Flashcards in Nursing Process Part 2 Deck (14)
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1
Assessment:
What are the 5 types of nursing assessments?
comprehensive initital
focused
emergency
time-lapsed
patient centered assessment method
2
What are some skills that help with critical thinking?
reflective practice: journaling and debriefing
concept maps
3
Explain the 5 core values of assessment:
-systematic and comprehensive to identify medical concerns
-determine credibility of info sources
-find normal from abnormal and risk for abnormal
-judgments of significance of data
-check accuracy, reliability, and missing info
4
Assessment:
What are the 2 types of data used?
subjective: info perceived only by the patient
objective: observable and measurable
5
Assessment:
What are some sources of data?
patient
family
record
medical history, physical
labs
therapies
6
Assessment:
What are some problems related to data collection?
poor organization
failure to chart
irrelevant data
recording interpretation rather than observed data
7
What are the 5 steps of assessment?
collect data
identify cues and make inferences
validating data
clustering related data
reporting and recording data
this leads to:
-clinical reasoning (analyzing, synthesizing, reflecting, drawing conclusions)
8
What are the 5 steps of Diagnosis?
-creating a list of suspected problems
-ruling out similar problems
-naming actual/potential problems
-determining risk factors
-identifying resources, strengths, and areas for health promotion
9
What is the prupose, vision, and mission of NANDA?
purpose: implementation of ND
vision: ensure patient safety through standardized terminology
mission: standardized nursing diagnostic
terminology.
10
What is the difference between a ND and a medical diagnosis?
ND: nurse treats independently
Medical: physician directs the treatment
Collaborative: physician and nurse prescribed
11
What does a ND provide?
-a definition of problems and common language for patient needs
-nurse communication
-focus on scope of practice
-foster nursing knowledge
12
What are the 3 types of ND's?
-actual: human response to health conditions or life processes
-risk: same as actual but they may develop
-health promotion: clinical judgment of motivation, desire, and readiness to enhance well-being and does not require a current level of wellness
13
What are the 3 parts of the nursing diagnosis?
-Problem: diagnostic labe
-Etiology: related to "r/t" (don't use medical diagnosis)
(risk and health promotion diagnosis will not have this section)
-Defining characteristics: as evidenced by AEB, (use subjective and objective data)
14
