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13 Cards in this Set
- Front
- Back
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Nursing Diagnosis
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clinical judgment about individual, family, or community responses to actual and potential health problems/life processes to provide the basis for client care
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Nursing Process
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A systematic method of providing care to clients. w/ 5 steps that lead to accomplishing some goal.
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Name the 5 steps in the nursing process
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1. Assessment
2. Diagnosis 3. Planning/outcome 4. Implementation 5. Evaluation |
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Explain how the Nursing process works
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It is a series of steps or acts that lead to accomplishing some goals or purpose
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Define Assessment in the nursing process
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The process of collecting, organizing, validating, and recording data (information) about a client's health status
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Define Planning/outcome identification in the nursing process
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An ongoing process that involves: a) assessing a situation, b) establishing goals & objectives based on assessment of a situation or future trends, and c) developing a plan of action that identifies priorities, delineates who is responsible, determines deadlines, and describes how the intended outcome is to be achieved and evaluated.
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Define Implimentation in the nursing process
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The phase of the nursing process in which the nursing care plan is put into action
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Define Evaluation in the nursing process
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A planned ongoing, purposeful activity in which clients and health care professionals compare expected outcomes to actual outcomes
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How Assessment affects the other steps in the Nursing process
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The COMPLETENESS and CORRECTNESS of the assessment data relate directly to the ACCURECY of the steps that follow
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How does critical thinking apply to the Nursing process and do they relate to each other
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What is the responsibility of the LPN as it relates to the Nursing Process
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LPN's role or responsibility varies from State to State. Nurse must be familiar w/ Standards of Practice in the state of employment
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Difference between comprehensive assessment, focused (both types of focus) and ongoing assessment
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1.Comprehensive is original complete health history.
2. is on specific body parts or systems. 3. Ongoing deals w/ specific problems/long term (copd) |
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What should the Nurse focus on when performing a nursing health history.
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