Question

A nurse is assigned to a new patient admitted to the nursing unit following admission through the emergency department. The nurse collects a nursing history and interviews the patient. Place the following steps for making a nursing diagnosis in the correct order.

1 Considers context of patient's health problem and selects a related factor
2 Reviews assessment data, noting objective and subjective clinical criteria
3 Clusters clinical criteria that form a pattern
4 Chooses diagnostic label

Answer 1

In making a nursing diagnosis, the nurse first reviews assessment data, then clusters the clinical criteria to identify patterns, considers the patient's health context to select a related factor, and finally chooses a diagnostic label.

Step-by-step explanation:

To perform a nursing diagnosis, a nurse follows a structured process. This process ensures a comprehensive assessment of the patient's health condition and the formulation of an appropriate plan of care. The steps for making a nursing diagnosis should be performed in the following order:

1. Reviews assessment data, noting objective and subjective clinical criteria - This involves collecting and reviewing the patient's history, as well as their current symptoms and signs.
2. Clusters clinical criteria that form a pattern - The nurse identifies patterns in the data that could indicate a specific health issue.
3. Considers context of patient's health problem and selects a related factor - The nurse takes into account the patient's overall health context to determine the underlying cause of the identified pattern.
4. Chooses diagnostic label - Finally, the nurse selects a diagnostic label that accurately describes the patient's condition.