NUR2356 Module 04 Written Assignment – Nursing Diagnosis
NUR2356 Module 04 Written Assignment – Nursing Diagnosis
Module 04 Content
Watch this short overview prior to completing the assignment (21 minutes): https://rasmussen.webex.com/webappng/sites/rasmussen/recording/c6c63a444d4c4ed79b4e106557cf0a1a/playback
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NANDA Nursing Diagnosis List:
NANDA nursing diagnosis list.pdf
Link to Nursing Diagnosis books here: https://guides.rasmussen.edu/nursing/referenceebooks click on Diagnosis Manuals tab
Link to SMART goals Information here: https://rasmussen.libanswers.com/faq/212524
Click here to open a word document with the assignment instructions and rubric.
NUR2356_Module 04 Written Assignment_1220.docx
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NUR2356_Module04WrittenAssignment_1220.docxModule 04 Written Assignment – Nursing Diagnosis
Purpose of the Assignment
1. Assist students in clustering assessment data when developing a nursing diagnosis.
2. Develop students’ ability to write client based outcomes when planning care.
Course Competencies
· Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
Instructions
Using the template below, write 3 NANDA-I approved nursing diagnoses in a proper format based on the client case provided below. Write one SMART client-centered goal for each nursing diagnosis. Consider the client’s medical history and medications.
Kacie Benson, a 19-year-old woman, is a client on your unit due to a skiing accident. She is unconscious and may or may not regain consciousness. She is on complete bedrest. She requires frequent repositioning to maintain correct body alignment and attention to her ROM. She responds to painful stimuli with slight non-purposeful withdrawal. No spontaneous movements are noted. The recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections. Her fluid and electrolyte balance is being maintained by a tube feeding at 60 mL per hour continuously. She is incontinent of stool and has an indwelling Foley catheter. Her heels are reddened, but otherwise, her skin is intact.
Use at least two scholarly sources to support your nursing diagnoses. Be sure to cite your sources in-text and on a reference page using APA format.
Check out the following link for information about writing SMART goals and to see examples:
http://rasmussen.libanswers.com/faq/212524
You can find useful reference materials for this assignment in the School of Nursing guide:
https://guides.rasmussen.edu/nursing/referenceebooks
Have questions about APA? Visit the online APA guide:
https://guides.rasmussen.edu/apa
Nursing Diagnosis Nursing Diagnosis Nursing Diagnosis SMART Goal SMART Goal SMART Goal Module 04 Written Assignment – Nursing Diagnosis Rubric
Total Assessment Points – 35
Levels of Achievement Criteria Emerging Competence Proficiency Mastery Nursing Diagnosis (should fit the data)
(10 Pts)
Nursing diagnoses are insufficient and/or do not fit the data.
Failure to submit Nursing Diagnosis will result in zero points for this criterion.
Writes ONE NANDA-I approved nursing diagnosis in the correct format (including related to/as evidenced by) with a strong connection to identified data. Writes TWO NANDA-I approved nursing diagnoses in the correct format (including related to/as evidenced by) with a strong connection to identified data. Writes THREE NANDA-I approved nursing diagnoses in the correct format (including related to/as evidenced by) with a strong connection to identified data. Points – 7 Points – 8 Points – 9 Points – 10 SMART Goal (should reflect the diagnosis and follow guidelines)
(15 Pts)
The goals meet few SMART goal guidelines and/or are not related to the nursing diagnoses.
Failure to submit SMART goals will result in zero points for this criterion.
