Author Question: Which concepts should the nurse use when formulating a nursing diagnosis? Note: Credit will be given ... (Read 54 times)

BRWH · **on:** Jul 23, 2018

Which concepts should the nurse use when formulating a nursing diagnosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. Base the nursing diagnosis on the medical diagnosis
2. Focus on what the nurse needs to help the patient return to health
3. Include the patient in the identification of needs
4. Consider the patient's response to the current health problem
5. Be certain the diagnosis is measureable

Question 2

A nurse is preparing care for a newly admitted patient with diabetes. Which information would be critical for the nurse to assess? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. Medical history
2. Current lab results
3. Medication allergies
4. Use of dietary supplements
5. Number of previous hospitalizations

joanwhite · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

3,4
Rationale 1: The nursing diagnosis is not dependent on the medical diagnosis.
Rationale 2: The focus should be on the patient's needs.
Rationale 3: Including the patient in the formulation of nursing diagnoses encourages more active involvement in working toward meeting identified goals.
Rationale 4: A nursing diagnosis is a clinical judgment concerning human response to health conditions.
Rationale 5: Goals and outcomes need to be measureable, not nursing diagnosis.
Global Rationale: A nursing diagnosis is a clinical judgment concerning human response to health conditions and should be patient focused. Including the patient in the formulation of nursing diagnoses encourages more active involvement in working toward meeting identified goals. It is not dependent on the medical diagnosis. Goals and outcomes need to be measureable, not nursing diagnosis.

Answer to Question 2

1,2,3,4
Rationale 1: Medical history may reveal conditions that contraindicate the use of certain drugs.
Rationale 2: Current lab results may reveal important information about the health of organs, such as the kidneys and liver, which would be important to metabolism and excretion of drugs.
Rationale 3: Allergies to one drug may cross over to another drug and would need to be avoided.
Rationale 4: Some dietary supplements can interact with drugs.
Rationale 5: While this is good information, it is not critical to this admission.
Global Rationale: Medical history may reveal conditions that contraindicate the use of certain drugs. Current lab results may reveal important information about the health of organs, such as the kidneys and liver, which would be important to metabolism and excretion of drugs. Allergies to one drug may cross over to another drug and would need to be avoided. Some dietary supplements can interact with drugs. While knowledge about number of previous hospitalization is good to know it is not critical to this admission.