NURSING DIAGNOSIS & PLANNING
IMPLEMENTING
&
EVALUATING
DOCUMENTING
&
REPORTING SKILLS
THERAPEUTIC COMMUNICATION
More THERAPEUTIC COMMUNICATION
100

Any act by a nurse that implements the nursing care plan

Intervention

100
What is measuring the effectiveness of assessing, diagnosing, planning, and implementing?
Evaluation
100
What is a note that summarizes the progress of the client toward achieving his or her plan goals?
Progress Note
100
What is the difficulty in speaking or in finding the correct or desired word?
Expressive Aphasia
100
What is the loss of the ability to communicate and comprehend speech?
Aphasia
200
What is a statement about the client's actual or potential health concerns that can be managed through independent nursing interventions?
Nursing Diagnosis
200
What are actions that you must follow explicitly?
Dependent Actions
200

What is a type of reporting that involves the exchanging of information between the outgoing and incoming staff on each shift?

Change-of-Shift Reporting/SBAR

200
What is a restatement of the meaning of a text or passage using other words?
Paraphrasing / Summarizing
200
What is a type of question that encourages expression and appropriate eye contact, or mirroring what the client says or does?
Open-Ended Question
300

What are the components of a nursing diagnosis?

P - Problem (Diagnostic Label) E - Etiology (Cause) S - Signs and Symptoms

300
What is the process by which the client is prepared for continued care outside the healthcare facility or for independent living at home?
Discharge Planning
300

What is it called when a nurse charts on a progress note?

Nurses' Note

300
What is a type of question that elicits a yes or no answer?
Close-ended question
300

What are those actions that you perform collaboratively with other care providers?

 

Interdependent Actions

400
What is a measurable client behavior that indicates where the person has achieved the expected benefit of nursing care?
Expected Outcome
400
What are the actions that you perform that do not require a physician's order?
Independent Actions
400
What is a type of nurses' notes that essentially documents what is occurring throughout the day in a chronological manner?
Narrative Charting
400

This type of listening shows mutual concern.

Empathetic

400

If you have a specific area of concern, what type of communication is used

Focused Questions

500
What is a statement formulated by a primary healthcare provider that identifies the disease a person is believed to have?
Medical Diagnosis
500
What is the responsibility for all actions that one performs?
Accountability
500

If it was not documented...

You did not do it.

500

 SOLER is part of what type of listening

Active

500
What is to make clear or easier to understand?
Clarification
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