Writes ONE goal for ONE nursing diagnosis and the goal meets all the SMART goal guidelines and are related to the nursing diagnosis. Writes ONE goal for TWO nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses. Writes ONE goal for THREE nursing diagnoses and the goals meet all the SMART goal guidelines and are related to the nursing diagnoses. Points – 11 Points – 12 Points – 13 Points – 15 Spelling and Grammar
(5 Pts)
Numerous spelling and grammar errors, which detract from the audience’s ability to comprehend material. Some spelling and grammar errors, which detract from the audience’s ability to comprehend material. Few spelling and grammar errors. Minimal to no spelling and grammar errors. Points: 2 Points: 3 Points: 4 Points: 5 APA Citation
(5 Pts)
APA in-text citations and references are missing. Attempted to use APA in-text citations and references. APA in-text citations and references are used with few errors. APA in-text citations and references are used correctly. Points: 2 Points: 3 Points: 4 Points: 5
In the latest edition of NANDA nursing diagnosis list (2018-2020), NANDA International has made some changes to its approved nursing diagnoses compared to the previous edition of NANDA nursing diagnoses 2015-2017 (10th edition). In this latest edition (11th edition), NANDA-I introduced seventeen new nursing diagnoses, and removed eight nursing diagnoses. likewise, seventy-two nursing diagnoses have been revised. Module 04 Written Assignment – Nursing Diagnosis
Read Also: NANDA nursing diagnoses 2015-2017
Read Also: Nursing diagnoses Accepted for used and research 2012-2014
Please note that NANDA-I doesn’t advise on using NANDA Nursing Diagnosis labels without taking the nursing diagnosis in holistic approach. NANDA-I explained this in their website as follow:
There is no real use for simply providing a list of terms – to do so defeats the purpose of a standardized language.
Unless the definition, defining characteristics, related and / or risk factors are known, the label itself is
meaningless. Therefore, we do not believe it is in the interest of patient safety to produce simple lists of terms that could be misunderstood or used inappropriately in a clinical context.
Definition of a Nursing Diagnosis
A nursing diagnosis is defined by NANDA International (2013) as a clinical judgment concerning a human
response to health conditions/life processes, or vulnerability for that response, by an individual, family, group, or community. Module 04 Written Assignment – Nursing Diagnosis
New NANDA Nursing Diagnoses
In this edition of NANDA nursing diagnosis list (2018-2020), seventeen new nursing diagnoses were approved and introduced. These new approved nursing diagnoses are:
• Readiness for enhanced health literacy
• Ineffective adolescent eating dynamics
• Ineffective child eating dynamics
• Ineffective infant eating dynamics
• Risk for metabolic imbalance syndrome
• Imbalanced energy field
• Risk for unstable blood pressure
• Risk for complicated immigration transition
• Neonatal abstinence syndrome
• Acute substance withdrawal syndrome
• Risk for acute substance withdrawal syndrome
• Risk for surgical site infection
• Risk for dry mouth
• Risk for venous thromboembolism
• Risk for female genital mutilation
• Risk for occupational injury
• Risk for ineffective thermoregulation
Retired NANDA Nursing Diagnoses
In this latest edition of NANDA nursing diagnosis list (2018-2020), eight nursing diagnoses were removed from compared to the old nursing diagnosis list (2015-2017). These nursing diagnoses are :
• Risk for disproportionate growth
• Noncompliance (Nursing Care Plan)
• Readiness for enhanced fluid balance
• Readiness for enhanced urinary elimination
• Risk for impaired cardiovascular function
• Risk for ineffective gastrointestinal perfusion
• Risk for ineffective renal perfusion
• Risk for imbalanced body temperature
Approved NANDA Nursing Diagnosis List 2018-2020
NANDA Nursing Diagnosis Domain 1. Health promotion
