Which type of nursing diagnosis will be written when the patient exhibits factors that make him or her susceptible to the development of a problem?

a. Actual diagnosis
b. Risk diagnosis
c. Possible diagnosis
d. Wellness diagnosis


ANS: B
When patients have the potential or risk for a problem to develop, a risk diagnosis is written. These diagnoses are two-part statements such as risk for falls related to unsteady gait. An actual diagnosis consists of a NANDA diagnostic label, contributing factor (if known), and defining characteristics such as signs and symptoms. A possible nursing diagnosis identifies a problem that may occur, but the assembled data are insufficient to confirm it. A wellness diagnosis applies to individuals for whom an enhanced level of wellness is possible.

Nursing

You might also like to view...

The nurse is assessing a young adult college student who is experiencing red, swollen eyes that are oozing a yellowish drainage. The client is complaining of photophobia. Which is the most appropriate question for the nurse to ask the client?

A) "Have you had extra caffeine this week?" B) "Did you get sand in your eye recently?" C) "Have you been exposed to HIV?" D) "Have any of your friends experienced these symptoms?"

Nursing

Prepare a 200 mcg dose from a supply of 150 mcg per 3 mL

What will be an ideal response?

Nursing

An important complication of antiretroviral (ARV) therapy in patients with advanced AIDS is which of the following?

a. Immune reconstitution inflammatory syndrome (IRIS) b. Improvement in opportunistic infections c. Restoration of immune system to preinfection status d. Progression to AIDS

Nursing

A nurse in the emergency department assesses an unresponsive victim of rape. The victim's friend reports, "That guy gave her salty water before he raped her." Which question is most important for the nurse to ask of the victim's friend?

a. "Does the victim have any kidney disease?" b. "Has the victim consumed any alcohol?" c. "What time was she given salty water?" d. "Did you witness the rape?"

Nursing