Study Guide for Fundamentals of Nursing The Art and Science of Nursing Care

CHAPTER 13 DIAGNOSING 69

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins. Study Guide for Fundamentals of Nursing:

12.A possible nursing diagnosisis a clinical

judgment that an individual, family, or com-

munity is more likely to develop the problem

than others in the same or similar situation.

True False

SHORT ANSWER

1.Place a check next to the nursing diagnoses

that are written correctly, and identify the

errors in the incorrect diagnoses on the lines

that follow.

a.______ High Risk for Injury related to

absence of restraints and side rails

b.______ Impaired Skin Integrity related to

mobility deficit

c.______ Grieving related to loss of breast

d.______ Self-Care Deficit: Bathing related to

immobility

e.______ Sleep Pattern Disturbance related to

insomnia

f.______ Alteration in Nutrition: Less Than

Body Requirements related to loss of

appetite

g.______ Powerlessness related to poor family

support system

h.______ Anxiety: mild, related to changing

lifestyle/diet

i.______ Ineffective Airway Clearance related

to 20-year smoking habit

j.______ Alteration in Bowel Elimination:

Constipation related to cancer of bowel

k.______ Nausea and Vomiting related to

medication side effects

l.______ Knowledge Deficit related to

noncompliance with diet

m.______ Alteration in Parenting related to

knowledge deficit: child growth and devel-

opment, discipline

n. ______ Pain related to discomfort in

abdomen

o. ______ Impaired Physical Mobility: amputa-

tion of left leg related to gangrene

p. ______ Alteration in Nutrition: More Than

Body Requirements related to obesity

q. ______ Noncompliance related to unresolved

hostility

r. ______ Needs assistance walking to

bathroom: related to immobility

2.What questions would you ask a patient to

validate the following nursing diagnoses?

a.Altered Urinary Elimination:

b.Impaired Social Interaction:

c. Ineffective Individual Coping:

d.Sleep Pattern Disturbance:

3.Describe the appropriate nursing response to

each of the following basic conclusions after

interpreting and analyzing patient data.

a.No problem:

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