Author Question: The nurse is reviewing assessment data collected for a client's care plan. What criteria should the ... (Read 82 times)

KWilfred · **on:** Jul 23, 2018

The nurse is reviewing assessment data collected for a client's care plan. What criteria should the nurse use when formulating this client's nursing diagnoses?

1. Nonjudgmental statements
2. Stated in terms of a need
3. Must be legally advisable
4. Cause/effect correctly stated
5. Medical terminology used to describe the cause
6. Diagnosis worded specifically and precisely

Question 2

The nurse is using the Taxonomy II nursing diagnoses system. What axes should the nurse realize are coded within this system?

1. Gordon's health pattern groupings
2. Age
3. Time
4. Health status
5. Gender
6. Location

rleezy04 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,3,4,6
Rationale 1: This option reflects an accepted guideline for formulating nursing diagnoses.
Rationale 2: A nursing diagnosis statement must be stated in terms of a problem, not a need.
Rationale 3: This option reflects an accepted guideline for formulating nursing diagnoses.
Rationale 4: This option reflects an accepted guideline for formulating nursing diagnoses.
Rationale 5: Nursing terminology rather than medical terminology is used to describe the client's response and the probable cause of the client's response.
Rationale 6: This option reflects an accepted guideline for formulating nursing diagnoses.

Answer to Question 2

Correct Answer: 2, 3, 4, 6
Rationale 1: The diagnoses are no longer grouped by Gordon's patterns.
Rationale 2: The Taxonomy II system codes diagnoses according to seven axes that include age.
Rationale 3: The Taxonomy II system codes diagnoses according to seven axes that include time.
Rationale 4: The Taxonomy II system codes diagnoses according to seven axes that include health status.
Rationale 5: Gender is not an axis upon which diagnoses are coded.
Rationale 6: The Taxonomy II system codes diagnoses according to seven axes that includes location.