This is the diagnostic error in this scenario: "Nurse listens to lung for the first time and is not sure if abnormal lung sounds are present."
What is collecting data?
100
An objective behavior or response expected within days, weeks, or months.
What is long-term goal?
100
Interventions that are treatment performed away from the patient but on behalf of the patient or group of patients.
What is indirect care?
100
In the event of a care plan being discontinued, this action should be done.
What is document the discontinued plan?
200
Questions that limit answers to one or two words such as "yes" or "no" or a number of frequency of a symptom.
What are closed-ended questions?
200
It is the name of the nursing diagnosis as approved by NANDA International.
What is diagnostic label?
200
The goal, "Body temperature will remain 98.6 F." demonstrates this characteristic.
What is measurable?
200
These are activities usually performed in the course of a normal day, including ambulation, eating, dressing, bathing, and grooming.
What are activities of daily living (ADLs)?
200
It is a measurable patient or family state, behavior, or perception largely influenced by and sensitive to nursing interventions.
What is a nursing sensitive outcome?
300
It is the comparison of data with another source to determine data accuracy.
What is validation?
300
A type of diagnosis that describes responses to health conditions or life processes.
What is actual nursing diagnosis?
300
The reason that a specific nursing action was chosen, based on supporting evidence.
What is scientific rationale?
300
Actions to promote health and prevent illness to avoid the need for acute or rehabilitative health care.
What are preventative nursing actions?
300
Defines standards of professional nursing practice, which include standards for the evaluation step of the nursing process.
What is the American Nurses Association (ANA)?
400
It is a major component of assessment. It includes: biographical information, reason for seeking health care, patient expectations, present illness or health concerns, review of systems, etc.
What is a nursing health history?
400
A type of diagnosis where clinical judgment of motivation, desire, and readiness to enhance well-being and actualize human health potential are described.
What is Health Promotion Nursing Diagnosis?
400
Nurse-initiated interventions that do not require an order from another health care professional.
What are independent nursing interventions?
400
Implementation skill requiring integration of cognitive and motor activities. For example, administering an injection.
What are psychomotor skills?
400
Occurs when nurses meet desired outcomes.
What is positive evaluation?
500
Symptoms experienced by patients along with the primary symptoms. For example, nausea accompanying pain.
What are concomitant symptoms?
500
Readiness for enhanced family coping is an example of this type of diagnosis.
What is Health Promotion Nursing Diagnosis
500
Standard practice used for off-going nurses leaving a shift to communicate information about the patient's plan of care to oncoming patient care personnel.
What is change-of-shift report?
500
These implementation skills are essential for effective nursing action. Develop a trusting relationship, express a level of caring, and communicate clearly with a patient and his or her family.
What are interpersonal skills?
500
Assessment skills and techniques performed at the point of care when decisions are made about the patient's status and progress.