The nurse is attempting to develop nursing diagnoses for her patient. The nurse understands that nursing diagnoses: (Select all that apply.)
a. identify actual or potential problems as well as responses to a problem.
b. require naming patient problems using nursing diagnostic labels.
c. utilize objective data since subjective data are often inaccurate.
d. includes unvalidated data to determine an accurate and thorough diagnosis.
e. are similar to medical diagnoses since they both are labels for diseases.
ANS: A, B
The nursing diagnosis identifies an actual or potential problem or response to a problem. Accurate identification of nursing diagnoses for patients results from carefully analyzing, validating, and clustering related patient subjective (symptoms) and objective (signs) data. If data collection includes inaccurate or inadequate information or if data are not validated or clustered with related information, a patient may be misdiagnosed. Diagnosis in the nursing process requires naming patient problems using nursing diagnostic labels. Medical diagnoses are labels for diseases, whereas nursing diagnoses describe a response to an actual or potential problem or life process.
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