Class 1. Health awareness
Decreased diversional activity engagement (Nursing Care Plan)
Readiness for enhanced health literacy
Sedentary lifestyle (Nursing care Plan)
Class 2. Health management
Frail elderly syndrome (Nursing care Plan)
Risk for frail elderly syndrome
Deficient community health
Risk-prone health behaviour
Ineffective health maintenance (Nursing care Plan)
Ineffective health management
Readiness for enhanced health management
Ineffective family health management
Ineffective protection
NANDA Nursing Diagnosis Domain 2. Nutrition
Class 1. Ingestion
Imbalanced nutrition: less than body requirements (Nursing care Plan)
Readiness for enhanced nutrition
Insufficient breast milk production
Ineffective breastfeeding (Nursing care Plan)
Interrupted breastfeeding (Nursing care Plan)
Readiness for enhanced breastfeeding
Ineffective adolescent eating dynamics
Ineffective child eating dynamics
Ineffective infant feeding dynamics
Ineffective infant feeding pattern (Nursing care Plan)
Obesity
Overweight
Risk for overweight
Impaired swallowing (Nursing care Plan)
Class 2. Digestion
This class does not currently contain any diagnoses
Class 3. Absorption
This class does not currently contain any diagnoses
Class 4. Metabolism
Risk for unstable blood glucose level (Nursing care Plan)
Neonatal hyperbilirubinemia
Risk for neonatal hyperbilirubinemia
Risk for impaired liver function
Risk for metabolic imbalance syndrome
Class 5. Hydration
Risk for electrolyte imbalance
Risk for imbalanced fluid volume
Deficient fluid volume (Nursing care Plan)
Risk for deficient fluid volume
Excess fluid volume (Nursing care Plan)
NANDA Nursing Diagnosis Domain 3. Elimination and exchange
Class 1. Urinary function
Impaired urinary elimination
Functional urinary incontinence
Overflow urinary incontinence
Reflex urinary incontinence
Stress urinary incontinence
Urge urinary incontinence
Risk for urge urinary incontinence
Urinary retention
Class 2. Gastrointestinal function
Constipation (Nursing care Plan)
Risk for constipation
Perceived constipation
Chronic functional constipation
Risk for chronic functional constipation
Diarrhoea
Dysfunctional gastrointestinal motility
Risk for dysfunctional gastrointestinal motility
Bowel incontinence
Class 3. Integumentary function
This class does not currently contain any diagnoses
Class 4. Respiratory function
Impaired gas exchange
NANDA Nursing Diagnosis Domain 4. Activity/rest
Class 1. Sleep/rest
Insomnia
Sleep deprivation
Readiness for enhanced sleep
Disturbed sleep pattern
Class 2. Activity/exercise
Risk for disuse syndrome
Impaired bed mobility
Impaired physical mobility
Impaired wheelchair mobility
Impaired sitting
Impaired standing
Impaired transfer ability
Impaired walking
Class 3. Energy balance
Imbalanced energy field
Fatigue
Wandering
Class 4. Cardiovascular/pulmonary responses
Activity intolerance
Risk for activity intolerance
Ineffective breathing pattern
Decreased cardiac output
Risk for decreased cardiac output
Impaired spontaneous ventilation
Risk for unstable blood pressure
Risk for decreased cardiac tissue perfusion
Risk for ineffective cerebral tissue perfusion
Ineffective peripheral tissue perfusion
Risk for ineffective peripheral tissue perfusion
Dysfunctional ventilatory weaning response
Class 5. Self-care
Impaired home maintenance
Bathing self-care deficit
Dressing self-care deficit
Feeding self-care deficit
Toileting self-care deficit
Readiness for enhanced self-care
Self-neglect
NANDA Nursing Diagnosis Domain 5. Perception/cognition
Class 1. Attention
Unilateral neglect
Class 2. Orientation
This class does not currently contain any diagnoses
Class 3. Sensation/perception
This class does not currently contain any diagnoses
Class 4. Cognition
Acute confusion
Risk for acute confusion
Chronic confusion
Labile emotional control
Ineffective impulse control
Deficient knowledge
Readiness for enhanced knowledge
Impaired memory
Class 5. Communication
Readiness for enhanced communication
