NR 226 Exam #1 Study Guide: The Nursing Process (Ch. 16–21) – Assessment, Diagnosis,
Planning, Implementation, Evaluation & Managing Patient Care
medical diagnosis - correct answer ✔✔identification of a disease condition based on a specific
evaluation of physical S/S, PT's medical history, and the results of diagnostic tests and
procedures, cannot be treated by nurses
nursing diagnosis - correct answer ✔✔clinical judgment made by a nurse to describe a patient's
response or vulnerability to health conditions or life events that a nurse is licensed and
competent to treat, diagnostic label that classifies an individual's, family's, or community's
response to illness
collaborative problems - correct answer ✔✔problem that requires both medicine and nursing
interventions to treat, examples: seizures, bleeding
NANDA-I - correct answer ✔✔provides standard, formal diagnostic statements (definitions,
defining characteristics, and related/risk factors)
Nursing Intervention Classification (NIC) - correct answer ✔✔a comprehensive, research-based,
standardized classification of multidisciplinary interventions and associated activities
Nursing Outcome Classification (NOC) - correct answer ✔✔system of organizing desired patient
outcomes according to categories, classes, labels, outcome indicators, and measurement
activities for outcomes. links outcomes to NANDA-I nursing diagnoses, standardized way of
determining if nursing interventions are successfulnur
International Classification for Nursing Practice (ICNP) - correct answer ✔✔standard
terminology system for nursing diagnoses used around the world, includes 7 axes with
definitions (focus, judgment, client, action, means, location, and time). diagnoses are
categorized as positive or negative with associated outcomes
, risk diagnosis - correct answer ✔✔type of diagnosis when there is an increased potential or
vulnerability for a patient to develop a problem or complication. statement has two parts:
diagnostic label and associated risk factors preceded by the phrase "as evidenced by"
problem-focused diagnosis - correct answer ✔✔type of diagnosis when there is an identified
undesirable human response to existing problems or concerns of a patient. statement has three
parts: diagnostic label, related factors, and major defining characteristics
health promotion diagnosis - correct answer ✔✔type of diagnosis where there is an identified
desire or motivation to improve health status through a positive behavioral change. statements
have two parts: diagnostic label and defining characteristics/assessment findings
data clusters - correct answer ✔✔group of data elements, the signs or symptoms gathered
during assessment
data elements - correct answer ✔✔objective or subjective signs, symptoms, or risk factors that
leads you into making a diagnostic conclusion, offer cues to a type of health problem
diagnostic label - correct answer ✔✔component of a nursing diagnosis that names the nursing
diagnosis (approved by NANDA-I, ICNP, or another system)
related factors - correct answer ✔✔components of a nursing diagnosis that identify the
patient's response to a health problem as related to a set of conditions that caused/influenced
the response (etiologies, circumstances, facts, etc.), can be pathophysiological, treatment-
related, situational, or maturational
planning - correct answer ✔✔process of identifying a problem and making or carrying out a
plan of action that is goal oriented, involves setting priorities and identifying PT-centered goals
and expected outcomes, as well as prescribing nursing interventions appropriate for each
nursing diagnosis
Planning, Implementation, Evaluation & Managing Patient Care
medical diagnosis - correct answer ✔✔identification of a disease condition based on a specific
evaluation of physical S/S, PT's medical history, and the results of diagnostic tests and
procedures, cannot be treated by nurses
nursing diagnosis - correct answer ✔✔clinical judgment made by a nurse to describe a patient's
response or vulnerability to health conditions or life events that a nurse is licensed and
competent to treat, diagnostic label that classifies an individual's, family's, or community's
response to illness
collaborative problems - correct answer ✔✔problem that requires both medicine and nursing
interventions to treat, examples: seizures, bleeding
NANDA-I - correct answer ✔✔provides standard, formal diagnostic statements (definitions,
defining characteristics, and related/risk factors)
Nursing Intervention Classification (NIC) - correct answer ✔✔a comprehensive, research-based,
standardized classification of multidisciplinary interventions and associated activities
Nursing Outcome Classification (NOC) - correct answer ✔✔system of organizing desired patient
outcomes according to categories, classes, labels, outcome indicators, and measurement
activities for outcomes. links outcomes to NANDA-I nursing diagnoses, standardized way of
determining if nursing interventions are successfulnur
International Classification for Nursing Practice (ICNP) - correct answer ✔✔standard
terminology system for nursing diagnoses used around the world, includes 7 axes with
definitions (focus, judgment, client, action, means, location, and time). diagnoses are
categorized as positive or negative with associated outcomes
, risk diagnosis - correct answer ✔✔type of diagnosis when there is an increased potential or
vulnerability for a patient to develop a problem or complication. statement has two parts:
diagnostic label and associated risk factors preceded by the phrase "as evidenced by"
problem-focused diagnosis - correct answer ✔✔type of diagnosis when there is an identified
undesirable human response to existing problems or concerns of a patient. statement has three
parts: diagnostic label, related factors, and major defining characteristics
health promotion diagnosis - correct answer ✔✔type of diagnosis where there is an identified
desire or motivation to improve health status through a positive behavioral change. statements
have two parts: diagnostic label and defining characteristics/assessment findings
data clusters - correct answer ✔✔group of data elements, the signs or symptoms gathered
during assessment
data elements - correct answer ✔✔objective or subjective signs, symptoms, or risk factors that
leads you into making a diagnostic conclusion, offer cues to a type of health problem
diagnostic label - correct answer ✔✔component of a nursing diagnosis that names the nursing
diagnosis (approved by NANDA-I, ICNP, or another system)
related factors - correct answer ✔✔components of a nursing diagnosis that identify the
patient's response to a health problem as related to a set of conditions that caused/influenced
the response (etiologies, circumstances, facts, etc.), can be pathophysiological, treatment-
related, situational, or maturational
planning - correct answer ✔✔process of identifying a problem and making or carrying out a
plan of action that is goal oriented, involves setting priorities and identifying PT-centered goals
and expected outcomes, as well as prescribing nursing interventions appropriate for each
nursing diagnosis
