Nursing Diagnosis | Nursing Test Banks

Nursing Diagnosis | Nursing Test Banks. After assessing a patient, a nurse develops a standard formal nursing diagnosis. What is the rationale for the nurse’s actions? a. To form a language that can be encoded only by nurses b. To distinguish the nurse’s role from the physician’s role c. To develop clinical judgment based on other’s intuition d. To help nurses focus on the scope of medical practice ANS: B The standard formal nursing diagnosis serves several purposes. Nursing diagnoses distinguish the nurse’s role from that of the physician/health care provider and help nurses focus on the scope of nursing practice (not medical) while fostering the development of nursing knowledge. A nursing diagnosis provides the precise deᴀ 밄 nition that gives all members of the health care team a common language for understanding the patient’s needs. A diagnosis is a clinical judgment based on information. DIF:Understand (comprehension)REF:225 | 227 OBJ: Discuss how a nursing diagnosis guides nursing practice. TOP: Diagnosis 10/15/2016 Chapter 17: Nursing Diagnosis | Nursing Test Banks MSC:Management of Care 2. Which diagnosis will the nurse document in a patient’s care plan that is NANDA-I approved? a. Sore throat b. Acute pain c. Sleep apnea d. Heart failure ANS: B Acute pain is the only NANDA-I approved diagnosis listed. Sleep apnea and heart failure are medical diagnoses, and sore throat is subjective data. DIF:Understand (comprehension)REF:227 | 233 OBJ: Discuss how a nursing diagnosis guides nursing practice. TOP: Diagnosis MSC:Management of Care 3. A nurse develops a nursing diagnostic statement for a patient with a medical diagnosis of pneumonia with chest x-ray results of lower lobe inᴀ 밄 ltrates. Which nursing diagnosis did the nurse write? a. Ineᴀ 洅 ective breathing pattern related to pneumonia b. Risk for infection related to chest x-ray procedure c. Risk for deᴀ 밄 cient ᴀ 밄 uid volume related to dehydration d. Impaired gas exchange related to alveolar-capillary membrane changes.