LPN -N101 exam 4
LPN -N101 exam 4 ( 39 Questions)
The Practical Nurse (PN) uses the “risk for” nursing diagnoses as identified from the: Select all that apply
Choice A reason: Needs medical intervention is not the major difference between the two diagnoses. Both diagnoses may require medical intervention, depending on the severity and cause of the vomiting and the nutritional deficiency. Medical intervention is not a criterion for distinguishing between different types of nursing diagnoses.
Therefore, this choice is incorrect.
Choice B reason: Needs no defined nursing interventions is not the major difference between the two diagnoses. Both diagnoses need defined nursing interventions, such as monitoring, teaching, counseling, or providing fluids and electrolytes. Nursing interventions are essential for addressing any nursing diagnosis, whether actual or potential.
Therefore, this choice is incorrect.
Choice C reason: Will not need to be evaluated is not the major difference between the two diagnoses. Both diagnoses need to be evaluated, which involves measuring the outcomes and determining whether the interventions were effective in resolving or preventing the problem. Evaluation is a vital step of the nursing process for any nursing diagnosis, whether actual or potential. Therefore, this choice is incorrect.
Choice D reason: Reflects a problem that does not yet exist is the major difference between the two diagnoses. Diagnosis #1 is an actual nursing diagnosis, which reflects a problem that exists at the present time and has signs and symptoms that can be observed or measured. Diagnosis #2 is a risk for nursing diagnosis, which reflects a problem that does not exist at the present time but may develop in the future if preventive measures are not taken.
Therefore, this choice is correct.
Choice A reason: Needs medical intervention is not the major difference between the two diagnoses. Both diagnoses may require medical intervention, depending on the severity and cause of the vomiting and the nutritional deficiency. Medical intervention is not a criterion for distinguishing between different types of nursing diagnoses.
Therefore, this choice is incorrect.
Choice B reason: Needs no defined nursing interventions is not the major difference between the two diagnoses. Both diagnoses need defined nursing interventions, such as monitoring, teaching, counseling, or providing fluids and electrolytes. Nursing interventions are essential for addressing any nursing diagnosis, whether actual or potential.
Therefore, this choice is incorrect.
Choice C reason: Will not need to be evaluated is not the major difference between the two diagnoses. Both diagnoses need to be evaluated, which involves measuring the outcomes and determining whether the interventions were effective in resolving or preventing the problem. Evaluation is a vital step of the nursing process for any nursing diagnosis, whether actual or potential. Therefore, this choice is incorrect.
Choice D reason: Reflects a problem that does not yet exist is the major difference between the two diagnoses. Diagnosis #1 is an actual nursing diagnosis, which reflects a problem that exists at the present time and has signs and symptoms that can be observed or measured. Diagnosis #2 is a risk for nursing diagnosis, which reflects a problem that does not exist at the present time but may develop in the future if preventive measures are not taken.
Therefore, this choice is correct.