Assessment
What is assessment?
This nursing process step involves identifying patient responses to health problems.
What is diagnosis?
This step includes setting patient-centered goals and expected outcomes.
What is planning?
This nursing process step involves carrying out nursing interventions.
What is implementation?
This step determines whether patient goals were met.
What is evaluation?
This patient should be seen first: one with chest pain or one requesting discharge instructions?
Who is the patient with chest pain?
What is subjective data?
“Risk for infection” is an example of this type of nursing diagnosis.
What is a risk diagnosis?
Goals should be written using this framework.
What is SMART (Specific, Measurable, Achievable, Relevant, Time-bound)?
Administering medications prescribed by a provider is this type of intervention.
What is dependent intervention?
If goals are not met, the nurse should do this.
What is reassess and revise the care plan?
Under ABCs, this takes highest priority.
What is airway?
These four techniques are used during a physical assessment.
What are inspection, palpation, percussion, and auscultation?
This format organizes nursing diagnoses into Problem, Etiology, and Symptoms.
What is PES format?
Which prioritization framework focuses on airway, breathing, and circulation?
What are ABCs?
Teaching hand hygiene is this type of nursing intervention.
What is independent intervention?
A patient’s pain decreased from 8/10 to 2/10 after intervention. This indicates this type of result.
What is goal met/improvement?
Acute problems are prioritized over these types of conditions.
What are chronic conditions?
When caring for a patient with breathing difficulty, this body system should be assessed first.
What is respiratory status/airway and breathing?
This is the difference between a medical diagnosis and a nursing diagnosis
What is medical diagnosis identifies disease, while nursing diagnosis identifies patient responses?
This hierarchy prioritizes physiological needs before psychosocial needs.
What is Maslow’s Hierarchy of Needs?
These five rights guide safe delegation.
What are right task, circumstance, person, direction, and supervision?
This phrase reflects the legal importance of nursing documentation.
What is “If it wasn’t documented, it wasn’t done”?
A nurse has four patients. The unstable postoperative patient should be prioritized because of this principle.
What is unstable patients before stable patients?
The nurse validates unclear patient data during this critical thinking process.
What is reassessment or data validation?
A postoperative patient with low oxygen saturation may have this priority nursing diagnosis.
What is impaired gas exchange?
A correct short-term goal for a hypoxic patient would include this measurable outcome.
What is maintaining oxygen saturation above target range within a specific timeframe?
Before implementing a provider order that seems unsafe, the nurse should do this first.
What is clarify/verify the order?
Evaluation requires comparing patient outcomes against these.
What are expected goals/outcomes?
This framework helps prioritize life-threatening physiological needs first.
What are ABCs and Maslow’s Hierarchy?