Nursing DiagnosisWorksheetThe guidelines for writing an appropriate nursing diagnosis include all of the following except:A.State the diagnosis in terms of a problem, not a need.B.Use nursing (NANDA) terminology to describe the client’s responseC.Use statements that assist in planning independent nursing interventionsD.Use medical terminology to describe the probably cause of the client’s response.The essential components of a nursing diagnosis are:A.Assessment, diagnosis, planning, intervention, and evaluation.B.Problem, etiology, and signs and symptoms.C.Self-care deficit, social isolation, and altered perception.D.North American Nursing Diagnosis (NANDA) taxonomy.A documented nursing diagnosis that could leadto a malpractice lawsuit againstthe nurse and the hospital is:A.Impaired skin integrity related to improper positioning.B.Risk for impaired skin integrity related to pain.C.Altered nutrition: more than body requirements related to lack of nutritional knowledge.D.Acute pain related to tissue damage and spasm.The presence of one sign or symptom is adequate support for a nursing diagnostic label. T or FIt is acceptable to use the medical diagnosis as the etiology for the nursing diagnosis. T or FList three advantages of nursing diagnoses.a. b.c.
A 45-year-old mother if two who is 50 pounds overweight. She has a smoking history of two packs per day for 20 years. She is to have a hysterectomy tomorrow. Which nursing diagnosis should appear on the client’s nursing care plan?A.Social isolation.B.Risk foruterine cancer.C.Risk for ineffective airway clearance related to obesity and smoking.D.Impairedurinary elimination related to incisional pain.A 52-year-old business executive is admitted to the coronary care unit. During the client’s admission interview the client denies chest pain or shortness of breath. The client’s pulse and blood pressure are normal. The client appears tense and does not want the nurse to leave the bedside. When questioned, the client states that s/he is very nervous. At this moment, which nursing diagnosis is most appropriate?A.Chest pain.B.Constipation related to restricted mobility.C.Risk for altered cardiac output related to heart attack.D.Anxiety related to intensive care unit admission.If a nurse were to record a client’s nursing diagnosis as risk for malnutrition, it would be incorrect because it is:A.Stated as a medical diagnosis.B.Stated as a nursing intervention.C.Is not on the NANDA approved list of nursing diagnostic labels.D.Stated in terms of client goals.If a nurse were to recorda client’s nursing diagnosis as encourage client to verbalize fear, it would be incorrect because it is:A.Stated as a medical diagnosis.B.Stated as a nursing intervention.C.Is not on the NANDA approved list of nursing diagnostic labels.D.Stated in terms of client goals.