mary Joy Gordon’s Functional Health Patterns assessment framework, was accepted in 2002. Domains, Classes, and nursing diagnoses are the three levels of Taxonomy II. Nursing diagnoses are now coded according to seven axes: diagnostic concept, time, unit of care, age, health status, descriptor, and topology, rather than Gordon’s patterns. Furthermore, diagnoses are now listed alphabetically by concept rather than by the first word. Types of Nursing DiagnosisThere are four categories of Nursing diagnoses provided by NANDA-I system: 1. Problem-Focused Nursing DiagnosisA client problem that exists at the time of the nursing assessment is referred to as a problem-focused diagnosis (also known as actual diagnosis). The presence of associated signs and symptoms is used to make these diagnoses. Actual nursing diagnoses should not be viewed as more important than risk diagnoses. A risk diagnosis can be the highest priority for a patient in many situations. There are three parts to problem-focused nursing diagnoses: (1) nursing diagnosis, (2) related factors, and (3) defining characteristics. Examples of actual nursing diagnoses are the following:
2. Risk Nursing DiagnosisA risk nursing diagnosis is the second category of nursing diagnosis. Although these are clinical judgments that a problem does not exist, the presence of risk indicators implies that unless nurses intervene, a problem will arise. Risk diagnoses have no etiological variables or related factors. Because of risk factors, the individual or group is more likely to acquire the condition than others in the same or comparable situation. For example, if an older patient with diabetes and vertigo has difficulties walking and refuses to ask for help, the patient may be classified with Risk for Injury. A risk nursing diagnosis consists of two parts: (1) a risk diagnostic label and (2) risk factors. The following are some examples of risk nursing diagnoses:
3. Health Promotion DiagnosisA clinical judgment concerning motivation and desire to improve well-being is known as a health promotion diagnosis, also known as wellness diagnosis. The transition of an individual, family, or community from a certain level of wellness to a higher level of wellness is the focus of health promotion diagnosis. The diagnostic label or a one-part statement is usually the only component of a health promotion diagnosis. The following are some examples of health promotion diagnoses:
4. Syndrome DiagnosisA syndrome diagnosis is a clinical decision made in response to a cluster of problems or risk nursing diagnoses that are expected to manifest due to a certain condition or incident. Syndrome diagnoses are also written as a one-part statement requiring only the diagnostic label. The following are some examples of syndrome nursing diagnoses:
Possible Nursing DiagnosisActual, danger, health promotion, and syndrome are all types of nursing diagnoses, but a possible nursing diagnosis is not one of them. Possible nursing diagnoses are statements that describe a suspected condition that requires additional information to confirm or rule out. It allows the nurse to inform other nurses that a condition may be present, but that additional data collection is needed to rule out or confirm the diagnosis. Here are several examples:
Components of Nursing DiagnosisA nursing diagnosis usually consists of three parts: (1) the problem and its definition, (2) the etiology, and (3) the defining characteristics or risk factors (for risk diagnosis).
The problem statement, also known as the diagnostic label, is a brief description of the client’s health problem or response for which nursing care is provided. A diagnostic label normally consists of two parts: a qualifier and the focus of the diagnosis. Qualifiers (also known as modifiers) are words added to some diagnostic labels to give additional meaning, limit, or specify the diagnostic statement. One-word nursing diagnoses (e.g., Anxiety, Constipation, Diarrhea, Nausea, etc.) are exempt from this rule because their qualifier and focus are inherent in the one term. Examples:
The etiology, or related factors, component of a nursing diagnosis label identifies one or more probable causes of the health problem, the conditions involved in the problem’s development directs the required nursing therapy, and allows the nurse to personalize the patient’s care. In order to eliminate the underlying cause of the nursing diagnosis, nursing interventions should be directed at etiological factors. With the term “related to,” etiology is linked to the problem statement, such as
For risk nursing diagnosis, risk factors are used instead of etiological factors. Risk factors are forces that put an individual (or group) at an increased vulnerability to an unhealthy condition. Risk factors are normally written before the phrase “as evidenced by” in the diagnostic statement.
