Diagnosis

 Involves using the data collected during

the assessment to identify actual and
potential problems.
 Guides the selection and implementation
of care measures
 Interpret data
 Identify cluster of cues
 Make inferences
 Validate inferences
 Compare clusters of cues with definition
and defining characteristics
 Identify related factors
 Document the diagram
 Determine nursing diagnosis centering on
needs requiring nursing intervention or
teaching
 Write diagnosis with 2 parts and a connector
 Part 1: actual or potential client problem (ex; non
compliance with diet therapy)
 Part 2: probable cause of problem (ex; knowledge
deficit)
 Connector: related to or associated with (ex;
impaired skin integrity related to immobility