Show:
ASSESSMENT
NURSING DIAGNOSIS
PLANNING
IMPLEMENTATION
EVALUATE
100

The initial information about the client's physical, emotional, social, and spiritual health; obtained during admission interview and physical exam.

What is DATABASE ASSESSMENT?

100

After the nurse gathers the data / information a nursing diagnosis or a __?__ is identified.

What is a PATIENT PROBLEM?

100
When a patient is admitted to the hospital this planning category should be initiated.
What is DISCHARGE PLANNING?
100
When choosing an intervention to implement it must have a _____?______
What is a RATIONALE?
100
The three options that can be taken when evaluating the patient’s responses to nursing interventions.
What are Terminate, Modify, and Continue?
200

Patient, family and significant others, patient current & past medical records, healthcare professionals, test results.

What are SOURCES of Data?

200
This Association provides the resources necessary for determining a Nursing Diagnosis.
What is NANDA (North American Nursing Diagnosis Association)?
200
Interventions chosen during the Planning Stage that have a proven track record of evidence.
What are EVIDENCE-BASED NURSING INTERVENTIONS?
200
This term refers to actions or interventions that require the combined knowledge, skill, and expertise of multiple health care professionals, including the nurse.
What are COLLABORATIVE INTERVENTIONS?
200
These three terms describe the patient’s response to the nursing interventions.
What are: Met, Partially Met, and Not Met?
300

Information that only the client feels and can describe, and are called symptoms.

What is SUBJECTIVE Data?

300
This term refers to patient problems for which the physician directs the primary treatment.
What is a MEDICAL DIAGNOSIS?
300
Used during the Planning Stage to help determine the patient’s needs and to help prioritize the identified patient problems.
What is MASLOW'S HIERARCHY of NEEDS?
300
The nurse has initiated Fall Precautions on a patient with a history of falls. This term refers to this type of Implementation.
What are INDEPENDENT NURSING INTERVENTIONS?
300
This important action must be completed when evaluating the patient’s progress.
What is DOCUMENTING?
400

Your patient’s assessment data includes the following: Alert & oriented X3, anxious, indwelling catheter in place and draining dark yellow urine, several bruises located on left arm.

What is OBJECTIVE Data?

400
An existing problem that is validated by the presence of defining signs and symptoms.
What is an ACTUAL NURSING DIAGNOSIS?
400
Each Patient Outcome must be specific, measurable, attainable, must include a time frame and must be ____?____.
What is REALISTIC?
400
Right task, Right Person, Right Circumstances, Right Direction, Right Supervision.
What are the FIVE RIGHTS of DELEGATION?
400
These two terms refer to what must be done throughout all the steps of the Nursing Process.
What is ASSESSING and EVALUATING?
500

Information that provides more details about specific problems and expands the original database.

What is FOCUS ASSESSMENT?

500
An At Risk Nursing Diagnosis consists of these two components only.
What are SIGNS and SYMPTOMS?
500
Patient will report a decrease in pain level 45 minutes after receiving pain medication. __?__ is missing from this “SMART” Outcome Statement.
What is the SPECIFIC component of the Outcome Statement?
500
This term refers to the “skills” that must be used when determining and prioritizing the appropriate nursing interventions.
What is CRITICAL THINKING SKILLS?
500
These terms refer to the Nursing Process prior to evaluating the patient’s progress.
What are: Assessing, Identifying Nursing Diagnoses, Planning, and Implementing?