Ch. 6 Nursing process / M. HLTH NRSG Flashcards

1
Q

The nursing process

A

Applicable to every focus of nursing. A helpful tool

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2
Q

Standards of practice that we’ll be doing at unity and other psyc hospitals

A
  • Hist & MSA
  • Quick head to toe exam every morning
  • Hist: fam, meds, ER assessment
  • they might need insulin or an EKG done. Learn how to help!
  • EKG: we need a baseline to help detect any heart problems.
  • Waist circumference: some meds cause weight gain
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3
Q

expected outcomes (goals)

A
  • SMART goal.
  • Realistic
  • Short term & long term goal
  • Only evaluate short term goals in care plan
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4
Q

Planning

A
  • what are you doing for your patient?
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5
Q

Implementation

A
  • List of goals/interventions is helpful, but use introspection
  • We need to know why you’re doing what you’re doing
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6
Q

Nursing case management

A
  • Influences what/how we chart. can put us liable.
  • A health delivery process whose goals are to provide quailty health care, decrease fragmentation, enhance the client’s quality of life, and contain cost.
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7
Q

Managed care

A

A concept designed to control the balance between cost and quality care. Individuals receive care based on need, which is determined by coordinators of the provider-ship.

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8
Q

Concept mapping

A

Just a different way to care plan

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9
Q

Charting/documentation

A
  • Do what ur nurse does
  • EPIC & narrative charting
  • Professional. No opinions. Actually write “fuck”
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10
Q

Objective data

A

are observable and measurable data (signs) obtained through observation, physical examination, and lab and diag. testing

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11
Q

Subjective data

A

Are infomation from the client’s point of view (“symptoms”), including feelings, perceptions, and concerns obtained through interviews

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