Author Question: A nurse completes a care plan for an assigned patient diagnosed with an inflammation of the ... (Read 52 times)

ereecah · **on:** Jul 23, 2018

A nurse completes a care plan for an assigned patient diagnosed with an inflammation of the pericardium. Which diagnosis written on the plan indicates a need for further instruction on using the nursing process?

a. Pericarditis
b. Acute pain
c. Risk for decreased cardiac output
d. Activity intolerance

Question 2

A group of patients in a community center attend a nursing-led information session on the risks of contracting tuberculosis. After the presentation several patients ask the nurse for additional web-based resources regarding the lung disease.

Which type of nursing diagnosis would the nurse choose for the community care plan?
a.
Risk
b.
Actual
c.
Health-promotion
d.
Potential

matt95 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: A
Whereas medical diagnoses identify and label medical (physical and psychological) illnesses, nursing diagnoses are much broader in focus. Nursing diagnoses consider a patient's response to medical diagnoses and life situations in addition to making clinical judgments based on a patient's actual medical diagnoses and conditions. Pericarditis is a medical diagnosis defined as an inflammation of the pericardium. Pain, decreased blood flow, and intolerance to activity are a patient's response to the medical condition of pericarditis.

Answer to Question 2

ANS: C
Health-promotion nursing diagnoses are used in situations in which patients express interest in improving their health status through a positive change in behavior. Although most nursing diagnoses are used for individual patients, nursing diagnosis taxonomy can be applied to families, groups of individuals, and communities. Actual nursing diagnoses identify existing problems or concerns of a patient. Risk (potential) nursing diagnoses apply when there is an increased potential or vulnerability for a patient to develop a problem or complication.