Nx 100 Ch 11 - 16 Flashcards Preview

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Flashcards in Nx 100 Ch 11 - 16 Deck (12):
1

5 steps of the nursing process

assessment
diagnosing
planning
implementing
evaluating

2

assessment

collecting, validating, and communicating pt data

3

diagnosing

analyzing patient date to identify patient strengths and goals

4

planning

specifying patient outcomes (actual & potential) and related nursing interventions

5

implementing

carrying out the care plan

6

evaluating

measuring extent to which patient achieved outcomes

7

5 characteristics of the nursing process

systematic - ordered sequence
dynamic - each step interacts and overlaps
interpersonal - the pt is the heart of Nx
outcome oriented - nurses and patients work together to identify outcomes
universally applicable - a framework for all nursing activities

8

4 types of nursing assessment

initial comprehensive - upon admission; head to toe
focused - specific problems, symptoms
emergency - condition causing emergency
time-lapsed - comparing status to a base line

9

4 phases of a nursing interview

preparatory - gathering records and info
introduction - greeting pt
working phase - collecting subjective data
termination

10

Maslow's hierarchy of human needs

physiologic
safety
love and belonging
self-esteem
self actualization

11

prioritizing nursing diagnosis

high priority - a.b.c. compromised
medium priority - nonthreatening
low priority - diagnosis not specifically related to current health problems

12

types of nursing diagnoses

actual - real problem
risk - ex. risk for falls
possible - to be ruled out
wellness - no health problems, desire to increase or enhance present state
syndrome - trauma (rape or PTSD)