FUNDA LEC

• Nursing Diagnosis


  A statement or conclusion regarding the nature of a phenomenon
• Nursing Diagnosis


  • Contains a diagnostic phrase or diagnostic label followed by an etiology phrase
  • Diagnostic phrase or label is a statement of the client's problem
  • Etiology is the causal relationship between the client's problem or risk factors
• Status of Nursing Diagnoses

  • Actual Nursing Diagnosis
  • Health Promotion Diagnosis
  • Risk Nursing Diagnosis
  • Syndrome Diagnosis
• Actual Nursing Diagnosis


  • Problem-based diagnosis
  • Client problem that is present at the time of the nursing assessment
  • Based on the presence of associated signs and symptoms
• Health Promotion Diagnosis


  • Relates to clients' preparedness to implement behaviors to improve their health condition
  • Begin with the phrase "Willingness/Readiness for Enhanced..."
• Risk Nursing Diagnosis


  • Clinical judgment that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene
• Syndrome Diagnosis


  • Clinical nursing judgement when a client has several similar nursing diagnoses
• Components of Nursing Diagnoses

  • Problem (Diagnostic Label) and Definition
  • Etiology (Related Factors and Risk Factors)
  • Defining Characteristics
• NANDA


  Clinical judgment concerning a human response to health conditions/life processes, a vulnerability for that response, by an individual, family, group, or community
• Purpose of NANDA


  To define, refine, and promote a taxonomy of nursing diagnostic terminology of general use to professional nurses
• Domains of NANDA Classification

  • Health Promotion
  • Nutrition
  • Elimination and Exchange
  • Activity/Rest
  • Perception/Cognition
  • Self-Perception
  • Role Relationships
  • Sexuality
  • Coping/Stress Tolerance
  • Life Principles
  • Safety/Protection
  • Comfort
  • Growth/Development
• What is the classes of domain 1: Health promotion?

  Health awareness and health management
• What is the class of domain 2: Nutrition

  Ingestion, digestion, absorption, metabolism, and hydration
• What is the classes of domain 3: Elimination or exchange


  Urinary function, Gastrointestinal function, integumentary function, respiratory function
• What is the classes of domain 4: activity/rest?

  Sleep/rest, activity/exercise, energy balance,cardiovascular/pulmonary responses,self-care
• What is the classes of domain 5: perception/cognition

  attention, orientation, sensation/perception, cognition, communication
• what is the classes of domain 6: self-perception?

  self-concept, self-esteem, body image
• what is the classes of domain 7: role-relationship?

  caregiving roles, family relationships, role performance
• what is the classes of domain 8: sexuality?

  sexual identity, sexual function, reproduction
• what is the classes of domain 7: role-relationship

  caregiving roles, family relationship, role performance
• what is the classes of domain 9: coping/stress tolerance

  post-trauma responses, coping responses, neuro-behavioral stress
• what is the classes of domain 10: life principles?

  values, beliefs, value/belief/action congruence
• what is the other classes of domain 11: safety/protection aside from infection, physical injury, and violence

  environmental hazards, defensive processes, thermoregulation
• what is the classes of domain 12: comfort?

  physical comfort, environmental comfort, social comfort
• what is the two types of formulating diagnostic statements?

  two-part statements, and three-part statements
• what is the meaning of related to and what part of statements is?

  the meaning of related to is relationship and it is part of 2 part statements
• In three-part statements it is consists of what?

  problem, etiology, and signs and symptoms or defining characters
• What is NANDA Taxonomy?

  classification system or set of categories arranged based on a single principles