A nurse writes the following nursing diagnosis for a client with Alzheimer's disease: Disturbed Thought Processes related to Alzheimer's disease as evidenced by incoherent language. Which part of this diagnosis is considered the problem statement?

A) disturbed thought processes
B) related to
C) Alzheimer's disease
D) incoherent language


Ans: A

The purpose of the problem statement is to describe the health state or health problem of the client as clearly and concisely as possible. Because this section of the nursing diagnosis identifies what is unhealthy about the client and what the client would like to change in his or her health status, it suggests client outcomes. NANDA recommends the use of quantifiers or descriptors to limit or specify the meaning of a problem statement. Disturbed thought processes is a NANDA-approved descriptor for this client problem. The etiology identifies the physiologic, psychological, sociologic, spiritual, and environmental factors believed to be related to the problem as either a cause or a contributing factor, and in this case is Alzheimer's disease. Incoherent language is considered a defining characteristic or subjective/objective data signaling the existence of an actual or potential health problem.

Nursing

You might also like to view...

A newborn is diagnosed with Hirschsprung disease. Which clinical manifestations found on assessment support this newborn's diagnosis?

1. Acute diarrhea; dehydration 2. Failure to pass meconium; abdominal distension 3. Currant jelly; gelatinous stools; pain 4. Projectile vomiting; altered electrolytes

Nursing

When working with adolescent girls, the school nurse is aware that in regard to body image:

a. most girls are satisfied with their physical appearance b. few girls are satisfied with their physical appearance c. the majority of girls think they are too thin d. girls focus mainly on their abdomen and hips

Nursing

Most health care facilities encourage staff to use mouth-to-mouth ventilation to treat patients who are in respiratory arrest.

Answer the following statement true (T) or false (F)

Nursing

Which is the correct metric weight for a person who weighs 125 lb?

A. 312 kg B. 56.80 kg C. 62.5 kg D. 275 kg

Nursing