A nursing student expresses some confusion about identifying the appropriate nursing diagnosis for a specific client. Which of the following responses by the clinical instructor is most instruc-tional?
1. "After defining the client's symptomatology, eliminate those nursing diagnoses that are not supported by the database."
2. "Assess your client and then select the nursing diagnosis that has the greatest number of observable defining characteristics."
3. "After assessing the client, compare their symptoms carefully to the defining characteristic of the nursing diagnosis in order to support or eliminate it as appli-cable."
4. "With experience you will become skilled at identifying the defining characteris-tics of a nursing diagnosis in your client. Until that time use a nursing diagnosis book to help in the selection process."
ANS: 3
After assessing the client, always examine the defining characteristics in your database carefully to support or eliminate a nursing diagnosis. Although the other options are correct, they do not provide as concise an explanation as "after assessing the client, compare their symptoms carefully to the defining characteristic of the nursing diagnosis in order to support or eliminate it as appli-cable."
You might also like to view...
A new mother states that her infant must be cold because the baby's hands and feet are blue. The nurse explains that this is a common and temporary condition called:
a. Acrocyanosis. b. Erythema neonatorum. c. Harlequin color. d. Vernix caseosa.
What statement is true concerning osteogenesis imperfecta (OI)?
a. It is easily treated. b. It is an inherited disorder. c. Braces and exercises are of no therapeutic value. d. Later onset disease usually runs a more difficult course.
A patient with bipolar disorder takes lamotrigine (Lamictal). Which statement made by the patient would prompt the nurse to hold the drug and notify the prescriber for further assessment?
a. "I get a little dizzy sometimes." b. "I had a headache last week that lasted for about an hour." c. "I've broken out in a rash on my chest and back." d. "Last night I woke up twice with a bad dream."
Score T.M. on the FLACC pain scale. Why is the FLACC scale an appropriate tool?
What will be an ideal response?