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| The identification of a disease condition based on a specific evaluation of physical signs, symptoms, the patient's medical history and the results of diagnostic tests and procedures. |
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| Classifies problems within the domain of nursing |
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| A clinical judgment about individual, family, or community responses to actual & potential health problems or life processes that the nurse is licensed and competent to treat. |
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| by having the patients involved, when possible, in the process. |
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| What makes the nursing diagnosis/process unique? |
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| an acutal or potential physiological complication that nurses monitor to detect the onset of changes in a patient's status. |
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| Nurses intervene in collaboration with personnel from other health care disciplines. |
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| What do nurses do when a collaborative problem develops? |
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| North American Nursing Diagnosis Association International |
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| What does NANDA I stand for? |
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| DEFN: Nurses make diagnostic conclusions and therefore, the clinical decisions necessary for safe and effective nursing practice. |
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Purposes of Nursing Diagnostic Statements:
Provides a precise__________ of a patien'ts problem that gives nurses and other members of the health care team common language |
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| other members of the health care team and the public |
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Purposes of Nursing Diagnostic statements:
allows nurses to communicate what they do among themselves, ___________,&____________. |
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purposes of nursing diagnostic statements:
Distinguishes the nurses role from that of the __________ or other health care providers |
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Purposes of Nursing Diagnostic Statements:
Helps nurses focus on the _______ of nursing practice |
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Purposes of Nursing Diagnostic Statements:
Fosters the __________ of nursing knowlede. |
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Purposes of Nursing Diagnostic Statements:
Promotes creation of practice guidelines that reflect the ________ of nursing |
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| identification of a disease conditon based on specific evaluation of signs and symptoms |
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| clinical judgement about the patient in response to an acutal or potential health problem |
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| actual or potential physiological complication that nurses monitor to detect a change in patient status |
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True or False:
Nursing diagnoses were only developed with the last 10 years |
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| When were nursing Diagnoses first introduced? |
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- Pt, family & healthcare resource
- Clarification of inconsistent and unclear information
-Critical thinking guides amd direces line of questioning and examiniation to reveal detailed and relevant data. |
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| What are the steps needed for the assessment of the patient's health status as part of the Nursing diagnostic process? |
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True or False
Always validate data. |
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-Data clustering (classify and organize)
-Look for defining characteristics and related factors
-identify patient needs
-Formualte nursing diagnosis and collaborative problems |
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Definition
| If the assessment data is collected, what are the next setps to take in the nursing diagnostic process? |
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| Assessment, Nursing Diagnosis, Planning, Implementation, Evaluation |
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| what are the phases of the nursing process? |
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| Clinical judgement or a Nursing Diagnosis |
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| The diagnostic reasoning process involves using assessment data you gather about a patient to logically explain a ___________ or a ____________ |
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| Nursing diagnosis and definitions |
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| What are defining characteristics? |
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| A set of signs and symptoms gathered during assessment, grouped together in a logical way |
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| an objective or subjective sign, symptom, or risk factor |
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| What do clinical criterion consist of? |
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| When identifying health problems, it is critical to select the _________________ for the patient's need. |
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| When you complete an asessement and you are considering the patient's information, you should move from _________ to ________ |
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| The general health care problem and the formulation of the nursing diagnosis specific to the problem. |
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| Explain what the problem identification phase in assessment is. |
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| What you think are causing their problems. They are a relationship with the nursing diagnosis |
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| What are related factors and why are they improtant for a nursing diagnosis? |
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-acutal nursing diagnosis
-risk nursing diagnosis
-health promotion nursing diagnosis. |
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| What are the 3 types of Nursing Diagnoses? |
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| which type of nursing diagnosis describes human responses to health conditions or life processes? |
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| which type of nursing diagnosis describes human responses to health conditions or life processes that may develop |
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| Health Promotion Nursing Diagnosis |
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| Which type of nursing diagnosis is a clinical judgement of motiviation, desire, and readiness to enhance well being and actualize human health potential? |
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| Problem, Etiology, and Symptoms |
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Definition
| Describe the PES format used to write a nursing diagnosis. |
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What practices within your cultures are important to you?
Has this affected you and your family? |
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Definition
| when considering a patient's cultural diversity when developing a nursing diagnosis, what types of questions could you ask the patient? |
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| Concept mapping promotes problem solving and critical thinking skill by organizing complex patient data. |
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| How can concept mapping help nurses to develop nursing diagnoses? |
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| Name and discuss the 12 diagnostic guidelines. |
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| your care plan will help communicate the patients health care problems to other professionals and will ensure that you select relevant and appropriate nursing interventions. |
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| How does the development of a good nursing diagnosis relate to care planning? |
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Definition
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is an actual or potential physiological complication that nurses monitor to detect the onset of changes in a patients status. |
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- as hemmorahage, infection, and paralysis using medical, nursing and allied health( ex: physical therapy).
p.224 |
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| Nurses manage collaborative problems such as: |
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- The application of critical thinking ______, and _________ helps you to be thorough, comprehensive and accurate when identifying nursing diagnoses that apply to your patients. |
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| diagnostic reasoning process |
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Definition
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- involves using the assessment data you gather about a patient to logically explain a clinical judgment aka a nursing diagnosis. |
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| Diagnostic reasoning process |
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- flows from the assessment process and includes decision making steps.
Steps: data clustering, identifying patient health problems, and formulating the diagnosis. |
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- patterns of data that contain defining characteristics: the clinical criteria that are observable and verifiable. |
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| Clinical Criterion (used in data clustering) |
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- is an objective or subjective sign, symptom, or risk factor that, when analyzed with other criteria, leads to a diagnostic conclusion. |
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| each NANDA I approved nursing diagnosis |
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- has an identified set of defining characteristics that support identification of a nursing diagnosis. |
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Definition
Step 2 in the diagnostic process:
While analyzing clusters of data, you begin to consider the patients health problems. Your interpretation of the information allows you to select among various diagnoses the ones that apply to your patient. |
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TRUE OR FALSE: Use defining characterisics to narrow down to your nursing diagnosis |
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a condition, historical factor, or etiology that gives a context for the defining characterisitcs and shows a type of relationship with the nursing diagnosis. |
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the nature of the patients health problem. |
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Placing a diagnosis in the context of the patients situation clarifies what?
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so you appropriately individualize care for your patients |
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Critical thinking is necessary in identifiying nursing diagnoses and collaborative problems so you can do what.
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- related factor of a nursing diagnosis is always within the domain of nursing practice and a condition that responds to nursing interventions. |
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