Sunday, May 26, 2019
Nursing Diagnosis Essay
resoluteness Key Review Questions and Rationales1. decide P, acute pain E, link to incisional trauma S, evidenced by pain reported at 7, with guarding, and curtail turning and positioning. The PES format stands for P (problem), E (etiology or tie in factor), and S (symptoms or defining characteristics).2. execute 1, 4.Answer 1 is stated correctly, with the related factor being the perseverings response to a health problem. Answer 4, risk for infection, is a risk factor for an at-risk diagnosis. In all cases the related factor or risk factor is a condition for which the nurse force out implement preventive measures. Answer 2 is incorrect since chronic emphysema is a medical diagnosis. Answer 3 is not a NANDA-I sanction nursing diagnosis.3. Answer 3.In the review of data, the nurse compares defining characteristics for the two nursing diagnoses and selects one based on the interpretation of data. Making a diagnostic statement is incorrect because the nurse has not included a related factor. fill moreHow to write a diagnostic essay.4. Answer 3.A patients readiness for enhanced communication is an example of a health-promotion diagnosis because it implies the patients motivation and desire to strengthen his health.5. Answer 3, 4.In swear out 3 the nurse fails to validate her assessment findings of edema, either by using a scale to measure the severity or by asking a colleague to validate her findings. In answer 4 the nurse prematurely closes clustering, which can lead to an in straight diagnosis. In answer 1 the nurse validatesfindings to make an accurate diagnosis. In answer 2 the nurse interprets cue clusters to make an accurate diagnosis.6. Answer 4.In this example intestinal colitis is a medical diagnosis and thus an incorrect diagnostic statement.7. Answer 2, 3, 4, 1.8. Answer 1 a, 2 b and d, 3 e, 4 c.Choice a is an example of lack of skill, an error in collecting data. Choice b is an example of using an poor number of cues, an error in interpret ation. Choice c is an example of not accurately identifying the problem, a labeling error. Choice d is an example of not incorporating cultural info into the diagnostic process, an error in interpretation. Choice e is an example of incorrect clustering, a clustering error.9. Answer 1, 2, 4.Diagnosis 1 uses a medical diagnosis as a related factor. Diagnosis 2 uses a clinical sign rather than a treatable etiology such as excess echo in environment. Diagnosis 4 uses a diagnostic study as the etiology. None of the etiologies can be managed or treated by nursing intervention.10. Answer 2, 4, 5.The presence of abdominal pain, distention, and a change in bowel elimination pattern forms a cluster, suggesting an elimination problem.11. Answer The best way to understand the answer to this question is to have a list of NANDA-I nursing diagnoses and their defining characteristics. For example, the nursing diagnosis of constipation is a possible choice. Examples of additional defining characte ristics for which the nurse power assess include checking the quality of bowel sounds, palpating the abdomen for a possible mass, observing the character of any stool that is passed, asking the patient if she is passing flatus.12. Answer 2, 3, 5.Pacing, getting lost, and hyperactivity are a cluster of defining characteristics that point to the diagnostic label of wandering.13. Answer 2, 3.Hemorrhage and wound infection are collaborative problems, true or potential physiological complications. Nurses typically monitor for these to detect changes in a patients status. Nausea and fear are both NANDA-I approved nursing diagnoses.14. Answer 3.Answer 3 is an accurate NANDA-I approved nursing diagnosis with an appropriate etiology. Answer 1 is a goal with an etiologic factor. Answer 2 is a goal with a diagnostic statement. Answer 4 is a nursing diagnostic label with a clinical sign.15. Answer 1.A risk diagnosis does not have defining characteristics, but instead risk factors. Risk factors are the environmental, physiological, psychological, genetic, or chemical elements that place a soul at risk for a health problem.