A nurse completes a care plan for an assigned patient diagnosed with an inflammation of the pericardium. Which diagnosis written on the plan indicates a need for further instruction on using the nursing process?
a. Pericarditis
b. Acute pain
c. Risk for decreased cardiac output
d. Activity intolerance
ANS: A
Whereas medical diagnoses identify and label medical (physical and psychological) illnesses, nursing diagnoses are much broader in focus. Nursing diagnoses consider a patient's response to medical diagnoses and life situations in addition to making clinical judgments based on a patient's actual medical diagnoses and conditions. Pericarditis is a medical diagnosis defined as an inflammation of the pericardium. Pain, decreased blood flow, and intolerance to activity are a patient's response to the medical condition of pericarditis.
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