Subjective data Answer - - Subjective data are your patients' verbal
descriptions of their health problems gathered during interviews (informal and
formal).
- Subjective data include patient feelings, perceptions, and self-reported
symptoms.
Objective data Answer - - the findings resulting from observation of patient
behavior and clinical signs as well as direct measurement, including what you
see, hear, and touch
- Inspecting the condition of a wound, observing a patient walk down the floor,
measuring blood pressure (BP), and describing specifically an observed
behavior (patient seizure)
What is the nursing process? Answer - - The nursing process is the model for
clinical decision making and includes all significant actions taken by nurses in
providing care to patients
Outcome Identification Answer - The registered nurse identifies expected
outcomes for a plan individualized to the healthcare consumer or the situation.
Ex. Identify expected outcomes, individualize the person, culturally
appropriate, realistic and timelines included
Planning Answer - The registered nurse develops a plan encompassing
strategies to achieve expected outcomes.
Ex. Establish priorities, develop outcomes, set timelines for outcomes, identify
interventions, and evidence-based trends, document plan of care
Implementation Answer - The registered nurse implements the identified plan.
5a. Coordination of Care: The registered nurse coordinates care delivery.
5b. Health Teaching and Health Promotion: The registered nurse employs
strategies to teach and promote health and wellness.
Ex. Implement in a safe and timely manner, collaborate with colleagues,
coordinate care and delivery, promote heath and teaching and document
modifications
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