nursing diagnosis - Answers actual or potential health problem that an independent nursing
intervention can prevent or resolve. Actual problem is present. Possible problem may be present, but
more data is needed to confirm or disconfirm the problem. Potential problem may occur; defining
characteristics are present as risk factors.
o Describes patient problems that nurses can treat independently
o Written to describe patient problems or issues that nurses can treat independently, such as activity,
pain and comfort, and tissue integrity and perfusion problems
o Focuses on unhealthy responses to health and illness
o May change from day to day as the patient's responses change
medical diagnosis - Answers statement about a specific disease process using terminology from a
well-developed classification system accepted by the medical profession
o Describes problems for which the physician directs the primary treatment (identifies disease)
o Remains the same for as long as the disease is present
collaborative problem - Answers actual or potential health problem that may occur from
complications of disease, diagnostic studies, or the treatment regimen; the nurse works together with
other membrers of the health care team toward its resolution
o Managed by using physician-prescribed and nursing-prescribed interventions
o Involve potential complications, so they must be identified early so that preventive nursing care can
be instituted early
potential complications - Answers patients may experience many ___________________ related to
their diagnoses, medications or treatment regimens, or invasive diagnostic studies
potential complications - Answers You can more easily prevent ___________________ or at least
make sure they are detected early and managed well if you research those associated with your
patient's diagnoses, diagnostics, and treatment, and if you report all abnormal data
no problem - Answers Which of the four basic conclusions do these characteristics describe?
No nursing response is indicated
Reinforce the patient's health habits and patterns
Initiate health-promotion activities to prevent disease or illness or to promote a higher level of
wellness
Wellness diagnosis might be indicated
possible problem - Answers Which of the four basic conclusions do these characteristics describe?
Collect more data to confirm or disprove a suspected problem
actual or Potential nursing diagnosis - Answers Which of the four basic conclusions do these
characteristics describe?
Begin planning, implementing, and evaluating care to prevent, reduce, or solve the problem
clinical problem other than nursing diagnosis - Answers Which of the four basic conclusions do these
characteristics describe?
Consult with the appropriate health care professional
Refer to medical or other serives, as indicated
reaching conclusions - Answers A nurse decides that a patient has a possible problem with high blood
pressure. This would most likely be determined during which step of data interpretation?
actual - Answers What type of nursing diagnosis is this?: problems validated by the presence of major
defining characteristics and possessing four components: label, definition, defining characteristics,
and related factor
risk - Answers What type of nursing diagnosis is this?: clinical judgments that an individual, family, or
community is more vulnerable to develop the problem than others in the same or similar situation
possible - Answers What type of nursing diagnosis is this?: statements describing a suspected
problem for which additional data are needed to confirm or rule out the suspected problem
wellness - Answers What type of nursing diagnosis is this?: clinical judgment about an individual,
family, or community in transition from a specific level of wellness to a higher level of wellness
syndrome - Answers What type of nursing diagnosis is this?: cluster of actual or risk nursing
diagnoses that are predicted to be present because of a certain event or situation (ex: rape or trauma)
potential, because we don't have the cause - Answers The nursing diagnosis "Risk for Imbalanced
Nutrition: Less than body requirements" is an example of which type of nursing diagnosis and why?