Assessment
What is data collection?
What is the First step of the nursing process
What is 1 purpose of a nursing diagnosis
identify the patient problems guide individualized nursing interventions
What are goals?
What is Define outcomes
When documenting, the nurse should use the
What is the facility APPROVED abbreviations
The change-of-shift reporting promotes
What is the continuity and safety of patient care
What is the difference between the objective and subjective data?
Objective: observation
Subjective: what the client tells you
Explain the difference between medical diagnosis and nursing diagnosis
What is Medical comes from the physician only
and nursing is decided by the nurses identifying the needs or problems. LPN PNP
Which part of the process involves goal setting?
What is planning
If you complete a nursing intervention or action for the client, you must do this
what is to document?
the ability to use reasoning and logic to make decisions
What is critical thinking?
What is the Nursing Assessment?
What is the systematic and continuous collection as well as the analysis of information about the client
Name the three parts to the Nursing Diagnostic statement. Describe each step
What is PES
Problem
Etiology (cause)
Signs Pg. 430
Goals must be this
What is realistic, measurable, and patient must be in agreement with the goal?
Planning goals must be this
What is Individualized?
Define accountability
What is being responsible for actions and outcomes
What is spoken or written words from the client?
What is verbal data
What does the diagnosis step identifies?
What is problems
During planning, who should the nurse involve in setting goals?
What is the clients/patients
Nursing interventions or actions are often called this.
What is a nursing order?
what skill is used when performing a sterile dressing change
What is psychomotor ?
Name the three steps to the assessment
What is interviewing, physical assessment, and review of test results.
When reviewing lab results, the nurse is using
What is objective data collection
Describe the difference between long and short term goals
What is short is met before discharge. Long is met when home or you are in a rehab.
Name the role of the LPN in the implementation of the nursing process
What is provide care to the patient under the direction of the RN?
Cyclical process means
What is steps repeat as patient needs change