Nursing Diagnosis Essay

rejoinder Key Review Questions and Rationales1. final result P, acute cark E, think to incisional trauma S, evidenced by pain reported at 7, with guarding, and restricted turning and positioning. The PES format stands for P (problem), E (etiology or related factor), and S (symptoms or defining characteristics).2. retort 1, 4. act 1 is stated correctly, with the related factor being the patient roles response to a health problem. Answer 4, take a chance for infection, is a risk factor for an at-risk diagnosis. In all cases the related factor or risk factor is a condition for which the nurse can give preventive measures. Answer 2 is incorrect since chronic emphysema is a medical diagnosis. Answer 3 is non a NANDA-Iapproved breast feeding diagnosis.3. Answer 3.In the review of data, the nurse comp ars defining characteristics for the two breast feeding diagnoses and selects one based on the interpretation of data. Making a symptomatic statement is incorrect because the nurse ha s not included a related factor.Read moreHow to write a diagnostic essay.4. Answer 3.A patients readiness for enhanced communication is an utilisation of a health-promotion diagnosis because it implies the patients motivation and desire to strengthen his health.5. Answer 3, 4.In f be 3 the nurse fails to validate her ratement findings of edema, every by using a scale to measure the severity or by asking a colleague to validate her findings. In dissolver 4 the nurse prematurely closes clustering, which can lead to an inprecise diagnosis. In answer 1 the nurse validatesfindings to make an accurate diagnosis. In answer 2 the nurse interprets cue clusters to make an accurate diagnosis.6. Answer 4.In this example intestinal colitis is a medical diagnosis and thence an incorrect diagnostic statement.7. Answer 2, 3, 4, 1.8. Answer 1 a, 2 b and d, 3 e, 4 c.Choice a is an example of lack of skill, an delusion in collecting data. Choice b is an example of using an lean number of cues, an error in interpretation. Choice c is an example of not accurately identifying the problem, a pocking error. Choice d is an example of not incorporating cultural information into the diagnostic process, an error in interpretation. Choice e is an example of incorrect clustering, a clustering error.9. Answer 1, 2, 4.Diagnosis 1 uses a medical diagnosis as a related factor. Diagnosis 2 uses a clinical sign rather than a treatable etiology such(prenominal) as excess noise in environment. Diagnosis 4 uses a diagnostic study as the etiology. None of the etiologies can be managed or treated by nursing intervention.10. Answer 2, 4, 5.The presence of abdominal pain, distention, and a change in bowel excretion pattern forms a cluster, suggesting an elimination problem.11. Answer The best way to understand the answer to this question is to perk up a list of NANDA-I nursing diagnoses and their defining characteristics. For example, the nursing diagnosis of befooling is a possible choice . Examples of additional defining characteristics for which the nurse might assess include checking the quality of bowel sounds, palpating the abdomen for a possible mass, find the character of any stool that is passed, asking the patient if she is passing flatus.12. Answer 2, 3, 5.Pacing, getting lost, and hyperactivity are a cluster of defining characteristics that point to the diagnostic label of wandering.13. Answer 2, 3.Hemorrhage and wound infection are collaborative problems, actual or potential physiological complications. Nurses typically monitor for these to feel changes in a patients status. Nausea and fear are both NANDA-I approved nursing diagnoses.14. Answer 3.Answer 3 is an accurate NANDA-I approved nursing diagnosis with an appropriate etiology. Answer 1 is a goal with an etiologic factor. Answer 2 is a goal with a diagnostic statement. Answer 4 is a nursing diagnostic label with a clinical sign.15. Answer 1.A risk diagnosis does not have defining characteristics, but instead risk factors. Risk factors are the environmental, physiological, psychological, genetic, or chemical elements that place a person at risk for a health problem.