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Exam (elaborations)

FPCC Nursing Process Questions with Verified Answers

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Assessment - Systematic gathering of information related to the physiological, psychological, sociocultural, development, and spiritual status of an individual, group, or community. What are the 4 components of Assessment? - Diagnosis, Planning Outcomes, Planning Interventions, Implementation, Evaluation. What is the necessary data for identifying the client's health problems and strengths? - Diagnosis What is the data about the client's motivation, family, and available resources help you and the client formulate realistic goals? - Planning Outcomes What is the data that helps you to choose the most effective interventions for the client? - Planning Interventions When you gather data by observing the client's responses to your interventions? - Implementation What is an example of Implementation? - While helping a client ambulate, you might observe she becomes short of breath. If this is new information, you might then identify a new nursing diagnosis such as Activity Intolerance. This is when you assess the client's response after performing interventions for existing diagnosis? - Evaluation What is the purpose of Assessment? - To obtain data to allow you to help the patient. It must be accurate and complete because that's the foundation of Assessment. What Committee identifies assessment as a core component of patient care which must be done by an RN within how many hours of admission? - The Joint Commission Within 24 hours During assessment, what can the assistive aides do? - Collect vital signs, pain reports, and finger stick blood glucose levels. During assessment, what is the role for professional nurses? - Assign those tasks, validate the data collected, conduct the interview, and complete the physical assessment.

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