When reviewing both the client's problem list against the various identified nursing diagnoses, both of which included client and family input, the nurse is utilizing of the following processes to minimize diagnostic error?
1. Understanding what is normal vs. what is not normal
2. Verifying
3. Consulting resources
4. Basing diagnoses on patterns
Correct Answer: 2
Rationale 1: Nurses must apply knowledge from various areas to recognize cues and patterns to understand what is normal and not normal. This comes from principles of chemistry, anatomy, and pharmacology–not the client or the family.
Rationale 2: The nurse, while taking the information and collecting data, begins to hypothesize possible explanations of the data and then realizes all diagnoses are only tentative until they are verified. The client and family should be included in the beginning and also at the end of the diagnostic process to verify the nurse's diagnoses.
Rationale 3: Both novices and experienced nurses should consult appropriate resources whenever in doubt about a diagnosis, that is not what is described in the stem.
Rationale 4: Diagnoses should be based on patterns and behavior over time, not an isolated incident.
You might also like to view...
When studying for a pharmacology exam, a student asks her peers which agents affect both alpha- and beta-receptor sites. What would be an appropriate response to this student? (Select all that apply.)
A) Dobutamine (Dobutrex) B) Epinephrine (Adrenalin, Sus-Phrine) C) Dopamine (Intropin) D) Clonidine (Catapres) E) Albuterol (Proventil)
Which of the following procedures must the nurse perform in the case of symptoms of hemorrhage and significant blood loss in a client?
A) Place the client in supine position. B) Elevate the extremities above the heart level. C) Elevate the client's head as much as possible. D) Notify the physician.
A child has been seizure free for 2 years. A father asks the nurse how much longer the child will need to take the antiseizure medications. How should the nurse respond?
a. Medications can be discontinued at this time. b. The child will need to take the drugs for 5 years after the last seizure. c. A step-wise approach will be used to reduce the dosage gradually. d. Seizure disorders are a lifelong problem. Medications cannot be discontinued.
The nurse is developing a teaching plan for parents who need genetic counseling. Which statement by a parent indicates the need for further education?
1. "All the chromosomes are the same size in males and females alike." 2. "Half of the sets of chromosomes come from the mother and the other half comes from the father." 3. "The 23rd pair of chromosomes will determine if our child will be male or female." 4. "One Y chromosome and one X sex chromosome will produce a male child."