ATI Fundamentals Of Nursing

2.

Who defines health as "A state of complete physical, menatl, and social well-being, and not merely the absence of disease of infirmity."

W.H.O.
A.N.A.

Correct Answer

A. W.H.O.

Explanation

The World Health Organization (W.H.O.) defines health as "A state of complete physical, mental, and social well-being, and not merely the absence of disease or infirmity." This definition emphasizes that health is not just the absence of illness, but also includes the overall well-being of an individual, encompassing their physical, mental, and social aspects. W.H.O. is a global organization that is responsible for providing leadership on global health matters, setting health norms and standards, and coordinating international health responses. Therefore, it is the W.H.O. that defines health in this comprehensive manner.

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3.

Which of the following is a complete wellness diagnoses?

Readiness for spiritual well-being
Readiness for enhanced family coping
Possible social isolation
Risk for powerlessness

Correct Answer

A. Readiness for enhanced family coping

Explanation

NANDA states that wellness diagnoses are one-part statements that begin with "Readiness for enhanced..."

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4.

This is a diagnosis that is associated with a cluster of other diagnoses

Actual Diagnosis
Possible nursing diagnosis
Risk nursing diagnosis
Syndrome diagnosis

Correct Answer

A. Syndrome diagnosis

Explanation

Examples of syndrome diagnosis are: Risk for disuse syndrome, Impaired physical mobility, Risk for impaired tissue integrity,

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5.

Which of the following is a correct PES formated diagnostic statement?

Noncompliance (Diabetic Diet) related to unresolved anger about diagnosis as manifested by weight gain of 5 kg
Noncompliance (Diabetic Diet) related to denial of having disease
Noncompliance (Diabetic Diet) due to unresolved anger about diagnosis as manifested by weight gain of 5 kg
Situational Low self esteem r/t feelings of rejection by husband

Correct Answer

A. Noncompliance (Diabetic Diet) related to unresolved anger about diagnosis as manifested by weight gain of 5 kg

Explanation

PES format has three components
1. Problem (P) "related to) 2. Etiology (E) "As Manifested by" 3. Signs and Symptoms

B) This is a basic two-part statement
C) This is correct except that it uses "due to" not "realted to" due to implies that one part causes or is responsible for the other part
D) This is a complete two part statement

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6.

Which diagnostic statement(s) consist of a NANDA label only?

Possible nursing diagnosis
Syndrome diagnosis
Risk nursing diagnosis
Wellness diagnosis

Correct Answer(s)

A. Syndrome diagnosis
A. Wellness diagnosis

Explanation

Wellness diagnosis may also include a descriptor in parenthesis i.e. (low-fat diet)

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7.

Which of the following are correct nursing diagnosis?

Risk for Impaired Skin Integrity related to decreased peripheral circulation secondary to diabetes
Impaired skin integrity related to improper positioning
Impaired skin integrity related to ulceration of sacral area
Risk for Ineffective Airway Clearance related to emphysema
Impaired Oral Mucous Membrane related to decreased salivation secondary to radiation of neck

Correct Answer(s)

A. Risk for Impaired Skin Integrity related to decreased peripheral circulation secondary to diabetes
A. Impaired Oral Mucous Membrane related to decreased salivation secondary to radiation of neck

Explanation

B) incorrect because this implies legal liability on the HCP, instead word it as "Impaired skin integrity related to immobility"
C) this is incorrect because both parts say the same thing
D) this is incorrect because it uses medical terminology, not nursing terminology, instead word it as "Risk for Ineffective Airway Clearance related to accumulation of secretions in lungs"
E) this is correct because it is specific and precise

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ATI Fundamentals Of Nursing

An acute illness is:

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Who defines health as "A state of complete physical, menatl, and social well-being, and not merely the absence of disease of infirmity."

Which of the following is a complete wellness diagnoses?

This is a diagnosis that is associated with a cluster of other diagnoses

Which of the following is a correct PES formated diagnostic statement?

Which diagnostic statement(s) consist of a NANDA label only?

Which of the following are correct nursing diagnosis?