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Assessment
Diagnosis
Plan
Implementation
Evaluation
100
"My pain is a 5 on a scale of 1-10."
What is an example of a subjective symptom?
100
When a patient has more than one nursing diagnosis, this is a way to prioritize.
What is Maslow's hierarchy of needs.
100
The patient will demonstrate self-administration of Insulin 30 minutes prior to breakfast 1/31/2015.
What is an outcome?
100
To carry out the plan of care, including interventions to help a patient reach an outcome.
What is Implementation
100
Determining if goals have been met
What is Evaluation?
200
Patient's face is flushed, temperature is 102.8.
What is an example of an objective symptom
200
Gathering information, like patient history, vital signs, and other subjective and objective symptoms.
What is an assessment?
200
Must be Specific, Measurable, attainable, reasonable, timed.
(Outcomes) What steps?
200
Intervention that the nurse can make alone. For example elevate the head of the bed if a patient is having trouble breathing.
What is an independent intervention?
200
When writing an evaluation outcomes, you must........
What is: restate the outcomes
300
A way to organize symptoms to see if they are similar.
What is clustering symptoms
300
Cause of or contributor to a problem
What is etiology?
300
Nurse and patient or with patient & family together discuss outcomes.
What is the plan?
300
An intervention that includes members of a multidisciplinary team.
What is a collaborative intervention.
300
The patient did not meet the goal. Will try to lower the weights on the arm lifts to 2#.
What is an example of a goal that was not met.
400
Looking at the lab report.
What is an example of finding objective symptoms assessing the patient?
400
From the Assessment.
Where do you get the nursing diagnosis?
400
The Plan
What are outcomes and interventions?
400
You do it constantly, throughout implementation of the Care Plan.
What is evaluation
400
It was ineffective airway clearance instead of impaired gas exchange. I wll try some different interventions to help the patient with the outcome.
What is an example of evaluating a nursing diagnosis?
500
Objective and subjective information that helps the nurse find a problem.
What is a symptom?
500
Stress r/t Knowledge deficit, impair memory, sleep deprivation, imbalanced nutrition AEB Irritability, weight loss, and states, “I sleep 1-2 hrs per night.
What is a 3-part (PES) nursing diagnosis?
500
Nursing interventions that have been used and found to be successful in helping patient reach their goals.
What is Evidence Based Nursing Interventions?
500
The nurse gave the patient medication for pain.
What is an example of an implementation of the care plan?
500
Framework for the organization of individualized nursing care
What is the Nursing Process?