Which among the following is a 'Health promotion nursing diagnosis’?

Appeared in: AIIMS Raipur NO - 2019 (Shift-1)

Explanation

A health promotion nursing diagnosis is a clinical judgment concerning a patient's motivation and desire to increase their well-being and actualize their health potential.
These diagnoses are expressed by a readiness to enhance specific health behaviors.
The option 'Readiness for enhanced self-care' perfectly fits this definition, as it indicates the patient's desire to improve their own self-care activities.
The key identifier for this type of diagnosis is the introductory phrase 'Readiness for enhanced...'.

Option A: Hyperthermia is a problem-focused (or actual) nursing diagnosis. It describes a current, existing problem where the body temperature is elevated above the normal range.
Option B: Impaired memory is also a problem-focused (actual) nursing diagnosis. It identifies an existing cognitive problem experienced by the patient, supported by evidence like forgetting recent events or inability to recall information.
Option C: Risk for falls is a risk nursing diagnosis. It does not describe an existing problem but rather a vulnerability or potential for a future problem. The patient has not fallen yet, but risk factors are present.

Clinical Relevance

Nursing practice connection: Use the key finding related to Types of Nursing Diagnoses (NANDA-I) to guide bedside assessment, documentation, and the next nursing action.
Correctly identifying the type of nursing diagnosis is fundamental to planning effective nursing care. The interventions for each type are different.
For a problem-focused diagnosis (e.g., Hyperthermia), interventions aim to treat the existing problem (e.g., administering antipyretics, cooling measures).
For a risk diagnosis (e.g., Risk for falls), interventions are preventive (e.g., clearing pathways, providing mobility aids).

How to Approach the Question

First, identify the core concept in the question stem, which is 'Health promotion nursing diagnosis'.
Recall the definition of a health promotion diagnosis: it focuses on a patient's motivation and desire to improve their health.
Scan the options for keywords. Health promotion diagnoses are consistently phrased as 'Readiness for enhanced...'.
Analyze each option: 'Hyperthermia' and 'Impaired memory' describe current problems. 'Risk for falls' describes a potential future problem.
'Readiness for enhanced self-care' is the only option that reflects a patient's desire for improvement and follows the standard NANDA-I format for a health promotion diagnosis.
Therefore, select the option that aligns with the definition and standard phrasing.

Concept Tested & Keywords

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E6 Nursing Fundamentals Potter Perry 12e Part 2 p. 11-13

E6 Nursing Fundamentals Taylor p. 445-447

Practise the full AIIMS Raipur NO - 2019 (Shift-1)

Attempt every question from this paper in a timed mock, then review the full solution for each one.