and answers already passed 2025/2026
1. Problem-
Based Nursing The problem-based nursing diagnosis contains three elements:
Diagnosis 1. The diagnostic label is written with a focus on the alteration in
Components: health, rather than the medical diagnosis.
2. The related to statement indicates that the etiology contributes to,
or is associ-ated with, the client's medical diagnosis.
2. Nursing Care 3. The defining characteristics are the objective cues, or symptoms,
Concept Map on which the nursing diagnosis is based.
and the
Nursing Assessment:
Process:
Identify client's signs, symptoms, and lab values to determine nursing care
needs (independent and dependent).
Diagnosis:
Identify a problem, risk, or health promotion need.
Planning:
Set client outcomes (measurable changes) needed to reach a goal.
Intervention:
Administer medications and perform other care actions.
Evaluation:
Assess the client's response to interventions, including medication side
3. About ettects.
Nursing
Diagnoses:
Diagnosis Step:
,-After collecting data, the
nurse uses clinical
judgment to analyze cues
and deter-
, NR226- Funds: Patient Care- Week 1: Clinical Judgment
mine the client's highest priority care needs.
Types of Nursing Diagnoses:
-Actual Problems:
--3-part statement
Potential Problems (Risk for):
-2-part statement
Health Promotion:
-1-part statement
Categories:
-Actual Problems: Address current health issues.
-Potential Problems: Focus on risks for future issues.
-Health Promotion: Highlight opportunities for enhanced wellness.
4. Problem- Three-Part Nursing Diagnosis Statement:
Based -P - Problem: Diagnostic label (NANDA-I label) focusing on the alteration in
Diagnoses
(PES Format): health.
-E - Etiology: Related to statement indicating contributing factors.
-S - Symptoms: Defining characteristics or objective cues.
Examples:
-Example 1:
--Diagnosis: Impaired physical mobility
--Related To: Decreased muscle control
--As Evidenced By: Inability to control the lower extremities
-Example 2:
--Diagnosis: Acute pain
--Related To: Tissue ischemia
--As Evidenced By: Client's statement, "I feel severe pain in my chest!"