Assignment task: Nursing Diagnosis Worksheet
Objective:
The objective of this assignment is to familiarize nursing students with the process of identifying and formulating nursing diagnoses. Through this assignment, students will practice applying critical thinking skills to assess patient data and prioritize nursing interventions.
Instructions:
Part 1: Case Study
1. Review a case study of a patient admitted to a healthcare facility with specific health concerns or conditions.
2. Familiarize yourself with the patient's history, presenting symptoms, and relevant assessment findings.
Part 2: Nursing Diagnosis Identification
3. Based on the information provided in the case study, identify three potential nursing diagnoses that reflect the patient's health needs and concerns.
4. For each nursing diagnosis, provide a brief rationale explaining why you selected it based on the patient's data and presenting problems.
Part 3: Prioritization and Justification
5. Prioritize the three nursing diagnoses identified in Part 2 based on the patient's immediate needs and potential risks.
6. Justify your prioritization by explaining the rationale behind each prioritized nursing diagnosis and its relevance to the patient's condition.
Your assignment must be in APA 7 Format and your references should be no older than 5 years.
Example Case Study:
Mr. Smith is a 65-year-old male admitted to the hospital with a diagnosis of pneumonia. He presents with a productive cough, fever, dyspnea, and decreased oxygen saturation levels. His past medical history includes chronic obstructive pulmonary disease (COPD) and hypertension. Upon assessment, crackles are auscultated in his lower lung fields, and he appears fatigued and anxious.
1. Nursing Diagnosis 1: Ineffective Airway Clearance
Rationale: Mr. Smith's productive cough, dyspnea, and crackles indicate potential airway obstruction due to increased mucus production and impaired gas exchange, placing him at risk for respiratory distress.
2. Nursing Diagnosis 2: Impaired Gas Exchange
Rationale: Mr. Smith's decreased oxygen saturation levels, dyspnea, and history of COPD suggest compromised gas exchange, impacting his respiratory function and oxygenation status.
3. Nursing Diagnosis 3: Anxiety
Rationale: Mr. Smith's presentation of fatigue, anxiety, and hospitalization for pneumonia can contribute to heightened anxiety levels, which may further impair his respiratory status and overall well-being.
Your assignment must have the following:
- Identification of Nursing Diagnoses
- Rationale for Nursing Diagnoses
- Prioritization and Justification
- Clarity and Organization
This assignment aims to provide nursing students with hands-on practice in identifying and prioritizing nursing diagnoses based on patient data and clinical judgment. Ensure that your responses are clear, concise, and well-justified, reflecting critical thinking and application of nursing fundamentals principles.
Adjust the case study and rubric criteria as needed to align with specific learning objectives and instructor preferences.