The nurse selects the nursing diagnosis of Enhanced readiness for ...

[cdr_15]

The nurse selects the nursing diagnosis of Enhanced readiness for spiritual well-being for a family. Which data cluster did the nurse use to support this diagnosis?
 
  1. The family visits different congregations, the parents have been reflecting on their own spiritual upbringings, and the children are questioning rituals of their friends and friends' families.
  2. The children attend Sunday school classes, one parent always attends services with the children, and the parents attempt interaction with congregational activities.
  3. The grandparents go to weekly services and have formal interaction with clergy.
  4. The children have attended private, religious schools, and the parents are involved in the school's activities.

Question 2

A client who has been in a wheelchair for several years is currently experiencing problems with skin breakdown and urinary retention in addition to depression. Which diagnosis should the nurse select for this client?
 
  1. Syndrome diagnosis
  2. Risk nursing diagnosis
  3. Actual diagnosis
  4. Wellness diagnosis

[bd5255]

Answer to Question 1

Correct Answer: 1
Rationale: A wellness diagnosis describes human responses to levels of wellness in an individual family or community that has a readiness for enhancement or improvement. The data cluster that describes the questioning, searching, and reflecting would support an attitude of readiness.

Answer to Question 2

Correct Answer: 1
Rationale 1: A syndrome diagnosis is a diagnosis that is associated with a cluster of other diagnoses (in this situation, Urinary elimination alteration, Impaired skin integrity, and Powerlessness).
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 the nurse intervenes.
Rationale 3: An actual diagnosis is a client problem that is present at the time of the nursing assessment.
Rationale 4: A wellness diagnosis describes human responses to levels of wellness in an individual, family, or community that has a readiness for enhancement.

[cdr_15]

TYSM

[isabelt_18]

Gracias!