Which of the following is not a component of NANDA nursing diagnosis?

RUHS, Jaipur, PB B.Sc Nursing Entrance-2023

Fundamental of Nursing

Easy

Appeared in: RUHS, Jaipur, PB B.Sc Nursing Entrance-2023

Explanation

A standard NANDA-I nursing diagnosis is structured using the PES format, which stands for Problem, Etiology, and Signs/Symptoms (or Defining Characteristics).
The term 'Complication' is not a structural component of the PES format for a nursing diagnosis.
Potential complications are typically identified as 'collaborative problems,' which are monitored by the nurse but require both medical and nursing interventions for treatment.

Option A: The 'Problem' is the first and essential part of a nursing diagnosis. It is the official NANDA-I diagnostic label that describes the patient's health status.
Option C: The 'Etiology' is the second part of the PES format. It identifies the cause or contributing factors ('related to' factors) of the problem, which directs nursing interventions.
Option D: The 'Characteristics' (or defining characteristics) are the third part of the PES format. They are the signs and symptoms ('as evidenced by') that provide proof of the diagnosis.

Clinical Relevance

Nursing practice connection: Use the key finding related to Components of a NANDA-I nursing diagnosis to guide bedside assessment, documentation, and the next nursing action.
Correctly formulating a nursing diagnosis using the PES format is fundamental to nursing practice. It ensures that the plan of care is accurate, specific, and tailored to the patient's actual problems and their causes.
A well-written diagnosis improves communication among the healthcare team, leading to better continuity of care and patient outcomes.
What if? If a nurse identifies a patient is at risk for a seizure, they would not write 'Complication: Seizure'. Instead, they would formulate a nursing diagnosis like 'Risk for Injury' related to seizure activity. This focuses interventions on safety and prevention, which are within the nursing scope of practice.

How to Approach the Question

First, identify the core concept of the question, which is the structure of a NANDA nursing diagnosis.
Recognize the negative keyword 'not'. This signals that you must find the option that does not belong.
Recall the standard framework for writing a nursing diagnosis, which is the PES format: Problem, Etiology, and Signs/Symptoms (Characteristics).
Systematically evaluate each option against the PES framework.
Option A (Problem), Option C (Etiology), and Option D (Characteristics) are all parts of the PES format.
Option B (Complication) is not part of the PES structure. Complications are typically considered collaborative problems. Therefore, this is the correct answer.

Concept Tested & Keywords

Concept Tested: Components of a NANDA-I nursing diagnosis
Stem keywords: NANDA, nursing diagnosis, component
Lead-in keywords: not
Negative lead-in flag: Question asks for the component that is NOT part of a NANDA diagnosis.

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E6 Nursing Fundamentals Taylor p. 446-448

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