Asked by Erica Marler on Jul 08, 2024
Verified
Which nursing diagnosis is written in the correct format when using the NANDA-I taxonomy?
A) Bowel Obstruction related to recent abdominal surgery AMB: nausea, vomiting, and abdominal pain
B) Inability to Ingest Food related to imbalanced nutrition: less than body requirements A.M.B. inadequate food intake, weight less than 20% under ideal body weight
C) Impaired Skin Integrity related to physical immobility AMB skin tear over sacral area
D) Caregiver Role Strain related to alienation from family and friends AMB 24-hour care responsibilities
NANDA-I Taxonomy
A classification system developed by the North American Nursing Diagnosis Association-International for nursing diagnoses based on patient assessment data.
Bowel Obstruction
A medical condition where there is a blockage that prevents food or liquid from passing through the small or large intestine.
Inability to Ingest Food
A condition where an individual cannot consume food by mouth, possibly due to physical or psychological reasons, leading to the need for alternative feeding methods.
- Formulate and appraise statements related to nursing diagnoses using the correct protocol and vocabulary.
Verified Answer
SD
Sheina DeytaJul 11, 2024
Final Answer :
C
Explanation :
The components of NANDA-I nursing diagnosis might include the following four parts: diagnostic label,defining characteristics,related factors,and risk factors."Impaired Skin Integrity ..." has the problem statement,etiology,and symptoms.For "Bowel Obstruction ..." the problem is a medical diagnosis.The cause-and-effect order of "Inability to Ingest Food ..." is incorrect; it starts with the etiology.The etiology and symptoms (A.M.B.)of "Caregiver Role Strain ..." are reversed (alienation from family and friends are the symptoms that support the diagnosis).
Learning Objectives
- Formulate and appraise statements related to nursing diagnoses using the correct protocol and vocabulary.