The nurse is providing care to a client. Which nursing diagnoses can the nurse apply when providing client care?
1. Ineffective Breathing Pattern
2. Risk of Infection
3. Readiness for Enhanced Nutrition
4. Readiness for Enhanced Family Coping
5. Anxiety
Correct Answer: 1, 5
Rationale 1: An actual diagnosis is a client problem that is present at the time of the nursing assessment. An actual nursing diagnosis is based on the presence of associated signs and symptoms.
Rationale 2: A risk nursing diagnosis is a clinical judgment that a problem does not exist but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene.
Rationale 3: A health promotion diagnosis relates to the client's preparedness for implementing behaviors to improve his or her health condition. These diagnosis labels begin with the phrase "readiness for enhanced."
Rationale 4: A wellness diagnosis describes human responses to levels of wellness in an individual, family, or community. These diagnosis labels begin with the phrase "readiness for enhanced."
Rationale 5: An actual diagnosis is a client problem that is present at the time of the nursing assessment. An actual nursing diagnosis is based on the presence of associated signs and symptoms.
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