front 1 nursing process | back 1 a decision making framework used by nurses to determine (identify) the needs of their paitents |
front 2 an identified problem or risk of developing a problem | back 2 need |
front 3 critical thinking | back 3 enables you to grasp the meaning of multiple clues and to find quick answers when facing difficult problems aka important nursing strategy for problem-solving |
front 4 ADPIE (Steps of nursing process) | back 4 assessment, diagnosis, planning, implantation, evaluation |
front 5 assessment | back 5 collect subjective and objective data |
front 6 subjective data | back 6 information that is known only to the parent and family members |
front 7 objective data | back 7 information you gather through observation with you senses vision, touch, hearing, smell (olfaction) |
front 8 example of objective data | back 8 large amount dark brown formed stool 75 ml dark amber urine BP- 146/92 |
front 9 diagnosis | back 9 analyze the data collected through the assessment the nursing diagnosis is related to the needs or problems a patient is experiencing or the risk of developing a problem |
front 10 planning | back 10 a realistic time frame is selected for the problem to be resolved |
front 11 implemention | back 11 the process of preforming the nursing interventions to resolve the problem |
front 12 evaluation | back 12 the nurse reflects on the interventions performed and decides weather the patient is now closer to achieving the goals and outcomes set in the planning step |
front 13 ANA (American nurses association) | back 13 all steps of the nursing process- from assessments through evaluation- responsibility of the RN |
front 14 assessment | back 14
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front 15 interviewing | back 15 develop a good rapport starting with your first interaction with the patient |
front 16 primary data | back 16 patient provides the information |
front 17 secondary data | back 17 obtain information from family members, friends, and the patients chart |
front 18 5 techniques to collect objective data | back 18
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front 19 inspection | back 19 the visual examination of the patients body |
front 20 palpation | back 20 touching or feeling the body for pulses, temperature, moisture, abnormal lumps, vibrations |
front 21 auscultation | back 21 listening with a stethoscope |
front 22 percussion | back 22 a method of tapping body parts with fingers, hands, or small instruments as part of a physical examination |
front 23 olfaction | back 23 sense of smell to detect odors |
front 24 stethoscope | back 24 a sound transmitting device |
front 25 defining characteristics | back 25 signs and symptoms exhibited by the patient |
front 26 writing the nursing diagnosis | back 26 first- the problem next- what is the problem related to followed by- how is it evidenced by the patient |
front 27 maslows hierarchy of needs | back 27
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front 28 physiological needs | back 28 food, air, water, elimination, rest, and physical activity |
front 29 safety and security | back 29 protection, emotional and physical safety, stability, and shelter safe environment |
front 30 love and beloning | back 30 giving and receiving affection, meaningful relationships, belonging to a group develop a good rapport, support groups |
front 31 self esteem | back 31 pride, sense of accomplishment, recognition by others |
front 32 self actualization | back 32 personal growth, reaching potential |
front 33 short term goal | back 33 achieve by discharge |
front 34 long term goal | back 34 not expected by time of discharge |
front 35 direct patient care | back 35 when nurse interacts directly with patient |
front 36 indirect patient care | back 36 when the nurse provides assistance in a setting other than with the patient (documenting, care conferences, receiving new orders) |
front 37 evaluation | back 37 STOP AND REFLECT look at nursing diagnosis and desired outcomes to determine if the nursing interventions brought about the anticipated outcome |
front 38 types of nursing care plans | back 38
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front 39 independent | back 39 no order required |
front 40 dependent | back 40 order required |
front 41 standard precautions | back 41 prevent infections |
front 42 preforming intervention | back 42 implementation |
front 43 nursing proces goal | back 43 patient centered |
front 44 ABC'S | back 44 airway-breathing-circulation |
front 45 what step in the nursing process would you preform a nursing intervention? | back 45 intervention stage |