Which statement is true regarding nursing diagnoses?
North American Nursing Diagnosis Association (NANDA) revises the diagnostic labels every 5 years.
A nursing diagnosis describes a health problem amenable to intervention.
Medical diagnosis is included in the nursing diagnosis.
LPNs/LVNs formulate nursing diagnoses.
The Correct Answer is B
A. North American Nursing Diagnosis Association (NANDA) revises the diagnostic labels every 5 years:
This statement is not accurate. The North American Nursing Diagnosis Association (NANDA) International does review and revise the nursing diagnoses regularly, but it's not on a fixed 5-year schedule. Changes are made based on evolving healthcare practices, new research, and emerging health issues.
B. A nursing diagnosis describes a health problem amenable to intervention:
This statement is true. A nursing diagnosis identifies a specific health problem that can be addressed through nursing interventions. It provides the basis for selecting nursing interventions to achieve outcomes for which the nurse is accountable.
C. Medical diagnosis is included in the nursing diagnosis:
This statement is incorrect. Nursing diagnoses are distinct from medical diagnoses. Medical diagnoses identify diseases or pathologies, whereas nursing diagnoses focus on the patient's responses to the health condition. Nursing diagnoses are within the domain of nursing practice and are formulated based on nursing assessments.
D. LPNs/LVNs formulate nursing diagnoses:
This statement is generally true. Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) can formulate nursing diagnoses as part of their scope of practice. However, the complexity of the diagnosis and the depth of assessment often determine the level of nurse involved in formulating nursing diagnoses. Registered Nurses (RNs) typically handle more complex patient cases and nursing diagnoses
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Related Questions
Correct Answer is D
Explanation
A. Help the patient understand the objectives of care:
This is a part of the admission process, where the nurse educates the patient about what to expect during their stay, their treatment plan, and the objectives of their care. While important, it's not the primary goal of the admission interview, which is more focused on building rapport and understanding the patient's needs and concerns.
B. Initiate nursing care plan forms:
This task occurs after the admission interview and is based on the information gathered during the interview. Nursing care plans are developed to address the patient's specific needs and concerns, but the initiation of these plans is not the primary goal of the admission interview.
C. Identify the patient's major complaints:
Identifying the patient's concerns and complaints is indeed a part of the admission interview. However, the primary goal of the interview is broader: it's about establishing a connection, ensuring the patient feels heard and understood, and initiating a therapeutic relationship. While identifying complaints is important for addressing immediate concerns, the overall goal is to build trust and rapport.
D. Establish rapport:
Establishing rapport is the fundamental goal of the admission interview. It involves creating a positive and respectful relationship with the patient, which in turn fosters open communication. When rapport is established, patients are more likely to share important information about their health, which is vital for delivering effective and patient-centered care. Building rapport helps in making the patient comfortable, easing anxiety, and creating an environment where the patient feels valued and understood.
Correct Answer is D
Explanation
A. Comprehensive plan to allow patient access to medical records.
While electronic medical records (EMRs) do facilitate patient access to their medical information, the primary goal of the 2009 American Recovery and Reinvestment Act was broader. It aimed to improve healthcare quality, safety, and efficiency through the promotion of health IT, including EMRs.
B. Comprehensive document of health care costs.
Although EMRs can include billing information, the main purpose of EMRs is to record clinical data for patient care and not specifically to document healthcare costs.
C. Comprehensive plan of care for all patients.
EMRs are tools used by healthcare providers to record patient information and manage healthcare delivery. While they can support the creation and management of care plans, their primary function is to store patient data electronically rather than generating care plans.
D. Correct comprehensive record of a patient's history and care across all facilities and admissions.
This statement best reflects the primary goal of the electronic medical record implementation. EMRs are designed to provide accurate, comprehensive, and up-to-date information about a patient's medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory test results, among other essential data. They ensure that this information is accessible to authorized healthcare providers across various facilities and admissions, improving continuity of care and patient safety.
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