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19 Cards in this Set

  • Front
  • Back
Utilize Maslow's Hierachy Of Human Needs Theory to Prioritize client's needs.
Physiological Needs
Safety and Security Needs
Love and belonging Needs
Self-esteem Needs
Self-Actualization Needs
Physiological Needs
Oxygen
Water
Food/Elimination
Temperature
Sexuality
Physical Activity
Rest
Safety and Security:
(Physical)
Hand Hygiene (Sterile)
Using Electrical Equipment
Proper Med Admin.
Proper Tech. while moving pt.
Pt. education
Safety and Security:
(Emotional)
Trusting Others
Free of Fear, Anxiety, and Apprehension
Love and Belonging:
Accepting Others
Giving/Receiving Love
Feeling Belonging
Family and Friends in Care
Self-Esteem:
Feel Good about self
Pride/Accomplishment
Confidence/Independence
Effecting: Role Change/Body Image
Self Actualization
Need to reach full potential
Acceptance of Self/Others
Happiness/Affection of Others
Respect for People
Discriminate between good/evil
Focus on strengths
Sense of Direction/Hope
Identify and describe the components of the nursing process:
Assessing
Diagnosis
Planning
Implementation
Evaluation
Assessing:
Collect Data (Objective/Subjective)
Purposeful
Complete
Factual/Accurate
Relevant(charting)
Patient Interview:
Prep- char
Itro - Introduce/ Pt Participation
Working - actual interview
Termination - Interview Concluded
Nursing Diagnosis:
Interpret/Analyze Data
ID Responses to health/life processes
ID Cause of Health Problems
ID Resources to Prevent Problems

Surgery --> at risk for infection
What might go wrong (look ahead)
Nursing Diagnosis:
(Example):
Diag -> Why -> Evidence (objective)
Pain r/t Surgery AEB Rate pain as 10
Actual > Risk
Risk = no evidence
Planning:
Write expected pt outcome
(Time + Measureable)***
(what you want to happen)
Pt will rate pain as 5 in 4 hrs
Implementation:
Actions Carried Out
Promote Health
Prevent Disease/Illness
Restore Health
Facilitate Coping
Implementation:
Prioritize Needs (physiological etc.)
Perform Nursing Intervention+Document Actions
Planning:
Individualize
Initial
Ongoing (hip surgery)
Discharge soon as possible
Implementation:
Promote self care
Reassess
How your going to perform
Why your going to perform
Reactions from Meds
Interventions:
Sores: Flip Pt
Low blood sugar, treat right away
No MD order
Dependent Nursing Action
Evaluation:
Did goal happen?
Measureable Criteria (BP)
Collect Evaluative Data