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UNIT 1 AND 2 NURSING FUNDAMENTALS NSG 521 EXAM STUDY GUIDE
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UNIT 1 AND 2 NURSING FUNDAMENTALS NSG 521 EXAM STUDY GUIDE...
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Nursing Process - ANSWER ADPIEAssessment
Diagnosis
Planning
Implementation
Evaluation
A - ANSWER Assessment -- Performing a Nurse Assessment
** Open-ended questions****
D - ANSWER Diagnosing- Making a Nurse Diagnosis
P - ANSWER Planning- formulating and writing outcome statement
- Determine correct nursing intervention based on an evidence-based
basis
I - ANSWER Implement Care
E - ANSWER Evaluate the outcome and the nursing care that has been
implemented.
*** Make changes if needed***
Assessment - ANSWER When would you obtain a thorough medical
history by listening and observing the client
Diagnosis - ANSWER In which step does the nurse begin to cluster
information within the client's story and begin to formulate judgement
Client reasoning - ANSWER a congestive process that uses formal and
informal thinking strategies to gather significant information
3 Part Diagnosis PES System - ANSWER PROBLEM
ETIOLOGY
, SYMPTOMS
Problem-Focused Diagnosis - ANSWER This diagnosis is made when
there is a risk of developing undesirable responses to health conditions
or life processes
risk nursing diagnosis - ANSWER a clinical judgment concerning the
vulnerability of an individual, family, group, or community for developing
an
undesirable human response to health conditions/life processes
health promotion nursing diagnosis - ANSWER a clinical judgment
concerning a patient's motivation and desire to increase well-being and
actualize human health potential
Planning divided into - ANSWER Outcomes and Interventions
subjective and objective - ANSWER Feeling v. Fact
subjective - ANSWER "Difficulty breathing when walking short
distances";
Etiology - ANSWER related to or risk factor
Assessment (initial) - ANSWER triage, the initial assessment's purpose
is to determine the origin and nature of the problem and to use that
information to prepare for the next assessment stages.
- ANSWER
Assessment Focused - ANSWER assessments are nursing
assessments that target the specific body system where the patient
demonstrates a problem, disorder, or concern. This can relate to one or
multiple body systems.
Assessment: Emergency - ANSWER These assessments occur when
something happens suddenly (like when the patient codes!), and we
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