NURS 3400 Chapter Notes - Chapter 4: Personal Development, Clinical Decision Support System, Nursing Process
Document Summary
Rn analyzes the assessment data to determine the diagnoses or issues. Derives the diagnoses or issues from assessment data. Validates the diagnosis or issues with the healthcare consumer. Identifies actual or potential risks to the healthcare consumer"s health and safety. Uses standardized classification systems and clinical decision support tools. Documents diagnoses or issues in a manner that facilitates the determination of the expected outcomes and plan. Diagnosis: after gathering the data you will use your critical thinking skills to analyze the data. The reasoning process used in interpreting assessment data. A formal diagnostic statement of the client"s health status, containing both the problem and etiology. The list of standardized terms used to write diagnostic statements. Health problems: any condition that requires intervention to promote wellness or to prevent or treat disease or illness. Nursing diagnosis: a statement of client health status that nurses can identify, prevent, or treat independently.
