Exam 4: Analysisdiagnosis

When making a diagnosis using NANDA-I taxonomy, which part of the statement provides support for the diagnostic label you choose?

The nurse works in an extended care facility. The residents are primarily older adults with health factors that put them in danger of falling. Which option best describes the type of nursing diagnosis the nurse is likely to use?

The nurse has relocated to a different state and has accepted a position as a staff nurse on an acute care nursing unit. The patient care team consists of both registered nurses (RNs) and licensed practical nurses/licensed vocational nurses (LPNs/LVNs). Which action by the nurse constitutes a possible theoretical error?

The nurse is applying the nursing process to the development of a plan of care for a patient. Based on the patient's problems, the nurse is using Maslow's Hierarchy of Needs. Which nursing diagnosis does the nurse recognize as having the highest priority?

Which statements regarding nursing diagnoses are accurate? Select all that apply.

A client's weight is appropriate for the client's height, and laboratory values and other assessments reflect normal nutritional status. However, the client states, "I probably eat a little too much red meat. And, what is this I hear about needing omega 3 oils in my diet? I don't like to take supplements, and I think I could really improve my nutrition." Which nursing diagnoses does the nurse use?

The nurse manager is evaluating the nursing diagnoses written by staff nurses. Which nursing diagnosis statements does the nurse manager identify as being written correctly? Select all that apply.

A staff nurse states, "I get tired of all the paperwork about nursing diagnosis and plans for patient care." Which of the following describes the most important purpose for developing a nursing diagnosis?

The nurse has gathered information about a client, has sorted the information, and is preparing to identify the diagnostic label, or patient problem. For which purpose are diagnostic labels primarily used?

The nurse manager notices that a staff nurse writes a nursing diagnosis as "Impaired Physical Mobility, related to laziness and not having appropriate shoes." Which issue related to the nursing diagnosis will the nurse manager discuss with the staff nurse?

The nurse completes assessment on a patient and begins to formulate a nursing diagnosis from the collected data. Which action does the nurse take prior to writing the nursing diagnosis statement?

The nurse is providing care for a patient following abdominal surgery. The nurse created a collaborative diagnosis of "Potential complication of surgery: hemorrhage" During patient assessment, the nurse recognizes the symptoms of serious blood loss. The nurse is aware that which action is now relative to the collaborative diagnosis?

Which statement made by the nurse is an example of stereotyping?

What are the benefits for nursing practice in using a standardized nursing language when writing nursing diagnoses? Select all that apply.

The nurse documents in a patient's progress notes: "Admitted to emergency department accompanied by spouse. Patient is alert and oriented, blood pressure is 120/80 mm Hg, and pulse is 80 beats/min. The patient is anxious and becomes nervous when asked about a smoking history." Which statement from the nurse's note is the best example of an inference?

A patient verbalizes an overwhelming lack of energy, stating, "I still feel exhausted even after sleeping. I feel guilty when I can't keep up with my usual daily activities, or I sleep during the day. I've been a little depressed lately, too." The nurse notes the patient's difficulty concentrating but does not note any apparent physical problems. Which diagnoses best describes the patient's health status?

The nurse receives reports on four patients on a medical-surgical unit. Which patient will the nurse attend to first?

Which nursing diagnosis is written in the correct format?

Which nursing diagnosis is written in the correct format when using NANDA-I taxonomy?

Which of the following describes the difference between a collaborative problem and a medical diagnosis?