Answer to Question 1
ANS: B
When patients have the potential or risk for a problem to develop, a risk diagnosis is written. These diagnoses are two-part statements such as risk for falls related to unsteady gait. An actual diagnosis consists of a NANDA diagnostic label, contributing factor (if known), and defining characteristics such as signs and symptoms. A possible nursing diagnosis identifies a problem that may occur, but the assembled data are insufficient to confirm it. A wellness diagnosis applies to individuals for whom an enhanced level of wellness is possible.
Answer to Question 2
ANS: D
The statement, Within the next 8 hours, urine output will be greater than 30 mL/hr is patient oriented, realistic, and measurable, and has an appropriate time frame.