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24 Cards in this Set
- Front
- Back
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Focused assessment |
Focused on a certain body part, system or problem |
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Special needs assessment |
Nutrition, pain, functional (ADLs) |
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Comprehensive assessment |
Detailed assessment including emotional, functional, family, culture and economic |
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What parts of assessment can a nurse delegate |
Ino's, temp, height and weight |
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Primary and secondary data |
Primary you see first hand Secondary comes from another person or hospital |
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Organizations determine who to delegate tasks to? |
Ana code of ethics for nurses, state nurse practice acts, agency policies |
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Diagnostic reasoning |
Aka analysis Thinking process that enables you to make sense of it |
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Significant data |
Aka cues Data that influences conclusions |
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Taxonomy |
System of classifying ideas or objects based on characteristics in common |
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Nursing diagnosis |
Problem related to cause AMB etiologies |
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Formal and informal planning |
Formal is conscious and deliberate Informal is mental note |
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Difference between standardized and unit care |
Standardized pertains to specific person, Unit pertains to whole unit of patients |
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Critical pathways |
Sequencing patient care, goals and appointments etc |
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Collaborative problems |
Potential problems |
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Direct and indirect auscultation |
Direct with own ear Indirect with stethoscope |
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Propeioception |
Body positioning |
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S3 - chf S4 - MI |
S3 - chf S4 - MI |
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Cerebellum |
Proprioception, body positioning |
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Cerebellum |
Proprioception, body positioning |
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4 parts of heart |
Aortic, pulmonic top Bottom tricuspid and mitral |
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Normal active bowel |
5-30 sounds per minute |
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Therapeutic communications |
Empathy Respect Genuineness Concreteness Confrontation |
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Smart |
Specific Measurable Attainable Reasonable Time oriented |
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Rhine, webers |
Romberg - balance test Webers - fork on forehead for vibration |
