AIIMS Raipur lecturer 2021
Nursing Foundation
Easy
Which of the following is an example of Wellness Nursing Diagnosis?
Appeared in: AIIMS Raipur lecturer 2021
Explanation
- A wellness nursing diagnosis reflects a patient's desire to move from a specific level of wellness to a higher level.
- The statement 'Readiness for enhanced spiritual well-being' explicitly shows the patient's motivation to improve their spiritual health, which is the core of a wellness diagnosis.
- Wellness diagnoses are easily identified by the standard NANDA-I format, which begins with the phrase 'Readiness for enhanced...'.
- Unlike problem-focused or risk diagnoses, a wellness diagnosis does not have an etiology or 'related to' factor because it's not a problem to be solved but a strength to be supported.
Why Other Options Were Wrong
- Option A: This is a problem-focused (actual) diagnosis. It describes a problem (acute pain) that currently exists, supported by signs, symptoms, and a related factor (surgical trauma).
- Option B: This is a 'possible' diagnosis, which is a temporary label a nurse uses when more data is needed to confirm or rule out a suspected problem. It is not a formal NANDA-I diagnosis type.
- Option D: This is a risk diagnosis. It identifies a potential future problem (infection) that the patient is vulnerable to, but has not yet developed. The key phrase is 'Risk for...'.
Related Visual
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 nursing practice because it directly determines the goals of care and the selection of appropriate interventions.
- A wellness diagnosis leads to interventions that help the patient achieve a higher level of functioning, whereas a risk diagnosis leads to preventative measures, and a problem-focused diagnosis leads to treatment-oriented actions.
- What if? If a patient expressed hopelessness and questioning of their beliefs after a traumatic event, but did not express a 'readiness for enhancement'? The diagnosis would shift from a wellness diagnosis to a problem-focused diagnosis like 'Spiritual Distress related to traumatic event', requiring interventions to resolve the distress rather than enhance well-being.
How to Approach the Question
- First, identify the key term in the question: 'Wellness Nursing Diagnosis'.
- Recall the definition and structure of a wellness (or health promotion) diagnosis. The key feature is the patient's desire to improve their current state of health.
- Remember the specific NANDA-I phrasing for this type of diagnosis, which is 'Readiness for enhanced...'.
- Scan the options to see which one matches this structure.
- Option A ('Acute pain') is a current problem. Option D ('Risk for infection') is a potential problem. Option B ('Possible...') indicates uncertainty. Option C ('Readiness for enhanced...') perfectly matches the format and intent of a wellness diagnosis.
Concept Tested & Keywords
- Concept Tested: Types of Nursing Diagnoses (NANDA-I)
- Stem keywords: Wellness Nursing Diagnosis, example
- Lead-in keywords: Which
Question ID
QN6TcTY6kZhwmOKwVN0zBb
Reference Book
E6 Nursing Fundamentals Potter Perry 12e Part 6 p. 179-181
E6 Nursing Fundamentals Taylor p. 936-938
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