nursing process - Systematic problem-solving method by which nurses individualize care for each
client. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and
evaluation.
assessing - the process of collecting, organizing, validating, and documenting data (...
Nur 110 Exam 1
nursing process - ✔✔✔Systematic problem-solving method by which nurses individualize care for each
client. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and
evaluation.
assessing - ✔✔✔the process of collecting, organizing, validating, and documenting data (information)
about a client's health status
diagnosing - ✔✔✔Analyze data; Identify health problems, risks, and strengths; Formulate diagnostic
statements
planning - ✔✔✔prioritize goals / outcomes
formulate goals/desired outcomes
select nursing interventions
write nursing interventions
implementing - ✔✔✔Reassess the client
Determine the nurse's need for assistance
Implement the nursing interventions
Supervise delegated care
Document nursing activities
evauating - ✔✔✔collect data related to desired outcome/goals
compare data with outcomes
relate nursing actions to clients goals/outcomes
draw conclusions about problem status
continue, modify or terminate the clients care plan
, phases of interview - ✔✔✔opening, body or development, closing
Subjective data is important to the nurse's assessment because: - ✔✔✔It provides the nurse with
information that no one else can offer
Two hours after administration of blood pressure medication, the nurse takes the client's blood
pressure. This is an example of what phase of the nursing process? - ✔✔✔Evaluation
The nurse is repositioning the client to avoid skin breakdown, which is an example of what phase of the
nursing process? - ✔✔✔Implementation
During assessment, the nurse: - ✔✔✔A: Collects data
B: Organizes data
C: Documents data
D: Validates data
When the client reports experiencing nausea, the nurse recognizes this data as: - ✔✔✔Subjective
The client is brought to the hospital after experiencing a seizure and the nurse collects data from the
husband regarding the witnessed seizure activity. This is an example of what type of data? - ✔✔✔
Support
In order to facilitate an easy exchange of information, the nurse arranges the environment for the
interview with: - ✔✔✔The client in bed and the nurse sitting on a chair at a 45-degree angle to the
head of the bed
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