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Nursing Process
Diagnosing
Plan and identify
Implement
Evaluation
100
Subjective
What is verbal statement provided by the patient
100
The identification of a disease or condition through a scientific evaluation of physical s/s, history, lab test, and procedures.
What is a medical diagnosis?
100
Careplan
What is written guidelines to promote the continuity of patient care
100
Documentation
What is a vital component of the implementation phase
100
1.Review the patient centered goals or desired patient outcomes 2. Reassess the patient to gather data to indicate the actual response to the interventions. 3. Compare actual outcome with the desired outcome.
What are the 3 steps in the evaluation of a nursing care plan?
200
Objective
What is Observable and measureable signs that can be recorded
200
a type of health problem that can be identified
What is a nursing diagnosis
200
Implementation
What is the phase of the nursing process in which the established plan is put into action?
200
If it was not charted, it was not done
What is a constant principle of nursing
200
achieved, partially achieved, or not achieved. Intervene as necessary by refining the careplan or resolving the careplan is problem is resolved
What are the possible evalutation outcomes?
300
Interview and and Physical Exam
What is the two main methods of collecting data
300
Nursing
What is sleep pattern disburbance a example of : Medical or nursing dx.
300
It is specific to the patients problem and is realistic for the patient and includes a time frame for reevaluation
What does a well written patient centered goal/ desired outcome statement achieve?
300
Physiological-personal hygiene, sexuality, activity, eating drinking, sleep, and rest
What is Maslows Hierarchy of needs beginning with the ones that are given highest priority in patient care situations
300
Nursing outcomes classification: measures the effects of nursing care
What is the NOC and what does it do?
400
Head to toe format
What is an example of a physical exam
400
Medical
What is "diabetes" an example of : Medical or Nursing dx?
400
Nursing Interventions
What is activities that the nurse selects to resolve a nursing diagnosis, to monitor the development of a risk problem or to carry out a physicans order/
400
specific to the patient and the patients medical problems
what should Patient centered outcomes statements be specific to?
400
1. Assessment 2. Diagnosis 3. Outcomes 4. planning 5. implementation 6. evaluation
What is the 6 steps in the nursing process?
500
Biographical data, reason patient is seeking healthcare, History of present illness, Past health history, Environmental history, psychosocial history
What is 6 examples of Interview method of collecting data
500
Wellness Nursing Diagnosis
the words "readiness for enhanced" is what type of nursing diagnosis?
500
1. date 2. signature 3. subject 4. action verb 5. qualifying details
What is 5 things should be included in a nursing order?
500
massage, turning every 2 hours, monitoring for complications, encourage fluid, increase activity,
What are some examples of nursing interventions?
500
part one: evaluation phase part two: compares the desired outcome with the actual outcome.
During the last phase of the nursing process the nurse does what?