Assess
Name the two types of data obtained from your patient
Objective and subjective
A nursing diagnosis must be approved by what organization?
NANDA-I
What does the acronym SMART stand for?
Specific, Measurable, Attainable, Realistic, Timed
A nurse administrating medication to a patient is a form of what care?
Direct care
Patient-centered care is only achieved when a patient and family are actively involved what process of the care plan?
Evaluation process
Name the 5 components of the pain assessment method.
P- Provokes
Q- Quality
R- Radiate
S- Severity
T- Time
Your review and analysis of assessment data involves critically organizing all data elements about a patient into meaningful patterns, also called?
Data clusters
Consultation occurs most often during which phase of the nursing process?
Planning
Who defines standards of professional nursing practice?
ANA (American Nurses Association)
Your patient has met the goals of their care plan, you should now do what?
Discontinue the care plan
During what phase of the patient-centered interview should the nurse ask open-ended questions?
Working phase
A nurse interviews and conducts a physical exam of a patient that includes the following findings: reduced range of motion of lower hips, reduced strength in left leg, and difficulty turning in bed without assistance. This data set is an example of:
Data cluster
Prioritize nursing diagnoses first by considering patients' immediate needs based on what?
ABC (Airway, Breathing, Circulation)
Maslow's Hierarchy of needs may also be used to determine highest priority
Direct care measures usually performed during a normal day, including ambulation, toileting, eating, are called?
Activities of Daily Living (ADLs)
What is the key to evaluation?
Critical thinking
Which communication technique is used when the nurse says "Is there anything else you can tell me?"
Probing
NANDA-I categorizes nursing diagnoses into 3 types, what are they?
Problem-focused, risk diagnosis, and health promotion
A guideline for coordinating nursing care, promoting continuity of care, and listing outcome criteria to be used later in evaluation
Nursing care plan
A preprinted document containing medical orders for routine therapies, monitoring guidelines, and/or diagnostic procedures for specific patients with identified clinical problems is called?
A standing order
The criterion-based standards used in evaluation include the _____ identified during planning.
Expected outcomes
Name 4 environmental factors that may affect the adequacy of an assessment
Setting, Time Pressure, Task Complexity, Interruptions
Related factors for NANDA-I diagnoses include four categories, what are they?
Pathophysiological (biological or psychological), treatment-related, situational (environmental or personal), and maturational.
Nurse-initiated intervention are autonomous actions based on?
Scientific rationale
Name one nursing intervention you might use for a patient with acute pain.
Administer analgesic prn as ordered
Educate patient about managing prn medication
Teach relaxation exercises to be used when pain is in control
What improves the accuracy of clinical decisions and making diagnostic conclusions.
Reflective reasoning