Which type of nursing diagnosis will be written when the patient ...

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Which type of nursing diagnosis will be written when the patient exhibits factors that make him or her susceptible to the development of a problem?
 
  a. Actual diagnosis
  b. Risk diagnosis
  c. Possible diagnosis
  d. Wellness diagnosis

Question 2

Which outcome statement identified by the nurse is written correctly?
 
  a. After surgery, patient will express acceptance of loss of breast.
  b. Patient will die with dignity.
  c. At the end of the shift, the nurse will determine whether the patient is more comfortable.
  d. Within the next 8 hours, urine output will be greater than 30 mL/hr.

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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.

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[xiazhe]

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