Impaired verbal communication
NANDA Nursing Diagnosis Domain 6. Self-perception
Class 1. Self-concept
Hopelessness
Readiness for enhanced hope
Risk for compromised human dignity
Disturbed personal identity
Risk for disturbed personal identity
Readiness for enhanced self-concept
Class 2. Self-esteem
Chronic low self-esteem
Risk for chronic low self-esteem
Situational low self-esteem
Risk for situational low self-esteem
Class 3. Body image
Disturbed body image
NANDA Nursing Diagnosis Domain 7. Role relationship
Class 1. Caregiving roles
Caregiver role strain
Risk for caregiver role strain
Impaired parenting
Risk for impaired parenting
Readiness for enhanced parenting
Class 2. Family relationships
Risk for impaired attachment
Dysfunctional family processes
Interrupted family processes
Readiness for enhanced family processes
Class 3. Role performance
Ineffective relationship
Risk for ineffective relationship
Readiness for enhanced relationship
Parental role conflict
Ineffective role performance
Impaired social interaction
NANDA Nursing Diagnosis Domain 8. Sexuality
Class 1. Sexual identity
This class does not currently contain any diagnoses
Class 2. Sexual function
Sexual dysfunction
Ineffective sexuality pattern
Class 3. Reproduction
Ineffective childbearing process
Risk for ineffective childbearing process
Readiness for enhanced childbearing process
Risk for disturbed maternal-fetal dyad
NANDA Nursing Diagnosis Domain 9. Coping/stress tolerance
Class 1. Post-trauma responses
Risk for complicated immigration transition
Post-trauma syndrome
Risk for post-trauma syndrome
Rape-trauma syndrome
Relocation stress syndrome
Risk for relocation stress syndrome
Class 2. Coping responses
Ineffective activity planning
Risk for ineffective activity planning
Anxiety (Nursing Care Plan)
Defensive coping
Ineffective coping
Readiness for enhanced coping
Ineffective community coping
Readiness for enhanced community coping
Compromised family coping
Disabled family coping
Readiness for enhanced family coping
Death anxiety
Ineffective denial
Fear
Grieving
Complicated grieving
Risk for complicated grieving
Impaired mood regulation
Powerlessness
Risk for powerlessness
Readiness for enhanced power
Impaired resilience
Risk for impaired resilience
Readiness for enhanced resilience
Chronic sorrow
Stress overload
Class 3. Neurobehavioral stress
Acute substance withdrawal syndrome
Risk for acute substance withdrawal syndrome
Autonomic dysreflexia
Risk for autonomic dysreflexia
Decreased intracranial adaptive capacity
Neonatal abstinence syndrome
Disorganized infant behaviour
Risk for disorganized infant behaviour
Readiness for enhanced organized infant behavior
NANDA Nursing Diagnosis Domain 10. Life principles
Class 1. Values
This class does not currently contain any diagnoses
Class 2. Beliefs
Readiness for enhanced spiritual well-being
Class 3. Value/belief/action congruence
Readiness for enhanced decision-making
Decisional conflict
Impaired emancipated decision-making
Risk for impaired emancipated decision-making
Readiness for enhanced emancipated decision-making
Moral distress
Impaired religiosity
Risk for impaired religiosity
Readiness for enhanced religiosity
Spiritual distress
Risk for spiritual distress
NANDA Nursing Diagnosis Domain 11. Safety/protection
Class 1. Infection
Risk for infection
Risk for surgical site infection
Class 2. Physical injury
Ineffective airway clearance
Risk for aspiration
Risk for bleeding (Nursing Care plan)
Impaired dentition
Risk for dry eye
Risk for dry mouth
Risk for falls
Risk for corneal injury
Risk for injury
Risk for urinary tract injury
Risk for perioperative positioning injury
Risk for thermal injury
Impaired oral mucous membrane integrity
Risk for impaired oral mucous membrane integrity
Risk for peripheral neurovascular dysfunction
Risk for physical trauma
Risk for vascular trauma
Risk for pressure ulcer
Risk for shock
Impaired skin integrity (Nursing Care Plan)
Risk for impaired skin integrity
Risk for sudden infant death
