The nurse is beginning an assessment of a newly admitted patient. What are some recommended comprehensive assessment approaches the nurses can use? (Select all that apply.)
a. Functional Health Patterns
b. Nursing Diagnosis
c. Problem-Focused Approach
d. Nursing Intervention Classification
e. Nursing Outcome Classification
A, C
There are two approaches for a comprehensive assessment. Gordon's Functional Health Patterns involves use of a structured database format, based upon an accepted theoretical framework or practice standard. Another approach for conducting a comprehensive assessment is the problem-focused approach. The nurse should focus on the patient's situation and begin with problematic areas. By using Nursing Intervention Classification nurses learn the common interventions recommended for the various NANDA-I nursing diagnoses. The Nursing Outcome Classification system is a classification system of nursing-sensitive outcomes. One of its purposes is to identify, label, validate, and classify nursing-sensitive patient outcomes. A nursing diagnosis is a clinical judgment about individual, family, or community responses to actual and potential health problems or life processes that the nurse is licensed and competent to treat and occurs after assessment.
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