NANDA Nursing Diagnosis

NANDA nursing diagnosis.
What is a Nursing Diagnosis?
• A nursing diagnosis is a clinical judgment concerning a

human response to health conditions/life processes, or a
vulnerability to that response, by an individual, family,
group, or community.
• provides the basis for selecting nursing interventions to
achieve outcomes for which the nurse has accountability.
• Nursing diagnoses are developed based on data obtained
during the nursing assessment and enable the nurse to
develop the care plan.
Purposes of Nursing Diagnosis
• Helps identify nursing priorities and helps direct nursing

interventions based on identified priorities.
• Helps the formulation of expected outcomes for quality
assurance requirements of third-party payers.
• Nursing diagnoses help identify how a client or group
responds to actual or potential health and life processes
and knowing their available resources of strengths that
can be drawn upon to prevent or resolve problems.
• Provides a common language and forms a basis for
communication and understanding between nursing
professionals and the healthcare team.
• Provides a basis of evaluation to determine if nursing care
was beneficial to the client and cost-effective.
• For nursing students, nursing diagnoses are an effective
teaching tool to help sharpen their problem-solving and
critical thinking skills.
Differentiating Nursing Diagnoses, Medical Diagnoses, and
Collaborative Problems
• based upon the patient’s response to the medical
condition.
• It is called a ‘nursing diagnosis’ because these are
matters that hold a distinct and precise action associated
with what nurses have the autonomy to take action about
with a specific disease or condition.
• On the other hand, a medical diagnosis is made by the
physician or advanced health care practitioner that deals
more with the disease, medical condition, or pathological
state only a practitioner can treat.
• Collaborative problems are potential problems that nurses
manage using both independent and physician-prescribed
interventions. These are problems or conditions that
require both medical and nursing interventions, with the
nursing aspect focused on monitoring the client’s
condition and preventing the development of the potential
complication.
• Examples of different nursing diagnoses, medical
diagnoses, and collaborative problems – to show
comparison.
Types of Nursing Diagnoses
Problem-Focused Nursing Diagnosis
• A problem-focused diagnosis (also known as actual

diagnosis) is a client problem present at the time of the
nursing assessment.
• These diagnoses are based on the presence of
associated signs and symptoms.
• Problem-focused nursing diagnoses have three
components: (1) nursing diagnosis, (2) related factors,
and (3) defining characteristics.
Examples of actual nursing diagnoses
• Ineffective Breathing Pattern related to pain as evidenced by
pursed-lip breathing, reports of pain during inhalation, use of
accessory muscles to breathe
• Anxiety related to stress as evidenced by increased tension,
apprehension, and expression of concern regarding upcoming
surgery
• Acute Pain related to decreased myocardial flow as evidenced by
grimacing, expression of pain, guarding behavior.
• Impaired Skin Integrity related to pressure over bony prominence
as evidenced by pain, bleeding, redness, wound drainage.
Risk Nursing Diagnosis
• These are clinical judgments that a problem does not

exist, but the presence of risk factors indicates that a
problem is likely to develop unless nurses intervene.
• There are no etiological factors (related factors) for
risk diagnoses.
• For example, an elderly client with diabetes and
vertigo who has difficulty walking refuses to ask for
assistance during ambulation may be appropriately
diagnosed with Risk for Injury.
• Components of a risk nursing diagnosis include (1) risk
diagnostic label, and (2) risk factors.
• Examples of risk nursing diagnosis are:
– Risk for Falls as evidenced by muscle weakness
– Risk for Injury as evidenced by altered mobility
– Risk for Infection as evidenced by immunosuppression
Health Promotion Diagnosis
• Health promotion diagnosis (also known as wellness

diagnosis) is a clinical judgment about motivation and
desire to increase well-being.
• is concerned with the individual, family, or community
transition from a specific level of wellness to a higher level
of wellness.
• Components of a health promotion diagnosis generally
include only the diagnostic label or a one-part statement
– Readiness for Enhanced Spiritual Well Being
– Readiness for Enhanced Family Coping
– Readiness for Enhanced Parenting
Syndrome Diagnosis
• A syndrome diagnosis is a clinical judgment concerning a

cluster of problem or risk nursing diagnoses that are
predicted to present because of a certain situation or
event.
• They, too, are written as a one-part statement requiring
only the diagnostic label.
• Examples of a syndrome nursing diagnosis are:
– Chronic Pain Syndrome
– Post-trauma Syndrome
– Frail Elderly Syndrome
Possible Nursing Diagnosis
• A possible nursing diagnosis is not a type of diagnosis as

are actual, risk, health promotion, and syndrome.
• Possible nursing diagnoses are statements describing a
suspected problem for which additional data are needed
to confirm or rule out the suspected problem.
• It provides the nurse with the ability to communicate with
other nurses that a diagnosis may be present but
additional data collection is indicated to rule out or confirm
the diagnosis.
• Examples include:
– Possible Chronic Low Self-Esteem
– Possible Social Isolation.
https://nurseslabs.com/nursing-diagnosis/

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NANDA nursing diagnosis.

What is a Nursing Diagnosis?

• A nursing diagnosis is a clinical judgment concerning a

• Helps identify nursing priorities and helps direct nursing

• A problem-focused diagnosis (also known as actual

• These are clinical judgments that a problem does not

• Health promotion diagnosis (also known as wellness

• A syndrome diagnosis is a clinical judgment concerning a

• A possible nursing diagnosis is not a type of diagnosis as

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