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PROFESSIONAL COMPETENCY

Major Competency Area: E Nursing Practice

Competency: E5 Nursing Diagnosis
Subcategory: E-5-1 - Demonstrate knowledge and
IDENTIFY COMPETENCY NUMBER,
LETTER AND SUBCATEGORY

ability to analyze the assessment data to participate

and collaborate in selecting established nursing
diagnosis.
One significant learning experience in this course was

DESCRIBE ONE SIGNIFICANT

completing a priority nursing diagnosis for each scenario

LEARNING EXPERIENCE IN THIS

COURSE RELATED TO THE CLPNA

during lab. Based on the scenario given, I had to refer to

COMPETENCY.

PROVIDE AN

EXAMPLE.

NANDA to select the correct clinical judgment about my

client and their response to actual or potential health
problems or life processes. In Mrs. Saurattes scenario at
82 years old, she had a diagnosis of inflammatory bowel
disease and had no bowel movement for 5 days. She was
ordered Dulocolax 10mg; suppository once a day prn.
After thoroughly assessing my client, I provided a nursing
diagnosis of constipation related to inability to eliminate as
evidenced by no bowel movement for 5 days. I continued
on to provide a client centered outcome and nursing
interventions, along with re-assessing my client for
abdominal distension.
What I learned from this course is that identifying the

DESCRIBE WHAT YOU LEARNED AND correct nursing diagnosis based on thoroughly assessing
HOW IT RELATES TO THE
COMPETENCY. EXPLAIN WHY IT
WAS MEANINGFUL.

my client will ensure more effective and safer patient care.

PROFESSIONAL COMPETENCY
I have learned that the nursing diagnosis provides a
selection of nursing interventions to achieve outcomes,
which I; the nurse will be accountable for. I have learned
that the focus is on the client outcomes and use of the
SMART criteria to achieve the best for the client. This is
meaningful because it will allow me to critically think and
perform assessments, resulting in me being safe, confident,
and competent in my practice as a Practical Nurse.
Proficiency rating: Good
In the Mrs. Sauratte scenario, I thoroughly assessed the
USES THE PROFICIENCY
CATEGORIES TO RATE THEIR
PROFICIENCY IN THE CHOSEN
CLPNA COMPETENCY. EXPLAIN
WHAT WAS DONE TO ACHIEVE THE
COMPETENCY.

client for bowel distension, presence of bowel sounds, and

usual pattern of bowel function, which allowed me to
make a clinical judgment using NANDA for constipation
related to inability to eliminate. I then made a client
centered outcome related to the nursing diagnosis, that the
client will have bowel movement within 2 hours of
administering Dulocolax. Before administering the
medication I performed the Ten Rights of Medication,
assessed the client, and administered the suppository
medication. I reassessed the patient after administration of
the medication to ensure that there was no unpredicted side
effects/adverse effects, and ensured that the medication is
achieving its therapeutic effect. I reassessed the client and
taught the client to increase their fluid intake to at least

PROFESSIONAL COMPETENCY
1500 to 2000ml/ day during this treatment to prevent
dehydration.
I will apply this learning of providing a nursing diagnosis
DESCRIBE HOW YOU WILL APPLY
THIS LEARNING IN YOUR CURRENT
AND FUTURE NURSING PRACTICE

to ensure client safety and holistic healing. I will continue

to recall and utilize both the priority-nursing diagnosis and
care plan as a whole in the future to help promote safe
patient care and eliminate actual or potential health risks to
the client.