Card Set Information

2010-09-26 11:08:10

nursing diagnosis
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  1. avoiding and correcting errors
    • identify the client's response not the medical diagnosis
    • identify a NANDA diagnostic statement rather that the symptom
    • identify a treatavle etiology rather than a clinical sign or chronic problem
    • identify the problem caused by the treatment or diagnostic study rather than the treatment or study itself
    • identify the client response to the equipment rather than the equipment itself
    • identify the client's problems rather than your promblems with nursing care
    • identify the client problem rather than the nusrsing intervention
    • identify the clietnt problem rather than the goal
    • make progessional rather than prejudicial judgments
    • avoid legally inadvisable statement
    • identify the problem and etiology to avoid a circular statement
    • identify only one client problem in the diagnostic statement
  2. sources of error
    • data collection
    • interpretation and analysis
    • data clustering
    • diagnostic statement
  3. components of a nursing diagnosis
    • diagnostic label- the label
    • etiology- the causitive factor, not cause and effect, r/t
    • nursing data must support both
  4. types of nursing diagnosis
    • actual
    • risk
    • wellness
  5. diagnostic process
    • analyze and interpret data
    • recognize patterns- clusters and patterns of data often contain defining characteristics
    • compare with normal standards
    • make a reasoned conclusion
    • identify client needs
  6. North American Nursing Diagnosis
    • NANDA
    • purpose is to develop, refine, and promote a taxonomy of nursing diagnostic terminology of general use for the professional nurse
    • established in 1982
  7. collaborative problem
    an actual or potential physiological complication that nurses monitor to detect the onset of changes in a client's status
  8. nursing diagnosis
    a clinical judgment about individual, family or community responses to actual and potential health problems or life processes
  9. medical diagnosis
    the identification of a disease condition based on a specific evaluation of physical signs, symptoms, the client's medical history and the results of diagnostic tests and procedures