Risk for suffocation
Delayed surgical recovery
Risk for delayed surgical recovery
Impaired tissue integrity
Risk for impaired tissue integrity
Risk for venous thromboembolism
Class 3. Violence
Risk for female genital mutilation
Risk for other-directed violence
Risk for self-directed violence
Self-mutilation
Risk for self-mutilation
Risk for suicide
Class 4. Environmental hazards
Contamination
Risk for contamination
Risk for occupational injury
Risk for poisoning
Class 5. Defensive processes
Risk for adverse reaction to iodinated contrast media
Risk for allergy reaction
Latex allergy reaction
Risk for latex allergy reaction
Class 6. Thermoregulation
Hyperthermia
Hypothermia
Risk for hypothermia
Risk for perioperative hypothermia
Ineffective thermoregulation
Risk for ineffective thermoregulation
NANDA Nursing Diagnosis Domain 12. Comfort
Class 1. Physical comfort
Impaired comfort
Readiness for enhanced comfort
Nausea
Acute pain
Chronic pain
Chronic pain syndrome
Labor pain
Class 2. Environmental comfort
Impaired comfort
Readiness for enhanced comfort
Class 3. Social comfort
Impaired comfort
Readiness for enhanced comfort
Risk for loneliness
Social isolation
NANDA Nursing Diagnosis Domain 13. Growth/development
Class 1. Growth
This class does not currently contain any diagnoses
Class 2. Development
Risk for delayed development
- Definition of a Nursing Diagnosis
- New NANDA Nursing Diagnoses
- Retired NANDA Nursing Diagnoses
- Approved NANDA Nursing Diagnosis List 2018-2020
- NANDA Nursing Diagnosis Domain 1. Health promotion
- Class 1. Health awareness
- Class 2. Health management
- NANDA Nursing Diagnosis Domain 2. Nutrition
- Class 1. Ingestion
- Class 2. Digestion
- Class 3. Absorption
- Class 4. Metabolism
- Class 5. Hydration
- NANDA Nursing Diagnosis Domain 3. Elimination and exchange
- Class 1. Urinary function
- Class 2. Gastrointestinal function
- Class 3. Integumentary function
- Class 4. Respiratory function
- NANDA Nursing Diagnosis Domain 4. Activity/rest
- Class 1. Sleep/rest
- Class 2. Activity/exercise
- Class 3. Energy balance
- Class 4. Cardiovascular/pulmonary responses
- Class 5. Self-care
- NANDA Nursing Diagnosis Domain 5. Perception/cognition
- Class 1. Attention
- Class 2. Orientation
- Class 3. Sensation/perception
- Class 4. Cognition
- Class 5. Communication
- NANDA Nursing Diagnosis Domain 6. Self-perception
- Class 1. Self-concept
- Class 2. Self-esteem
- Class 3. Body image
- NANDA Nursing Diagnosis Domain 7. Role relationship
- Class 1. Caregiving roles
- Class 2. Family relationships
- Class 3. Role performance
- NANDA Nursing Diagnosis Domain 8. Sexuality
- Class 1. Sexual identity
- Class 2. Sexual function
- Class 3. Reproduction
- NANDA Nursing Diagnosis Domain 9. Coping/stress tolerance
- Class 1. Post-trauma responses
- Class 2. Coping responses
- Class 3. Neurobehavioral stress
- NANDA Nursing Diagnosis Domain 10. Life principles
- Class 1. Values
- Class 2. Beliefs
- Class 3. Value/belief/action congruence
- NANDA Nursing Diagnosis Domain 11. Safety/protection
- Class 1. Infection
- Class 2. Physical injury
- Class 3. Violence
- Class 4. Environmental hazards
- Class 5. Defensive processes
- Class 6. Thermoregulation
- NANDA Nursing Diagnosis Domain 12. Comfort
- Class 1. Physical comfort
- Class 2. Environmental comfort
- Class 3. Social comfort
- NANDA Nursing Diagnosis Domain 13. Growth/development
- Class 1. Growth
- Class 2. Development
- NANDA Nursing Diagnosis Domain 1. Health promotion
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Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
- Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
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Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
- Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
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- Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
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