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Flashcards in Unit Two Test Deck (47)
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1

when you gather history and physical assessment

assessment phase

2

putting plan into action

implementation phase

3

did the outcome come out as wanted

evaluation phase

4

what is the pneumonic for steps in nursing proccess

ADPIE
assessment
diagnosis
planning
implementation
evaluation

5

assessment is ________

ongoing

6

what do you first assess

chief complaint

7

maslow's hierarchy

physiological needs
safety needs
love and belonging
esteem needs
self actualization

8

actual problem=

ongoing problem

9

not as important because has not happened yet=

risk for

10

sex is located in what stage and why

physiological need because something has happened and lost participation in physical activity for a while

11

what are the 3 parts of formulating a nursing diagnosis

problem statement
etiology
defining characteristics

12

what is the pneumonic used for nursing diagnosis

PES
problem
etiology
signs and symptoms

13

avoid using ______ diagnosis with nursing diagnosis statement

medical

14

what is the first step in any plan

establish patient outcome

15

an outcome statement should have

objective, observable patient behaviors which are MEASURABLE and REALISTIC

16

planning needs to be

specific

17

outcome will need to start with

"the patient will.."

18

outcomes can be

short or long term

19

when planning outcome what is the pneumonic used

SMART
specific
measurable (quantity, freq, weight)
attainable
realistic
time limited (short term/ long term)

20

planned treatments and actions that are performed to help the patient to reach the outcomes that are set for them

nursing interventions

21

no order needed=

independent nursing interventions

22

in conjunction with an interdisciplinary team member

interdependent nursing interventions

23

require an order

dependent nursing interventions

24

your actions you are going to perform to help patient reach goal will always start with

" the nurse will..."

25

interdependent is when working with

nutrition, physical therapy etc

26

carrying out nursing interventions

implementation

27

while implementing you need to

include your patient

28

who should evaluate

author of the plan of care
nurses responsible for pt care
healthcare team
the patient too

29

fecal impaction

may or may not need an order

30

need what parts of brain for critical thinking

both sides