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11 Cards in this Set
- Front
- Back
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What is the purpose of assessment?
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To gather subjective and objective data about the patient.
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What is the difference between objective data and subjective data?
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Data obtained from the patient verbally are subjective data
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How is a database compiled?
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Interview, Physical assessment, talking with the family and significant others, and communication with other health professionals, and chart review
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What is done to gather information for the nursing database?
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Chart Review
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What is performed at admission?
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Nursing history and assessment
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What should the nurse do at the beginning of each shift?
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A quick head-to-toe assessment
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What does a nursing diagnosis statment indicate?
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The patient's actual health status, or a potential problem, the causative factors and specific S&S
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What is the accepted list that nursing diagnoses should be taken from?
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NANDA
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The nursing care plan should be documented when?
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Soon after admission assessment, the nursing care plan should be documented.
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How often is the nursing care plan reviewed and updated?
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Every 24 hours
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What is the role of the LPN in the patient assessment?
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Assists with the admission assessment
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