The clusters of signs and symptoms that indicate the presence of a specific diagnostic label are known as defining characteristics. The identified signs and symptoms of the patient are the defining characteristics in actual nursing diagnoses. Because no signs or symptoms are apparent in a risk nursing diagnosis, the factors that make the client more susceptible to the problem create the etiology of the problem. Defining characteristics are written following the phrase “as evidenced by” or “as manifested by” in the diagnostic statement. Diagnostic Process: How to DiagnoseThe diagnostic process is divided into three phases: (1) data analysis, (2) identification of the client’s health problems, risks, and strengths, and (3) formulation of diagnostic statements.
Comparing patient data to standards, clustering cues, and identifying gaps and inconsistencies are all part of analyzing data.
Following data analysis, the nurse and the client identify problems that support tentative actual, risk, and possible diagnoses in this decision-making process. It entails identifying whether a problem is a nursing diagnosis, a medical diagnostic, or a collaborative problem. This is also the stage in which the nurse and the client determine the client’s strengths, resources, and coping abilities.
The last part of the diagnostic process is the formulation of diagnostic statements, in which the nurse develops a diagnostic statement through a process. The process is listed below, How to Write a Nursing DiagnosisWhen writing nursing diagnostic statements, describe an individual’s health status and the factors that have contributed to that status. It is not necessary to provide all diagnostic indicators. The format of diagnostic statements varies depending on the type of nursing diagnosis.
The PES format, which stands for Problem (diagnostic label), Etiology (related factors), and Signs/Symptoms (defining characteristics), is another approach to writing nursing diagnostic statements. Diagnostic statements in the PES format might be one-part, two-part, or three-part statements.
Variations on Basic Statement FormatsVariations in writing basic nursing diagnosis statement formats include the following:
Example: Risk for Decreased Cardiac Output related to reduced preload secondary to myocardial infarction
Example: Chronic Imbalanced Nutrition: Less than body requirements related to complex factors.
Examples: Ineffective Coping related to unknown etiology Situational Low Self Esteem related to unknown etiology
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Access all of our Nursing Diagnosis here or just type watch you are looking for in the search bar.Nursing ReferencesAckley, B. J., Ladwig, G. B., Makic, M. B., Martinez-Kratz, M. R., & Zanotti, M. (2020). Nursing diagnoses handbook: An evidence-based guide to planning care. St. Louis, MO: Elsevier. Buy on Amazon Gulanick, M., & Myers, J. L. (2022). Nursing care plans: Diagnoses, interventions, & outcomes. St. Louis, MO: Elsevier. Buy on Amazon Ignatavicius, D. D., Workman, M. L., Rebar, C. R., & Heimgartner, N. M. (2018). Medical-surgical nursing: Concepts for interprofessional collaborative care. St. Louis, MO: Elsevier. Buy on Amazon Silvestri, L. A. (2020). Saunders comprehensive review for the NCLEX-RN examination. St. Louis, MO: Elsevier. Buy on Amazon Disclaimer:Please follow your facilities guidelines, policies, and procedures. The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. This information is intended to be nursing education and should not be used as a substitute for professional diagnosis and treatment. Which statement is true about a nursing diagnosis?Which statement is true about a nursing diagnosis? The nursing diagnosis relates the client's status.
Which of the following statements is the meaning nursing diagnosis?According to NANDA-I, the official definition of the nursing diagnosis is: “Nursing diagnosis is a clinical judgment about individual, family, or community responses to actual or potential health problems/life processes.
Which statement best describes the purpose of nursing diagnosis?The purpose of a nursing diagnosis is to focus on the human responses of the individual, family, or community to identified problems or conditions, including life processes. The purpose of medical diagnosis is to center on disease and pathology.
Which of the following is an actual or potential health problem that can be prevented or resolved by an independent nursing intervention quizlet?Nursing diagnoses are actual or potential health problems that can be prevented or resolved by independent nursing interventions, such as impaired gas exchange, ineffective airway clearance, or risk for septic shock.
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