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Diagnosis

Diagnosis is the second phase of the nursing process. It involves analyzing data, identifying health problems, risks, and strengths, and formulating diagnostic statements. 

The goal of diagnosis is to identify the client’s actual or potential health needs that can be addressed by nursing interventions.

Diagnistic Process

There are different types of diagnoses, such as:

  1. Actual diagnosis: describes a problem that is present at the time of assessment.

  2. Risk diagnosis: describes a problem that is likely to develop if interventions are not implemented.

  3. Health promotion diagnosis: describes a desire or readiness to enhance well-being.

A diagnostic statement consists of three parts: the problem (nursing diagnosis), the etiology (related factors), and the signs and symptoms (defining characteristics). For example:

  1. Acute pain related to tissue injury as evidenced by verbal report of 8/10 pain, grimacing, guarding, and elevated blood pressure.

  2. Risk for infection related to surgical incision.

  3. Readiness for enhanced nutrition as evidenced by verbalization of interest in healthy eating.

Questions on Diagnosis

Correct Answer is C

Explanation

<p>Related factors is not the correct term to describe these findings because it refers to the conditions or circumstances that are associated with the problem or risk, but are not necessarily the cause. Related factors are usually preceded by the phrase &quot;related to&rdquo;. in a risk nursing diagnostic statement. For example, &quot;Risk for falls related to impaired balance&rdquo;. is a nursing diagnosis where &quot;impaired balance&rdquo;. is a related factor.</p>

Correct Answer is C

Explanation

<p>A wellness diagnosis is based on the presence of potential or actual levels of wellness in an individual, family, or community that can be enhanced. The client does not have any potential or actual levels of wellness related to smoking, but rather has a desire to quit smoking and improve his health. Therefore, this is not the correct type of diagnosis for this client.</p>

Correct Answer is B

Explanation

<p>This is not an example of an actual diagnosis because it describes a readiness to enhance a specific health behavior rather than a problem that is present at the time of the assessment. A readiness for enhanced diagnosis identifies a strength or potential for improvement in a client&#39;s health status.</p>

<p>The nursing interventions are not a component of a diagnostic statement for a client who has diabetes mellitus and peripheral neuropathy. The nursing interventions are the actions or treatments that the nurse plans and implements to address the problem. For example, the nursing interventions coul

<p>A wellness diagnosis is based on the presence of a transition from one level of wellness to a higher level of wellness. The client in the question does not show any evidence of a transition or a higher level of wellness, nor does the nurse plan to facilitate any wellness activities. Therefore, a
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