and CORRECT Answers
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Nursing Diagnosis Is a problem-solving approach to identify and treat clients
Nursing Diagnosis parts -Nursing Diagnosis Label
Concise term or phrase that represents a pattern of related cues
-"related to" phrase or etiology
Realted cause or contributor to the problem: compare with information from
NANDA-I
-Defining characteristics phrase
Symptoms that the nurse identifies in the assessment
Three part nursing diagnosis 1) the Problem
2) Etiology (related cofactors or risk factors)
3) Defining Characteristics
Gulanick and Myers Pg 8
nursing outcomes Measure states, behaviors, or perceptions of individuals, families, or communities
as they relate to nursing and health
How to write measurable outcomes (1) Begin the assessment phase
(2) Analyze the assessment information - Formulate a nursing diagnosis
(3) Begin the planning phase - Write measurable outcomes based on the nursing
diagnosis identified in the assessment
, critical thinking the objective analysis and evaluation of an issue in order to form a judgment.
Look for normal and abnormal findings.
Validate the data with the client.
Writing Outcomes criteria If you are not using the NOC list, outcomes must be:
-Client centered
-Measurable
-Related to a time frame
-attainable
-Realistic
Nursing Interventions use Action Words -Bandaging
-Changing
-Moving
-Observing
-Titrating
-Washing
-Listening
-Questioning
-Teaching
-Comforting/Touching
Nursing Interventions Use Action Verbs and Qualifiers For Example:
Turn the client every 2 hours during the day at 8:00, 10:00, 12:00, 2:00, and so on
and at night when awake.
NOT
Turn the client.
Turn the client every 2 hours
Nursing Interventions -Independent
Autonomous actions that are initiated by the nurse in response to a nursing
diagnosis
OR
-Collaborative
Actions that the nurse performs in collaboration with another health professional
PICOT question P- patient population of interest
I- intervention of interest
C- comparison of interest
O- outcome
T- time
Key Development periods in life Infant: birth to 12 months
Toddler: 12 months to 3 years
Preschool: 3-5 years
School: 5-12 years
Adolescent: 12 -18 years
Young adult: 18-35 years
Middle Adult: 35-65 years
Older people: over 65 years