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Nur 110 Exam 1
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nursing process - Systematic problem-solving method by which nurses individualize care for each client. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation. assessing - the process of collecting, organizing, validating, and documenting data (...

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  • 2 de febrero de 2024
  • 12
  • 2023/2024
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  • nur 110 exam 1

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Nur 110 Exam 1
nursing process - ✔✔✔Systematic problem-solving method by which nurses individualize care for each
client. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and
evaluation.



assessing - ✔✔✔the process of collecting, organizing, validating, and documenting data (information)
about a client's health status



diagnosing - ✔✔✔Analyze data; Identify health problems, risks, and strengths; Formulate diagnostic
statements



planning - ✔✔✔prioritize goals / outcomes

formulate goals/desired outcomes

select nursing interventions

write nursing interventions



implementing - ✔✔✔Reassess the client

Determine the nurse's need for assistance

Implement the nursing interventions

Supervise delegated care

Document nursing activities



evauating - ✔✔✔collect data related to desired outcome/goals

compare data with outcomes

relate nursing actions to clients goals/outcomes

draw conclusions about problem status

continue, modify or terminate the clients care plan

, phases of interview - ✔✔✔opening, body or development, closing



Subjective data is important to the nurse's assessment because: - ✔✔✔It provides the nurse with
information that no one else can offer



Two hours after administration of blood pressure medication, the nurse takes the client's blood
pressure. This is an example of what phase of the nursing process? - ✔✔✔Evaluation



The nurse is repositioning the client to avoid skin breakdown, which is an example of what phase of the
nursing process? - ✔✔✔Implementation



During assessment, the nurse: - ✔✔✔A: Collects data

B: Organizes data

C: Documents data

D: Validates data



When the client reports experiencing nausea, the nurse recognizes this data as: - ✔✔✔Subjective



The client is brought to the hospital after experiencing a seizure and the nurse collects data from the
husband regarding the witnessed seizure activity. This is an example of what type of data? - ✔✔✔
Support



In order to facilitate an easy exchange of information, the nurse arranges the environment for the
interview with: - ✔✔✔The client in bed and the nurse sitting on a chair at a 45-degree angle to the
head of the bed

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