Which of the following nursing diagnosis statements, using the ...

[mckennatimberlake]

Which of the following nursing diagnosis statements, using the three-part format (PES), are correct? Select all that apply.
 
  a. Chronic pain related to osteoarthritis AMB rates pain at 8 on a 0 to 10 pain scale and has difficulty with ambulation.
  b. Ineffective airway clearance related to excessive mucus AMB cough, shortness of breath, change in respiratory rate and rhythm
  c. Caregiver role strain related to increasing care needs AMB wife states, He is just getting too heavy for me to lift
  d. Anxiety (moderate) related to cardiac catheterization AMB crying and yelling at family members

Question 2

The nurse educator in the local hospital is developing a plan to implement research into nursing care practices. What are some of the barriers she may encounter in this implementation process? Select all that apply.
 
  a. Not enough nursing research has been published.
  b. There is a negative attitude toward research.
  c. There is a lack of support from the employing hospital.
  d. Most nursing research is not relevant to hospital practice.

[Mochi]

Answer to Question 1

B, C
The ineffective airway clearance and caregiver role strain statements contain all components of a correctly written nursing diagnosis statement. The problems are stated in correct NANDA-I format and reflect a patient response to a health problem. The connecting related to statements reflect etiologies that cause or contribute to the health problem and can direct nursing interventions. The AMBs reflect signs and symptoms that have validated the patient response to the health problem.
The statement beginning with Chronic pain contains an etiology that is a medical diagnosis and cannot be used by the nurse to act on independently. The anxiety statement contains an etiology that describes a diagnostic procedure and cannot be independently acted on by a nurse.

Answer to Question 2

B, C
Barriers to using nursing research include a lack of knowledge of nursing research, negative attitudes toward research, inadequate forums for disseminating research, lack of support from the employing institutions, and study findings that are not ready for the clinical environment. There is an abundance of nursing research and evidence-based nursing research providing sound evidence on which to base nursing care. Many times, this is in the form of clinical practice guidelines.