RESULT FOR "NUR 111 FUNDAMENTALS OF NURSING TEST"
Steps of the Nursing Process
1. Assessment
2. Diagnosis
3. Planning
4. implementation
5. Evaluation
Components of a health hx
biographical data, chief complaint, hx of present illness, past hx, family hx, lifestyle, and social data.
Assessm...
RESULT FOR "NUR 111 FUNDAMENTALS OF NURSING TEST"
Steps of the Nursing Process
1. Assessment
2. Diagnosis
3. Planning
4. implementation
5. Evaluation
Components of a health hx
biographical data, chief complaint, hx of present illness, past hx, family hx,
lifestyle, and social data.
Assessment
Collecting, organizing, and validating data; documenting the pt assessment data;
the purpose is to establish a database about the patients' response to health
concerns or illness and their ability to manage their needs.
Nursing Dx
Analyzing and synthesizing data. The purpose is to identify a client's strengths and
health problems that can be prevented or resolved by collaborative and nursing
interventions.
Planning
Determining how to prevent, reduce, or resolve the identified priority client
problems; determine how to support the client's strengths; determine how to
implement the nursing interventions in an organized, individualized, and goal-
directed manner. The purpose is to develop individualized plans of care that
specify a client's goals or desired outcomes that are related to the priority nursing
interventions.
Implementation
, carrying out or delegating and documenting the planned nursing interventions. The
purpose is to assist the client in meeting their desired goals or outcomes, to
promote wellness, to prevent illness and disease, to restore health, and to facilitate
the client with coping with altered functioning.
Evaluation
Measuring the degree to which the client's goals or outcomes have been met or
have NOT been met. The purpose is to determine whether to modify, terminate, or
continue the client's plan of care.
Subjective Data
Symptoms; the client's perception of their health problems. This information is
only apparent to the client. Examples include pain, nausea, anxiety, and itching.
Objective data
Signs; observations or measurements made by the collector. Examples include
vitals, wound size, vomiting, diarrhea, rash, and edema.
Types of Nursing Dx
Actual, risk, wellness, health promotion, and syndrome
PES
Components of a nursing Dx; 1. Problem, 2. Etiology (R/T), 3. signs/symptoms
(AEB)
SMART
The guidelines for writing goals or outcomes are specific, Measurable, Attainable,
Relevant, and Time-limited.
Types of nursing interventions
Independent, dependent, collaborative
Independent intervention
Nurse initiated; I/O, Teaching, Vitals, Emotional support, Assessments, Turns,
cough, and deep breathing.
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