A nurse is aware that the guidelines for writing an appropriate nursing diagnosis include all of the following except:
  1. State the diagnosis in terms of a problem, not a need
  2. Use nursing terminology to describe the patient’s response
  3. Use statements that assist in planning independent nursing interventions
  4. Use medical terminology to describe the probable cause of the patient’s response
Explanation
Answer - D - A nurse is aware that the guidelines for writing an appropriate nursing diagnosis include all of the above except to use medical terminology to describe the probable cause of the patient’s response. A nursing diagnosis is a statement about a patient’s actual or potential health problem that is within the scope of independent nursing intervention. Medical terminology is never a part of the nursing diagnosis. An appropriate nursing diagnosis would be an ineffective breathing pattern related to chest pain, rather than ineffective breathing pattern caused by angina.
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