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16 Cards in this Set
- Front
- Back
Method for organizing assessment data based on the level of client function in specific areas (e.g., mobility).
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functional health patterns
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First step of the nursing process. Activities required in the first step are data collection, data validation, data sorting, and data documentation; the purpose is to gather information for health problem identification.
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assessment
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Active listening techniques that indicate that the nurse has heard what the client says.
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back channeling
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Type of communication with a client that is initiated for a specific purpose and focused on a specific content area.
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interview
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Data collected about a client's present level of wellness, changes in the client's life patterns, sociocultural role, and mental and emotional reactions to an illness.
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nursing health history
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Data relating to a client's health problem that are obtained through observation or diagnostic measurements.
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objective data
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Inquiries aimed at obtaining a full client response and discussion between the client and the nurse.
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open-ended questions
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Systematic method for collecting data on all body systems.
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review of systems
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Measure or guide that serves as a basis for comparison when evaluating similar phenomena or substances.
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standards
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Data relating to a client's health problem that are given in the client's own words.
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subjective data
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Information that you obtain through use of the senses
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cue
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A process of reviewing available data for patterns or trends and forming conclusions about the meaning of the data.
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data analysis
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The process of comparing data with another source to confirm its accuracy
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validation
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Diagnosis and treatment of human responses to actual or potential health problems.
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nursing
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Taking one proposition as a given and guessing that another proposition follows.
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inference
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Systematic problem-solving method by which nurses individualize care for each client. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation.
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nursing process
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