Assessment
Information the patient tells you.
What is subjective data.
Represents a condition that is currently present.
What is an actual nursing diagnosis?
Planning.
In what stage of the nursing process does prioritization take place?
Patient goal.
What is another name for the patient outcome?
Activities that should promote the achievement of the desired patient outcome.
What are nursing interventions?
Type of assessment performed at each patient visit.
What is a focused assessment?
Title or label and contributing factors.
What are the 2 components of the nursing diagnosis?
ABCs and Maslow's hierarchy of needs.
What are tools the nurse utilizes to prioritize problems?
Guide the nursing interventions.
What is a function of the outcome statement?
Assess, Do, Teach.
What are 3 types of nursing interventions?
Data that is also referred to as "signs".
What is objective data?
Conditions that may be involved in the development of a problem.
What are contributing factors?
Life-threatening problems.
What is the first priority?
Be SMART!
What is the mnemonic used to ensure the outcome is stated properly?
Rationale.
What are scientific principles that explain why an intervention has been chosen?
Lab results and nursing report are this source of data.
What are secondary sources?
The identification of a disease after evaluation of signs and symptoms and chart review.
What is a medical diagnosis?
Physiological.
Which of Maslow's hierarchy of needs takes priority?
Establishes the measuring standard used to evaluate the effectiveness of interventions.
What is a function of the patient outcome statement?
Nurse prescribed intervention.
What type of intervention is based on the nurse's judgement?
The RN.
Who is responsible for the admission assessment?
A clinical judgement concerning a human response to health conditions.
What is a nursing diagnosis?
Actual nursing diagnoses.
Which type of diagnoses are usually ranked highest?
"The patient will"
What should the goal statement begin with?
Specific and realistic.
What are two requirements of nursing interventions?