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Flashcards in Unit 1 Deck (44)
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1

Problem-focused dx

Describes existing problem

2

Risk dx

Describes potential prob that pt is vulnerable to
Risk for _____ r/t _________

3

Health Promotion dx

Describes pt’s, family’s or community’s desire to realize human health potential. Focus = being as healthy as possible.
Ex: Effective breastfeeding

4

Syndrome dx

Group of S&S that occur together
Ex: Sleep deprivation

5

Characteristics of Critical Thinkers

1. Raise Q’s
2. Willingness to search for answers
3. Inquisitive
4. Eager to acquire new knowledge
5. Consider multiple perspectives
6. Explore ideas/problems in new ways
7. open-minded

6

What is Critical Thinking

character + knowledge + skills

7

What is the Nursing Process

Problem-solving process

8

ADPIE

Assessment
Diagnosis
Planning
Implementation
Evaluation

9

2 Types of data

Subjective (what a pt "says")
Objective (measurable)

10

Secondary sources of data

Family, friends, caregivers, pt records, literature

11

Steps after assessment

1. Cluster (like info together)
2. Validate
3. organize
4. Document

12

What is etiology

problem + reason

13

Nursing diagnosis format?

Diagnostic label + related factors

14

Diagnosis formula =

problem + r/t + reason
impaired comfort r/t bld glucose testing

15

Planning:

1) initial
2) Ongoing
3) Discharge

16

Planning has what priority settings:

ABC'S
Airways, breathing, circulation, & safety
High, med, low

17

Characteristics of pt-centered goals (PLANNING)

Singular; observable; measurable; time-limited; mutual; realistic.
Short-term / long-term.
Simple

18

Word formula for planning

Combine verb with condition and criterion:

Ex: Patient will demonstrate minimal episodes of agitation
as evidenced by a calm demeanor over 48 hours

19

What do you always use with implementation

scholarly resources

20

During implementation when do you initiate interventions...after:

1. Reassessing the pt
2. Organize resources
3. Anticipate/prevent complications

21

What is the evaluation focused on?

ONLY Pt and Plan

22

What is the evaluation NOT focused on

Nurses action

23

What part do you refer to during evaluation step?

The goal

24

What are the 3 Outcomes of goal?

1. Goal met
2. Goal partially met
3. Goal not met

25

1.
According to the biomedical model, a narrow definition of health is:
a) an optimal functioning of mind, body, and spirit within the environment.
b) the absence of disease.
c) the response of the whole person to actual or potential problems.
d) prevention of disease.

B

26

2.
What type of database is most appropriate when a rapid collection of data is required and is often compiled concurrently with life-saving measures?
A. Episodic
B. Follow-up
C. Emergency
D. Complete

C

27

3. A medical diagnosis is used to evaluate:
A. a person’s state of health.
B. the response of the whole person to actual or potential health problems.
C. a person’s culture.
D. the cause of disease.

D

28

4. Which of the following is considered an example of subjective data?
A. Decreased range of motion
B. Crepitation in the left knee joint
C. Left knee has been swollen and hot for the past 3 days
D. Arthritis

C

29

5. What type of database is most appropriate for an individual who is admitted to a long-term care facility?
A. Episodic
B. Follow-up
C. Emergency
D. Complete

D

30

6. Which of the following is considered an example of objective data?
A. Alert and oriented
B. Dizziness
C. An earache
D. A sore throat

A