Author Question: The nursing student is reviewing the components of a nursing diagnosis. Which statement made by the ... (Read 86 times)

Alygatorr01285 · **on:** Jul 23, 2018

The nursing student is reviewing the components of a nursing diagnosis. Which statement made by the student indicates correct understanding of a health-promotion diagnostic statement?

a. The defining characteristics will include the patient's willingness to get better.
b. The risk factors are only psychological in nature, not physical.
c. The health-promotion diagnostic statement is composed of three parts.
d. An example of a health-promotion label is ineffective community coping.

Question 2

The nurse is caring for a patient diagnosed with blood clots in the right lower extremity. The admitting physician orders bed rest. The patient tells the nurse, I usually exercise three times a week. It helps me go to the bathroom.

The nurse determines that the patient may have difficulty with bowel movements. Which nursing diagnosis statement accurately reflects the nurse's concern?
a.
Constipation related to bed rest as manifested by hard, dry stools.
b.
Perceived constipation resulting from patient's expectation manifested by patient statement.
c.
Risk for constipation related to immobility as manifested by verbal complaint.
d.
Risk for constipation related to insufficient physical activity.

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

Answer to Question 1

ANS: A
The three types of nursing diagnostic statements are actual, risk, and health promotion. Determining which type is needed for each patient can be challenging. Health-promotion nursing diagnoses are used in situations in which patients express interest in improving their health status through a positive change in behavior. The second part of the nursing diagnosis consists of related factors (for actual nursing diagnoses) and risk factors (for risk nursing diagnoses). Related factors are the underlying cause or etiology of a patient's problem. Risk factors are environmental, physical, psychological, or situational. Health-promotion nursing diagnoses are written with only two sections: the diagnosis label and defining characteristics. Actual diagnoses describe the person, family, or community's response to a health condition or life process that already has occurred. Ineffective community coping would be an example of an actual problem.

Answer to Question 2

ANS: D
Each type of nursing diagnostic statement contains sections or parts. Actual nursing diagnostic statements are written with three parts: a diagnosis label, related factors, and defining characteristics. Risk nursing diagnoses have two segments: a diagnosis label and risk factors. Health-promotion nursing diagnoses are written with only two sections: the diagnosis label and defining characteristics. There are no data suggesting the patient is constipated at this time.