Which concepts should the nurse use when formulating a nursing diagnosis? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Base the nursing diagnosis on the medical diagnosis
2. Focus on what the nurse needs to help the patient return to health
3. Include the patient in the identification of needs
4. Consider the patient's response to the current health problem
5. Be certain the diagnosis is measureable
3,4
Rationale 1: The nursing diagnosis is not dependent on the medical diagnosis.
Rationale 2: The focus should be on the patient's needs.
Rationale 3: Including the patient in the formulation of nursing diagnoses encourages more active involvement in working toward meeting identified goals.
Rationale 4: A nursing diagnosis is a clinical judgment concerning human response to health conditions.
Rationale 5: Goals and outcomes need to be measureable, not nursing diagnosis.
Global Rationale: A nursing diagnosis is a clinical judgment concerning human response to health conditions and should be patient focused. Including the patient in the formulation of nursing diagnoses encourages more active involvement in working toward meeting identified goals. It is not dependent on the medical diagnosis. Goals and outcomes need to be measureable, not nursing diagnosis.
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