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14 terms

Taylor Fundamentals of Nursing chapter 13

diagnosing
STUDY
PLAY
actual nursing diagnoses
problems validated by the presence of major defining characteristics and possessing four components: label, definition, defining characteristics, and related factor.
collaborative problem
actual or potential health problems that may occur from complications of disease, diagnostic studies or the treatment regimen, the nurse works together with other member of the healthcare team toward its resolution.
cue
significant information that is helpful in making decisions.
data cluster
grouping of patient data or cues that points to the existence of a patient health problem.
diagnosing
analysis of patient data to identify patient strength and health problems that independent nursing intervention can prevent or resolve.
diagnostic error
failure to detect an actual unhealthy behavior.
health problem
condition related to health requiring intervention if disease or illness is to be prevented or resolved and coping and wellness are to be promoted.
medical diagnoses
statement about a specific disease process using terminology from a well developed classification system accepted by the medical profession.
nursing diagnoses
actual or potential health problem that an independent nursing intervention can prevent or resolve.
possible nursing diagnoses
statements describing a suspected problem for which additional data are needed to confirm or rule out the suspected problem.
risk nursing diagnoses
clinical judgments that an individual, family, or community is more vulnerable to develop the problem than others in the same or similar situation.
standard
acceptable, expected level of performance established by authority, custom or consent.
syndrome nursing diagnoses
cluster of actual or risk nursing diagnoses that are predicted to be present because of a certain event or situation.
wellness diagnoses
clinical judgment about an individual, family, or community in transition from a specific level of wellness to a higher level of wellness.