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NURSING
PARTS
looking
NCLEX
NCLEX CONT
100
provide a means of communication among nurses, their patients, and other healthcare providers to achieve health care outcomes. Without the planning process, quality and consistency in patient care would be lost.
What is NURSING CARE PLAN
100
The first process in completing a care plan is the patient
What is assessment
100
The systematic collection of all data and information relevant to the care of patients, their problems, and needs. The initial step of the assessment consists of obtaining a careful and complete history from the patient
What is nursing assessment
100
After assessing the client, the nurse formulates the following diagnoses. Place them in order of priority, with the most important (classified as high) listed first. 1. Constipation 2. Anticipated grieving 3. Ineffective airway clearance 4. Ineffective tissue perfusion.
What is 3, 4, 1, 2
100
A medical diagnosis is used to evaluate: A. a person's state of health. B. the response of the whole person to actual or potential health problems. C. a person's culture. D. the cause of disease.
What is D
200
may be part of the nursing process and is a clinical judgement about individual, family, or community experiences/responses to actual or potential health problems/life processes. are developed based on data obtained during the nursing assessment.
A nursing diagnosis
200
The nurse should then create a main focus for the patient’s treatment. Nurses often use the “A, B, C’s” (airway, breathing, and circulation) during this focus. Your focus should come from
What is the NANDA Nursing Diagnosis text.
200
ubjective data in nursing is part of the health assessment that involves collecting information through communication. Patients are first asked the reason for visiting the doctor.
What is subjective
200
The following statement appears on the nursing care plan for an immunosuppressed client: The client will remain free from infection throughout hospitalization. This statement is an example of a (an):
What is SHORT TERM GOAL
200
An example of subjective data is: A. decreased range of motion. B. crepitation in the left knee joint. C. left knee has been swollen and hot for the past 3 days. D. arthritis.
What is C
300
is a client problem that is present at the time of the nursing assessment. These diagnoses are based on the presence of associated signs and symptoms.
actual diagnosis
300
should also be measurable, patient-specific, and have parameters. The intervention should correlate with the outcomes. Often times, it is easier to develop the outcomes before the interventions.
What is Intervention
300
data is another type of information that is collected from patients. It can be defined as the data medical professionals obtain through observations by seeing, hearing, smelling and touching. This can include patient behaviors, actions and information gathered from test measurements or the physical examination. is another type of information that is collected from patients. It can be defined as the data medical professionals obtain through observations by seeing, hearing, smelling and touching. This can include patient behaviors, actions and information gathered from test measurements or the physical examination.
Objective data
300
After determining a nursing diagnosis of acute pain, the nurse develops the following appropriate client-centered goal:
What is Determine effect of pain intensity on client function
300
Which of the following is an example of objective data? A. Alert and oriented B. Dizziness C. An earache D. A sore throat
What is A
400
is a clinical judgment that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene.
What is risk nursing diagnosis
400
is based upon the human response to a condition or disease and helps the nurse determine the focus of nursing care to be provided to a client. can also be referred to as focus areas or priority areas
What is Nursing diagnosis
400
A patient says she is shivering as the nurse observes her shaking in the chair. A patient says he has a fever as the nurse observes the elevated temperature on the thermometer. A patient says she has stomach pain as the nurse observes her clutching her abdomen.
What is BOTH SUBJECTIVE AND OBJECTIVE
400
A written guideline for implementation and evaluation
What is The nursing care plan is:
400
Which of the following symptoms is greatly influenced by a person's cultural heritage? A. Hearing loss B. Pain C. Breast lump D. Food intolerance
What is B
500
The care plans given in nursing school are often on a blank sheet of paper with grid-lines for each
What is focus, treatment, and outcome
500
are specific client behaviors or physiological responses that the registered nurse and the client set to achieve
What is Goals and expected outcomes
500
WHAT SENSE ARE USED IN OBJECTIVE DATA
What is TOUCH SMELL HEAR SIGHT
500
Once a nurse assesses a client’s condition and identifies appropriate nursing diagnoses, a:
Plan is developed for nursing care
500
An example of an open-ended question or statement is: A. "Tell me about your pain." B. "On a scale of 1 to 10, how would you rate your pain?" C. "I can see that you are quite uncomfortable." D. "You are upset about the level of pain, right?"
What is A