Medical diagnosis is provided by a physician or nurse practitioner and is the actual health condition. Nursing diagnosis are problems indicated through assessment that is within the scope of practice for a nurse to treat

NANDA

North American Nursing Diagnosis Association

A clinical judgement concerning a human response to health conditions/life processes or a vulnerability for that response, by and individual, family, group or community

Nursing Diagnosis(NANDA)

The assessment and development of nursing diagnoses is the responsibility of:

The RN

The responsibility of the LVN in the nursing process is to:

Actively participate in the patient care planning

When identifying patient problems the factors that must be considered are:

The patients presenting signs and symptoms, contributing etiology and related factors

Patient problem statement presented in a three part statement including patient problem, contributing factors and signs and symptoms(specific cues)

Actual patient problem statement

Patient problem statement presented in a two part statement including patient problem and risk factor

Potential patient problem

Willingness to Learn Breastfeeding related to delivery of infant AEB mother's interest in meeting with the lactation consultant is an example of what type of patient problem statement?

Health promotion problem

Provides a description of the specific, measurable outcome criteria that a patient will be able to exhibit in a given time frame after interventions:

Patient goal statement

A well-written patient goal statement must:

Use the word patient or part of the patient as the subject of the statement, use a measurable verb, is specific to the patient and the patients problem, does not interfere with the medical care plan, is realistic, includes a time frame for patient reevaluation

The framework most often used to guide the prioritization of patient problem statements is:

Maslows Hierarchy of Needs

Any action ordered by a physician for a nurse or other health care professional to perform

Physician Prescribed Interventions

Any actions that a nurse is legally able to order or begin independently

Nurse Prescribed Intervention

NIC

Nursing Interventions Classification

A properly written nursing intervention is

Specific to the problem, realistic for the patient, compatible with medical plan of care and based on scientific, evidenced based principles

Style of care plan format that comprises of four or five columns which break-down the care plan and interventions

Linear Style