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29 Cards in this Set

  • Front
  • Back
Nursing Process
Assessment
Diagnosis
Planning
Implementation
Evaluation
What is an assessment?
Continuous deliberate and systematic collection of data to determine
i.e. client's current and past health and functional status
client's present and past coping patterns
Two steps of performing an assessment?
1. collection and verification of data
2. analysis of data
Methods of data collection
Interview
Nursing Health history
physical exam
diagnostic and lab exam
Difference between medical and nursing diagnoses?
Medical: identification of disease based on physical signs and symptoms
Nursing: health problems within the domain and treatment of nursing; describe clinets response to health problem that nurse is liscenced to treat
Three part statement of nursing dx
(human response) related to (etiological statement) as evidenced by (specific manifestations)
3 types of diagnoses
1. actual- manifested by clinical signs and symptoms
2. rist (secondary)-symptoms may lead to another problem
3. wellness (primary)-prevent problem from ever occuring
Nightingale's theory
focus on client's environment
Peplau's theory
focus on interactive process
Henderson's theory
focus on 14 basic needs
Abdellah's theory
focus on hollistic needs
Johnson's theory
Focus on client's ability to adapt
Roger's theory
Focus on unitary being as an energy field continuously interacting within the universe
Orem's theory
focus on self care
Neuman's theory
focus on systems approach and client's responses to stressors
Leininger's theory
focus on cultural care
King's theory
Focus on interaction of personal, interpersonal and social systems
Roy's theory
focus on adaptation to changing needs
Watson's theory
focus on transpersonal caring
Benner and Wrubel
Focuz on caring and connectedness
Benner and colleagues
Caring is primary
Swanson's five processes of caring
knowing
being with
doing for
enabling
maintaining belief
3 domains of learning
1. cognitive
2. affective (learning of the heart)
3. Psychomotor
Bloom's taxonomy
knowledge
comprehension
application
analysis
evaluation
synthesis
4 phases to nurse client relationship
1. perinteraction
2. orientation
3. working
4. termination
zones of communication
intimate zone: 0-18 inches
personal zone: 18 inches-4 ft
social zone: 4-12 ft
piblic zone: 12 ft and beyeond
active listening (SOLER)
Sit
Observe
Lean
Eye contact
Relax/respond
2 types of groups
1. primary- small intimate, face to face
2. secondary- larger impersonal little sentiment
steps of group according to Crenshaw
1. orientation
2. working
3. mature
4. termination