Assessing
This is what a good nurse does with all questionable information discovered during an interview:
Example: The patient states he does not have any hearing deficits, although he seems to have trouble hearing.
Validate the data
During the diagnosis phase we do this with the data.
Analyze
During this step we identify related nursing _________________.
Interventions
During this step we do this with the plan of care.
Carry out
If the goal is met and the problem is resolved, this can be done to the care plan.
Terminate
Part of the assessment process involves establishing this:
A database
We develop a ____________ list of diagnoses.
Prioritized
We will develop a ___________________ plan of care.
Individualized
We continue collecting this during this step.
Data
In this step we _______________ the extent to which the patient has met the outcomes.
Measure
The assessment part of the nursing process includes collection, validation and _____________ of patient data.
Communication
A nursing diagnosis must be on this list to be used.
NANDA
We will fill in these two boxes on a care plan during this step.
Interventions
Goals
This is done to the plan of care as needed
Modify
We are identifying factors that contribute to the patient's _____________ or _______________.
During assessment we draw on the patient's ____________ to establish an effective plan.
Strengths
During diagnosis we identify patients' strengths and weaknesses and _________ health problems.
Health
Specification of the patient outcomes to ________, _________, or __________ the problems identified in the nursing diagnoses. (Must get 2 of 3)
Prevent
Reduce
Resolve
This is the part of the care plan where we actually do what is in this box of the plan.
Interventions
Besides terminate, we could also choose to _________ or __________ the care plan in this step.
Continue or modify
Things we find in our assessment go in these block(s) on the care plan. (2)
Demographics and Data
The three steps in the diagnosis process include the diagnosis and these 2 other parts.
R/T and AEB
Identify related nursing ________ during this step.
Intervention
Besides doing the care, we also do this to the care.
Document it
Goals can be _____________, ______________, or _____________.
Met, partially met or not met.