Topic: Unit 1: Foundations of Nursing Students Notes Location
Practice
Definitions and differences of: A: The ANA's 2015 Nursing: Scope NSG122.01.01.03
A. Standards of Nursing Practice and Standards of Practice defines
B. Nurse Practice Act activities that are specific and unique
C. Code of Ethics to nursing. Standards allow nurses
to carry out professional roles,
serving as protection for the nurse,
the patient, and the institution where
health care is provided.
B: Nurse practice acts are laws
established in each state in the
United States to regulate the practice
of nursing.
C: Professional values provide the
foundation for nursing practice and
will guide your interactions with
patients, colleagues and the public.
Nursing Process Steps A: (1) assess the patient to determine NSG122.01.02.01.
A. Data Collection: Assessment the need for nursing
B. Nursing Diagnosis to address a problem care(Systematically collect patient
C. Planning data)
D. Implementation B: (2) determine nursing diagnoses
E. Evaluation for actual and potential health
problems
C: (3) identify expected outcomes
and plan care (Develop a holistic plan
of individualized care)
D: (4) implement the care
E: (5) evaluate the results
(effectiveness of the care plan in
terms of patient goal achievement)
Teaching A: NSG122.01.03.01
A. Assessing client’s knowledge level first
B. Assess knowledge of different treatment
options
Types of Assessments: Definitions and timing A: performed shortly after the patient NSG122.01.03.02.
A. Initial is admitted to a health care facility or
B. Client Centered service.
C. Focused B: emergency assessment to
D. Time lapsed identify life-threatening problems.
C: the nurse gathers data about a
specific problem that has already
been identified.
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D: scheduled to compare a patient's
current status to the baseline data
obtained earlier.
Objective data: Definition A: Objective data are observable NSG122.01.03.03
a. Subjective vs Objective data and measurable data that can be
b. Examples of each seen, heard, felt, or measured by
someone other than the person
experiencing them.
Ex: elevated temp, moist skin, not
eating
B: Subjective data are
information from the client's
point of view (“symptoms”)
Subjective data: Definition A: subjective: from patient NSG122.01.03.03
a. From whom is subjective data obtained? demographic information, patient and
b. Examples of Subjective data family information about past and
current medical conditions, and
patient information about surgical
procedures and social history.
Collecting and validating data NSG122.01.03.04
A. How does it reduce errors?
B. Why do we validate data?
Nursing Assessment: definitions and examples A: the process of performing NSG122.01.03.04
of each deliberate, purposeful observations in
A. Inspection a systematic manner
B. Auscultation B: the act of listening with a
C. Percussion stethoscope to sounds produced
D. Palpation within the body
C: the act of striking one object
against another to produce sound
D: use of the sense of touch to
assess skin temperature, turgor,
texture, and moisture as well as
vibrations within the body
Planning Care: Analyzing and Interpreting Data: A standard, or a norm, is a generally NSG122.01.04.02
A. Recognizing Significant data accepted rule, measure, pattern, or
B. Recognizing patters model to which data can be compared in
C. Recognizing potential the same class or category.
D. Identifying strengths patient motivation A data cluster is a grouping of patient
data or cues that point to the existence
of a health problem.
If a patient appears to meet a standard,
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