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Nursing Assessment
Nursing Diagnosis
Nursing Care plan
Implementing Nursing Care
Care Evaluation
100

Assessment, Diagnosis, Plan, Implementation, Evaluation

What are the steps of the nursing process?

100

The client tells the nurse "My shoulders are really sore."

What is Subjective data?

100

Setting priorities, creating goals and expected outcomes that are patient-centered, and implementing nursing interventions that are patient specific.

What is planning in the nursing process?

100

Implementation.

What is the fourth step of the nursing process?

100

The final step of the nursing process, which determines if the application of the process has been effective and demonstrated improvement in the clients' condition.

What is evaluation?

200
Collect data from the client and interpret the data to ensure the client database is complete.
What is assessment?
200
"Actual" , "Risk For", and "Health Promotion"
What are three types of nursing diagnoses?
200

Goals are broad statements describing a desired change in the patients' health status. Expected outcomes are a measurable criteria created to evaluate whether goals are met.

What is the difference between goals and expected outcomes?

200
Treatment that the nurse implements based on the assessment findings.
What is a nursing intervention?
200
Evaluation of the goals and outcomes to judge a clients' response to care.
What is criterion based evaluation?
300
The professional nurse offers care without incorporating their own values and beliefs and respects the values of the client. The nurse asks appropriate questions about the patient's culture
What is cultural considerations in assessment?
300
NANDA approved nursing diagnosis, etiology or related factors, symptoms or defining characteristics.
What are the components of a nursing diagnosis?
300

Measured over a period of several days weeks or months

What is a long term goal?

300
Created to assist health care professionals to make appropriate health care decisions regarding specific clinical situations
What are clinical practice guidelines?
300
Each time a client is assessed a determination must be made regarding the validity of the care plan.
What is care plan revision?
400
Physical and developmental; emotional; social; spiritual; and intellectual factors, as well as previous hospitalizations, immunizations, and previous surgery
What are elements that should be included in a health history?
400
A set of signs and symptoms gathered during assessment that you group together in a logical way which inform the nursing diagnosis
What is a data cluster?
400

1. Patient-centered 2. Singular goal or outcome. 3. Observable. 4. Measurable. 5. Time-limited. 6. Mutual factors. 7. Realistic.

What are the seven guidelines for writing goals and outcomes?

400
Cognitive skills, interpersonal skills, psychomotor skills.
What are implementation skills for the nurse in practice?
400
This is done after a determination that the goals and outcomes have been met.
When is a care plan discontinued?
500
A visual representation of a clients' health problems.
What is Concept mapping?
500
A tool that diagrams the critical thinking associated with making accurate nursing diagnoses.
What is a concept map?
500

Direct and Indirect care

What are the types of nursing interventions?

500

Activities performed throughout the course of patient care including ADLs, counseling, and teaching, life saving measures, preventative measures, physical care (medications, treatments, procedures).

What is direct care?

500

Reassessment, redefining diagnoses, goals and expected outcomes, and interventions.

What elements are included in modifying a care plan or concept map?