foundational part of the nursing process - correct answer ✔✔assessment
what is the nursing process - correct answer ✔✔assessment, diagnosis, planning, implementing,
evaluation
assessment data come from where - correct answer ✔✔biophysical, psychological, sociocultural,
spiritual, and environmental, the "patient story"
what is patient data often called - correct answer ✔✔cues
using clinical reasoning to evaluate the significance of the assessment data. Recognizing and evaluating
cues - correct answer ✔✔analyzing
choosing the right nursing priority - correct answer ✔✔diagnosis
identification and determination of appropriate patient-specific outcomes/goals - correct answer
✔✔planning
nursing interventions to help patient meet the goal - correct answer ✔✔implementing
evaluate nursing care/patient status and make necessary revisions - correct answer ✔✔evaluating
patient data is ____ and ____ data - correct answer ✔✔subjective and objective data
examples of subjective and objective data - correct answer ✔✔viral signs, labs, diagnostic tests, physical
assessment findings, patient statements, etc.
, what goes in the first column of the care plan - correct answer ✔✔patient data, their signs and
symptoms, the assessment cues
what does not go in the assessment data column - correct answer ✔✔normal signs. ONLY pertinent data
critical thinking is needed here. clinical reasoning is used to make judgments about the patients
health/needs, etc. - correct answer ✔✔analysis
Using clinical reasoning to evaluate the significance of the assessment data; recognizing & evaluating
'cues' - correct answer ✔✔analysis
what principle is important to remember during analysis - correct answer ✔✔prioritization
ABCs of prioritization - correct answer ✔✔airway, breathing, circulation
what is considered in column 2 - correct answer ✔✔analysis, the most concerning assessment cues
determination of the nature of the cause of a disease;
concise technical description of the cause, nature, or manifestation of a condition, situation or problem;
Based on source information: physical exam, history, interviews, clinical findings (labs, x-ray) - correct
answer ✔✔medical diagnosis
a clinical judgement concerning the human response to health conditions/ processes; serves as the basis
for nursing interventions that the nurse is legally allowed and professionally prepared to do; Determined
by the North American Nursing Diagnosis Association (can not make up your own) - correct answer
✔✔Nursing Diagnosis
3 parts of the nursing diagnosis - correct answer ✔✔1. "Actual"/"risk for",
2. Nursing diagnosis,
3. Related to (r/t) statement
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