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Flashcards in Chapter 7 Deck (15):
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Assessment

Collecting information about the person; a step in the nursing process

1

Evaluation

To measure if goals in the planning step were met; a step in the nursing process

2

Goal

That which is desired for or by a person as a result of nursing care

3

Implementation

To perform or carry out nursing measures in the care plan; a step in the nursing process

4

Medical diagnosis

The identification of a disease or condition by a doctor

5

Nursing care plan

A written guide about the person's nursing care; care plan

6

Nursing diagnosis

Describes a health problem that can be treated by nursing measures; a step in the nursing process

7

Nursing intervention

An action or measure taken by the nursing team to help the person reach a goal

8

Nursing process

The method nurses use to plan and deliver nursing care; it's five steps are assessment, nursing diagnosis, planning, implementation, and evaluation

9

Objective data

Information that is seen, heard, felt, or smell by an observer; signs

10

Observation

Using the senses of sight, hearing, touch, and smell to collect information

11

Planning

Setting priorities and goals; a step in the nursing process

12

Signs

See "objective data"

13

Subjective data

Things a person tells you about that you cannot observe through your senses; symptoms

14

Symptoms

See "subjective data"