ASSESSMENT
Patient states, "I feel dizzy"
Which of the following is considered subjective data in the assessment phase?
a clinical judgment about patient responses to health conditions
what statement best describes a nursing diagnosis.
develop measurable goals and outcomes.
What is the planning phase?
Administering prescribed medications,
what is the implementation phase?
To determine if nursing interventions were effective.
what is the evaluation phase?
To collect and analyze patient data.
What is the primary purpose of the assessment phase in the nursing process?
Acute pain r/t surgical incision
What is a nursing diagnosis?
Consulting with a physical therapist for mobility training?
what is a collaborative intervention?
Providing wound care as outlined in the care plan.
what is the action in the implementation phase of the nursing process?
Determining if patient goals were met.
what is described in the evaluation phase?
Interview questionnaire.
This tool is commonly used during assessment to gather health history.
Diabetes Type II
What is a medical diagnosis
A patient will lose 20 pounds over the next 6 months.
what is a long-term goal in the nurse care planning?
setting priorities for care.
what is the implementation phase?
Assess whether the patient's outcome have been achieved.
what happens in the evaluation phase?
Temperature of 38.5 degrees C
what is objective data?
Risk for falls
What is a at risk nursing Diagnosis?
Developing individualized care strategies based on patient needs.
What is a nursing intervention during the planning phase?
setting goals for patient recovery
what is the most appropriate during the implementation phase?
Patient's blood pressure returns to normal range after intervention.
what is a successful Evalution phase?
collect and validate data
what is the nurse's role during the assessment phase?
Impaired Gas Exchange
What is a nursing diagnosis?
Patient will walk 100 feet with a walker within 48 hours.
what is a measurable outcome in the planning phase?
providing prescribed respiratory therapy treatments?W
Which best demonstrates the implementation phase?
The nurse compares current patient status with expected outcomes.
what is the evaluation phase?