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WorksheetsFunda Ch.12 - Diagnosis
Total questions: 10
Worksheet time: 20mins
The nurse is conducting the diagnosing phase (nursing diagnosis) of the nursing process for a client with a seizure disorder. Which step exists between data analysis and formulating the diagnostic statement?
Assess the client’s needs
Delineate the client’s problems and strengths
Determine which interventions are most likely to succeed
Estimate the cost of several different approaches
In the diagnostic statement “Excess Fluid Volume related to decreased venous return as manifested by lower extremity edema (swelling),” the etiology of the problem is which of the following?
Excess fluid volume
Decreased venous return
Edema
Unknown
Which of the following nursing diagnoses contains the proper components?
Risk for Caregiver Role Strain related to unpredictable illness course
Risk for Falls related to tendency to collapse when having difficulty breathing
Impaired Communication related to stroke
Sleep Deprivation secondary to fatigue and a noisy environment
One of the primary advantages of using a three-part diagnostic statement such as the problem–etiology–signs/symptoms (PES) format includes which of the following?
Decreases the cost of health care
Improves communication between nurse and client
Helps the nurse focus on health and wellness elements
Standardizes organization of client data
A collaborative (multidisciplinary) problem is indicated instead of a nursing or medical diagnosis
If both medical and nursing interventions are required to treat the problem
When independent nursing actions can be utilized to treat the problem
In cases where nursing interventions are the primary actions required to treat the problem
When no medical diagnosis (disease) can be determined
In the case in which a client is vulnerable to developing a health problem, the nurse chooses which type of nursing diagnosis status?
A risk nursing diagnosis
A syndrome nursing diagnosis
A health promotion nursing diagnosis
An actual nursing diagnosis
Which of the following is true regarding the state of the science in regards to nursing diagnosis?
The original taxonomy has proven to be adequate in scope
The organizing framework of the taxonomy is based on the work of Florence Nightingale
More research is needed to validate and refine the diagnostic labels
New diagnostic labels are approved by means of a vote of registered nurses
Which of the following would indicate a significant cue when comparing data to standards? Select all that apply.
The client has moved partway toward a set goal (e.g., weight loss)
The client’s vision is within normal range only when wearing glasses
A child is able to control bladder and bowels at age 18 months
A recently widowed woman states she is “unable to cry.”
A 16-year-old high school student reports spending 6 hours doing homework five nights per week
The purpose of NANDA International is to define, refine, and promote a taxonomy of nursing diagnostic terminology of general use to professional nurses.
True
False
What Factors Influence the Prevalence and Accuracy of Nursing Diagnoses in Clinical Practice? Select all that apply.
Nurse as a diagnostician
Diagnostic education and resources
Complexity of the client’s situation
Hospital Policy
Physician input
