The nurse recognizes that which one of the following statements is tru

The nurse recognizes that which one of the following statements is true with regard to the for-mulation of nursing diagnoses?

1. The diagnosis should identify a “cause and effect” relationship.
2. The diagnosis must remain constant during the client’s hospitalization.
3. The etiology of the diagnosis must be within the scope of the health care team’s practice.
4. The diagnosis should include the problem and the related contributing conditions.

ANSWER

ANS: 4
The diagnosis should include the problem and the related contributing conditions is a true state-ment. Related factors are causative or other contributing conditions that have influenced the client’s actual or potential response to the health problem and can be changed by nursing inter-ventions. The nursing diagnosis does not identify a “cause and effect” relationship; rather, it in-dicates that the etiology contributes to or is associated with the client’s problem. The nursing di-agnosis does not have to remain constant during the client’s hospitalization. It should change ac-cording to changes in the patient. The etiology or cause of the nursing diagnosis must be within the domain of nursing practice and a condition that responds to nursing interventions, not those of the entire health care team.