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NURS 6700- EXAM 3 LATEST UPDATED
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NURS 6700- EXAM 3 LATESTUPDATED
Medical Diagnosis: ANSWER Is a notion that defines an illness or harm.
Nursing Diagnosis - Answer Describe human ANSWERs to potential or actual
health problems and life processes; is a clinical judgment about actual or
potential individual, family, or community experiences/ANSWERs to health
problems/life processes; serves as the basis for selecting nursing interventions to
achieve outcomes for which the nurse is accountable.
Why do we have a nursing diagnosis? - ANSWER It is used to decide the best
course of care for the patient. The nursing diagnosis determines actions and
patient outcomes, allowing the nurse to create a patient care plan. Nursing
diagnoses also provide a standard nomenclature for use in the Electronic Health
Record, enabling easy communication among care team members and the
gathering of data for ongoing improvement in patient care. This drives the
nursing care plan for the patient.
How do I write a nursing diagnosis? - ANSWER Rules
-Use from the NANDA list.
- "Risk for" cannot be added or removed for any diagnostic; it must be used as
written.
Components of Nursing Diagnosis - ANSWER: NANDA
-PATHO
-As demonstrated by the statement: evidence you see bac
king your diagnosis.
Variations (Actual versus Risk) - ANSWER: Risk for nursing Dx. has a r/t
(related to) statement followed by risk variables.
, -Actual risk nursing. Dx contains a r/t (related to) statement, followed by an
evidence statement.
-The term "risk factors" can be used to distinguish between proof and risk.
Care Plan Development - ANSWER: Nursing diagnoses are the foundation of
care plans.
-Review your nursing diagnosis book for details that can help you create a good
plan.
Care Plans Include - ANSWER 1: Assessment
2. Planning.
3. Interventions.
4. Evaluation.
Assessment: ANSWER Subjective/objective information: complete from head
to toe and collect all necessary assessment and chart data. How do you know all
this? Did you receive the knowledge through your five senses (objective)? Or
did the patient tell you about it (subjectivity)?
Planning: Short-term and long-term goals.
Consider these as throughout shift or less and those that go beyond your 12-
hour day.
Interventions: ANSWER What are you going to do to achieve these goals?
Evaluation - Answer Why would you do these things? Did the things you did
help your patient achieve his or her goals?
Care Plan Steps - ANSWER 1: Collect Information.
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