A client who has been in a wheelchair for several years is currently e

A client who has been in a wheelchair for several years is currently experiencing problems with skin breakdown and urinary retention in addition to depression.

When formulating a nursing diagnosis, an appropriate selection would be which of the following?
1. Syndrome diagnosis
2. Risk nursing diagnosis
3. Actual diagnosis
4. Wellness diagnosis

ANSWER

Correct Answer: 1
Rationale 1: A syndrome diagnosis is a diagnosis that is associated with a cluster of other diagnoses (in this situation, Urinary elimination alteration, Impaired skin integrity, and Powerlessness). Currently, there are six syndrome diagnoses on the NANDA International list.
Rationale 2: A risk nursing diagnosis is a clinical judgment that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless the nurse intervenes.
Rationale 3: An actual diagnosis is a client problem that is present at the time of the nursing assessment.
Rationale 4: A wellness diagnosis describes human responses to levels of wellness in an individual, family, or community that has a readiness for enhancement.