data clustering - Answer-determining what out of all data is significant
components that add to the ability to critically think - Answer-knowledge, experience, attitudes, and standards
nursing process steps - Answer-Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment - A...
NUR 202 Exam 1 Questions with Latest
Update
data clustering - Answer-determining what out of all data is significant
components that add to the ability to critically think - Answer-knowledge, experience,
attitudes, and standards
nursing process steps - Answer-Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment - Answer-observation, collection of information, and data which is
analyzed, validated organized, and documented
Primary, secondary, subjective, and objective data - Answer-primary:patient interview
secondary: family, medical record
subjective: symptoms
objective: signs, labs, tests
Signs vs. Symptoms - Answer-Signs = Objective information; can be seen, measured,
heard, or felt
- Color, pulse, edema
Symptoms = Subjective information
- Dyspnea, pain, nausea
Nursing Diagnosis - Answer-Analyze the data and identify actual and potential
problems. Create a clear statement of the problem.
Immediate Priorities - Answer-ABCs, Airway, Breathing, Circulation- think about
Maslow's Hierarchy of Needs
Actual health problem - Answer-existing problems or concerns
Risk diagnosis - Answer-increased potential or vulnerability of the patient for a problem
or complication
Health promotion diagnosis - Answer-expression of desire to change health
medical diagnosis vs nursing diagnosis - Answer-Medical Diagnosis: is used to evaluate
the cause or etiology of disease
, Nursing Diagnosis: clinical judements about a persons response to an actual or
potential health state
Planning - Answer-develop a plan with realistic goals and effective interventions.
Types of planning - Answer-Initial, Ongoing, Discharge
Goals of planning - Answer-standardized and individualized care plans
Overall goal - Answer-overall goal of health for patient. Part of the planning process and
small SMART goals leading up to it
wellness diagnosis - Answer-expected outcomes that demonstrate health maintenance
or achievement of an even higher level of health
interventions - Answer-actions taken to correct or manage a patient's problems
interventions are selected by - Answer-theories, ANA standards, evidence-based
practice, clinical-practice guidelines, and knowledge
independent nursing interventions - Answer-actions that a nurse initiates without
supervision or direction from others
interdependent nursing interventions - Answer-In conjunction with an interdisciplinary
team member
Ex. assist client with physical therapy exercises
dependent nursing interventions - Answer-actions that require an order from a physician
or another health care professional
implementation - Answer-doing, delegating, and recording
evaluation - Answer-collect data related to outcomes
compare data with desired outcomes
related nursing interventions to outcomes
draw conclusions about problem status
in determining outcome achievement determine if it is.... - Answer-completely met,
partially met, not at all met
discontinuing plan of care - Answer-goal attainment, changing patient condition (are
they deteriorating or improving)
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