Flashcards in Unit 1 Deck (44)
Describes existing problem
Describes potential prob that pt is vulnerable to
Risk for _____ r/t _________
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
Group of S&S that occur together
Ex: Sleep deprivation
Characteristics of Critical Thinkers
1. Raise Q’s
2. Willingness to search for answers
4. Eager to acquire new knowledge
5. Consider multiple perspectives
6. Explore ideas/problems in new ways
What is Critical Thinking
character + knowledge + skills
What is the Nursing Process
2 Types of data
Subjective (what a pt "says")
Secondary sources of data
Family, friends, caregivers, pt records, literature
Steps after assessment
1. Cluster (like info together)
What is etiology
problem + reason
Nursing diagnosis format?
Diagnostic label + related factors
Diagnosis formula =
problem + r/t + reason
impaired comfort r/t bld glucose testing
Planning has what priority settings:
Airways, breathing, circulation, & safety
High, med, low
Characteristics of pt-centered goals (PLANNING)
Singular; observable; measurable; time-limited; mutual; realistic.
Short-term / long-term.
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
What do you always use with implementation
During implementation when do you initiate interventions...after:
1. Reassessing the pt
2. Organize resources
3. Anticipate/prevent complications
What is the evaluation focused on?
ONLY Pt and Plan
What is the evaluation NOT focused on
What part do you refer to during evaluation step?
What are the 3 Outcomes of goal?
1. Goal met
2. Goal partially met
3. Goal not met
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.
What type of database is most appropriate when a rapid collection of data is required and is often compiled concurrently with life-saving measures?
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.
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
5. What type of database is most appropriate for an individual who is admitted to a long-term care facility?