Nursing Assessment
Assessment, Diagnosis, Plan, Implementation, Evaluation
What are the steps of the nursing process?
North American Nursing Diagnosis Association International.
What is NANDA?
Setting priorities, creating goals and expected outcomes that are patient-centered, and implementing nursing interventions that are patient specific.
What is planning in the nursing process?
Implementation.
What is the fourth step of the nursing process?
The final step of the nursing process, which determines if the application of the process has been effective and demonstrated improvement in the clients' condition.
What is evaluation?
"Actual" , "Risk For", and "Health Promotion"
What are three types of nursing diagnoses?
Goals are broad statements describing a desired change in the patients' health status. Expected outcomes are a measurable criteria created to evaluate whether goals are met.
What is the difference between goals and expected outcomes?
Treatment that the nurse implements based on the assessment findings.
What is a nursing intervention?
The professional nurse offers care without incorporating their own values and beliefs and respects the values of the client. The nurse asks appropriate questions about the patient's culture
What is cultural considerations in assessment?
Physical and developmental; emotional; social; spiritual; and intellectual factors, as well as previous hospitalizations, immunizations, and previous surgery
What are elements that should be included in a health history?
1. Patient-centered 2. Singular goal 3. Measurable 4. Timed 5. Realistic
What are the guidelines for writing goals and outcomes?
A visual representation of a clients' health problems.
What is Concept mapping?
Direct and Indirect care
What are the types of nursing interventions?
Activities performed throughout the course of patient care including ADLs, counseling, and teaching, life saving measures, preventative measures, physical care (medications, treatments, procedures).
What is direct care?