Identify the person responsible for analyzing and interpreting data to arrive at a nursing diagnosis:
CNA
Technician
RN
LPN/LVN
The Correct Answer is C
A. CNA (Certified Nursing Assistant): CNAs assist with basic patient care (e.g., hygiene, vital signs) but do not perform assessments or make nursing diagnoses.
B. Technician: Technicians perform specific tasks (e.g., drawing blood, ECGs) but do not analyze patient data for diagnosis.
C. RN (Registered Nurse): The RN is responsible for analyzing and interpreting data, identifying nursing diagnoses, and developing the care plan.
D. LPN/LVN (Licensed Practical/Vocational Nurse): LPNs/LVNs can collect data but cannot make a nursing diagnosis, which is the RN’s role.
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Correct Answer is C
Explanation
A. The patient is vulnerable to develop the problem: This describes a risk diagnosis, where the patient has the potential to develop a condition but does not currently have it.
B. There is no evidence of defining characteristics: An actual nursing diagnosis must have defining characteristics (symptoms/signs).
C. A condition is currently present: An actual nursing diagnosis means the condition is already present, with observable signs and symptoms.
D. It is written as a two-part statement: Actual nursing diagnoses use a three-part statement:
-
Problem (diagnosis)
-
Etiology (cause)
-
Signs and Symptoms (evidence)
Correct Answer is C
Explanation
A. It increases cost.: While initial implementation is costly, computerized charting ultimately reduces costs by improving efficiency and reducing errors.
B. It promotes individualization of the medical record.: Computerized systems standardize documentation rather than individualizing it. However, personalization can be added through specific notes.
C. It improves legibility.: Handwritten notes can be illegible, leading to errors. Computerized charting eliminates handwriting issues and ensures clarity.
D. It minimizes the number of forms to be completed.: While it may reduce paperwork, it does not necessarily minimize documentation, as structured data entry is still required.
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