Author Question: The nurse has formulated the following diagnosis: Activity intolerance, related to weakness and ... (Read 221 times)

Beheh · **on:** Jul 23, 2018

The nurse has formulated the following diagnosis: Activity intolerance, related to weakness and debilitation, manifested by reports of fatigue after any physical activity. What is the defining characteristic of this label?

1. Activity intolerance
2. Weakness and debilitation
3. Reports of fatigue
4. Physical activity

Question 2

After communicating with the client and family, the nurse compares a client's problem list with identified nursing diagnoses. What action is the nurse performing to minimize diagnostic errors?

1. Understanding what is normal vs. what is not normal
2. Verifying
3. Consulting resources
4. Basing diagnoses on patterns

frankwu0507 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Activity intolerance is the NANDA label and identifies the problem, but reports of fatigue is the defining characteristic.
Rationale 2: Weakness and debilitation are the etiology (underlying cause), but reports of fatigue is the defining characteristic.
Rationale 3: The defining characteristics are those reports given by the client, or the signs and symptoms.
Rationale 4: Physical activity is what brings on the reports of the defining characteristic, but reports of fatigue is the defining characteristic.

Answer to Question 2

Correct Answer: 2
Rationale 1: Nurses must apply knowledge from various areas to recognize cues and patterns to understand what is normal and not normal. This comes from principles of chemistry, anatomy, and pharmacologynot the client or the family.
Rationale 2: The nurse, while taking the information and collecting data, begins to hypothesize possible explanations of the data and then realizes all diagnoses are only tentative until they are verified. The client and family should be included in the beginning and also at the end of the diagnostic process to verify the nurse's diagnoses.
Rationale 3: Both novices and experienced nurses should consult appropriate resources whenever in doubt about a diagnosis; that is not what is described in the scenario.
Rationale 4: Diagnoses should be based on patterns and behavior over time, not an isolated incident.