what are the steps of the nursing process? - ANSWER
Assessment
Diagnosis/Analysis
Planning/Goals/Outcome identification
Implementation/Interventions
Evaluation
what is the nursing process? - ANSWER a systematic universal
approach to critical thinking in the nursing profession
describe the assessment phase of the nursing process - ANSWER
gathering information
collecting data both subjective (verbal) and objective (measurable)
may come from patient, records, family, friends
,describe the diagnosis/analysis phase of the nursing process - ANSWER
taking the gathered information and data and identifying the problem based on
those
determine actual/potential diagnosis, problems, and issues
describe the outcome identification/planning phase of the nursing process -
ANSWER identify long and short-term goals
write a collaborative care plan to meet goals
Goals should be: specific, measurable or Meaningful, attainable or Action-
Oriented, realistic or Results-Oriented, timely or Time-Oriented
describe the outcome implementation/interventions phase of the nursing process
- ANSWER implementation of plan
ex. applying a cardiac monitor or oxygen, direct or indirect care, medication
administration, standard treatment protocols
describe the outcome evaluation phase of the nursing process - ANSWER
determine if goals were reached
evaluate to ensure the desired outcome has been met reassessment may be
needed depending on results
, what is objective data - ANSWER information collected using
the 5 senses
ex. wound appearance, vital signs, labs
what is subjective data - ANSWER info the client tells the nurse
ex. pain is 5/10, diarrhea for past 5 days, dizzy, short of breath
cannot measure or be confirmed
What is the TeachBack method - ANSWER have the client
explain back the procedure or summarize the conversation
ensures patient understands material
What is AIDET and when is it used? - ANSWER A
communication framework for healthcare professionals to communicate with
patients and each other in a way that decreases patient anxiety, increases patient
compliance, and improves clinical outcomes.
Acknowledge: greet client by name, eye contact, smile, acknowledge friends and
family
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