Show:
Assessment
Diagnoses
Planning
Implementation and Goals
Random Thoughts
100
What is the best way to assess severity of pain?
By using a pain scale
100
How many parts to a risk diagnosis?
2
100
When developing the plan of care, the ____________ should be involved in the process
patient
100
What is a goal?
An expected or desired outcome
100
What caregiver analyzes and interprets data to develop nursing diagnoses?
The registered nurse
200
Why does the "risk" diagnosis have only 2 parts?
There is no evidence; it has not happened yet
200
Nursing dx are aimed at identifying patient problems that are treatable by the ______________
nurse
200
______________ problems are physiologic complications that require both nurse- and physician-prescribed interventions
collaborative
200
Documentation is so important during the implementation phase of the nursing process because "if you didn't document it, ________________________."
You didn't do it!
200
In the following dx, what is the etiology? Disturbed sleep pattern R/T excessive intake of coffee E/B c/o tired all day, irritability
excessive coffee intake
300
What are 2 primary sources of information?
Physical assessment and questioning the patient
300
Organize the following data into two related clusters: cough, dry skin, infrequent urination, fever, nasal congestion, thirst
1. cough, fever, nasal congestion 2. dry skin, infrequent urination, thirst
300
Who should the patient's plan of care be shared with? 1.___________ 2.___________ 3.___________
1. The patient 2. The patient's family 3. Other members of health care team
300
What makes a nursing intervention different from a doctor's order?
A nursing intervention is an action the nurse will take that can be executed independently
300
_________________ data are observable and measurable facts, and are referred to as signs of a disorder
objective
400
Organizing data from assessments into clusters makes it easier to ___________________________.
Develop nursing diagnoses
400
NANDA is responsible for the _________________ and __________________ of nursing diagnoses
development and approval
400
Prioritizing your plan of care for the patient is based on who's theory regarding Hierarchy of Needs?
Maslow
400
Which type of goal is accompanied by a target date for accomplishment?
Short term goal
400
What are standards for care?
Policies that indicate which activities will be provided to ensure quality patient care
500
What are the three types of assessment?
database, focus, functional assessment
500
What are the five types of nursing diagnoses?
Wellness, Risk, Actual, Possible or Potential, Syndrome
500
What are the five levels in the "Hierarchy of Needs" pyramid, in order from lowest to highest?
Physiologic Safety and security Love and belonging Esteem (self esteem) Self actualization
500
What is it called when a projected outcome is not met in the predicted time frame?
A variance
500
What is the nursing process?
The framework for providing individualized patient care