The nurse is providing care to a client. Which nursing diagnoses ...

[jeatrice]

The nurse is providing care to a client. Which nursing diagnoses can the nurse apply when providing client care?
 
  1. Ineffective Breathing Pattern
  2. Risk of Infection
  3. Readiness for Enhanced Nutrition
  4. Readiness for Enhanced Family Coping
  5. Anxiety

Question 2

The nurse wants to propose a new nursing diagnosis. What action should the nurse take first?
 
  1. Using the proposed nursing diagnosis when constructing client care plans
  2. Getting permission for the proposed nursing diagnosis to be implemented by a nursing facility
  3. Submitting the diagnosis to NANDA's Diagnostic Review Committee
  4. Presenting the proposed nursing diagnosis at the local AMA (American Medical Association) meeting.

[Rilsmarie951]

Answer to Question 1

Correct Answer: 1, 5
Rationale 1: An actual diagnosis is a client problem that is present at the time of the nursing assessment. An actual nursing diagnosis is based on the presence of associated signs and symptoms.
Rationale 2: A risk nursing diagnosis is a clinical judgment that a problem does not exist but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene.
Rationale 3: A health promotion diagnosis relates to the client's preparedness for implementing behaviors to improve his or her health condition. These diagnosis labels begin with the phrase readiness for enhanced.
Rationale 4: A wellness diagnosis describes human responses to levels of wellness in an individual, family, or community. These diagnosis labels begin with the phrase readiness for enhanced.
Rationale 5: An actual diagnosis is a client problem that is present at the time of the nursing assessment. An actual nursing diagnosis is based on the presence of associated signs and symptoms.

Answer to Question 2

Rationale 1: This option is inappropriate because only approved nursing diagnoses should be used to direct nursing care.
Rationale 2: This is not the appropriate method for having a new nursing diagnosis included for use.
Rationale 3: This is the recognized procedure for initiating the approval of a new nursing diagnosis.
Rationale 4: This option is inappropriate because nursing diagnoses are not a part of medical care.