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283 exam 1what are the steps in the nursing process - correct answer assessment, diagnosis, outcome identification, planning, implementation, evaluation what is the nursing process by def - correct answer The nursing process is a method of organizing and delivering appropriate nursing care to a ...

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  • 21 de abril de 2024
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283 exam 1

what are the steps in the nursing process - correct answer assessment, diagnosis, outcome identification,
planning, implementation, evaluation



what is the nursing process by def - correct answer The nursing process is a method of organizing and
delivering appropriate nursing care to a client



what is the function of nursing - correct answer Diagnosis and Treatment of Human Responses to Actual
or Potential Health Problems including Physical, Psychosocial, Spiritual & Health Promotion.



what do written guides for patient care include? - correct answer Nursing Diagnoses

Goals/Expected Outcomes

Specific Interventions

Evaluation



what is the purpose of written guides for patient care? - correct answer -Promote Continuity of Care

-Outcome Criteria for Evaluation



what is the primary source in assessment? - correct answer patient



what is the secondary source of assessment - correct answer family, health professionals



What does assessment include? - correct answer •evaluating the patients condition by collecting and
verifying data from the

primary source and secondary sources



what is the purpose of assessment - correct answer is to Establish a Database, baseline

,what is in the baseline information of assessment - correct answer subjective (patients perspective)

objective (observation/measurment you make, EX: vital signs)



ROS - correct answer review of systems



what is included in data collection in assessment? - correct answer •Interview and health history

•Physical Examination

•Observation of client's behavior

•Diagnostic and Laboratory data

•Medical Record



what is group data - correct answer asking other nurses for what they think, this can be logical and
organized



why do you classify and organize data? - correct answer to provide a framework for developing individual
nursing diagnosis



what is the final step in assessment - correct answer documentation



What does NANDA stand for? - correct answer North American Nursing Diagnosis Association



what is the def of nursing diagnosis - correct answer Clinical Judgment about Individual, Family, or
Community Responses to Actual and Potential Problems or Life Process



what is included in life processes - correct answer PHYSICAL; PSYCHO-SOCIAL; SPIRITUAL



what do you identify in a nursing diagnosis - correct answer a disease /condition based on a specific
evaluation of signs based on a specific evaluation of S/Sx ; HISTORY; DIAGNOSTIC PROCEDURES

, what are the steps in data analysis during nursing diagnosis - correct answer 1. Recognize pattern
(CLUSTER OF CUES OR DEFINING CHARACTERISTICS

EX: Unable to Turn)

2. Compare with Normal Standards(ARE SIGNS/SYMPTOMS NORMAL FOR THIS PATIENT

Ex: Can Turn Self)

3. Make a Connection to cause, body system, situation (Identify Patterns of Clustering to Determine if
Client Centered Needs Emerge EX: stage 1 skin pressure ulcer)



what are the 4 types of nursing diagnosis - correct answer 1.Actual

2.Potential = at risk for

3.Possible (I added)

4.Health-promotion



s/sx - correct answer signs and symptoms



what are the three parts of actual nursing diagnosis - correct answer •NANDA: diagnostic label

•Etiology (possible cause): "related to" (R/T)

•Signs and symptoms: "as evidenced by" (AEB)



Etiology - correct answer cause of disease



what is the planning part of the nursing process - correct answer The development of an individualized
plan of care



what is the planning portion of nursing process based on - correct answer on assessment and nursing
diagnosis



what do you do during nursing process of the planning step - correct answer -Determine Immediate
Priorities

-Establish Goals of Care / Expected -Outcomes

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