Which nursing leader is the founder of public health? - ANSWER
Lillian Wald
Which of the following is not a nursing association? - ANSWER
AMA
Competent nurses can rely on advanced planning and organizational skills
acquired - ANSWER True
Barry suffered a hemorrhagic stroke, but is no longer in the acute phase. He has a
trach & PEG that needs management. - ANSWER
extended/longterm acute care
,five-step systematic method for giving patient care; involves assessing, diagnosing,
planning, implementing, and evaluating - ANSWER
Nursing Process
where nurses collect data and gather information about the client -
ANSWER Step 1: Assessment
things a person tells you about that you cannot observe through your senses;
symptoms
-data that is stated by the client - ANSWER
subjective data
what the health professional observes by inspecting, palpating, percussing, and
auscultating during the physical examination
i.e blood pressure reading, temperature reading, large bruising, head to toe
assessment, taking vital signs
analyze-assess - ANSWER objective data
,patient or client - ANSWER primary source
someone other than patient i.e family member or healthcare provider -
ANSWER secondary source
-able to do because of data collected during nursing assessment step -
ANSWER Step 2: Diagnosis/Identify The Problem
nursing diagnosis is made in this step - ANSWER
Step 2/Diagnosis
Who can make a medical diagnosis? - ANSWER
physicians
, North American Nursing Diagnosis Association, purpose is to define, refine, and
promote a taxonomy of nursing diagnostic terminology of general use to
professional nurses.
-list of EBP nursing diagnosis' used in practice to determine patient interventions
i,e, risk for impaired skin integrity - ANSWER
NANDA
to create a nursing diagnosis we must - ANSWER
analyze the data
-determine goals/outcomes for patient
-develop PLAN OF CARE (POC): assessment/teaching, concealing, must be
individualized to patient
-communicate/document plan
THIS IS WHERE WE CREATE SMART GOALS - ANSWER
Step 3: planning
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