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17 Cards in this Set

  • Front
  • Back
5 level of needs
physiologic needs,safety and security needs,love and belonging needs,self-esteen needs,self-actualization needs
physiological needs
oxygen,water,food and elimination,temperature,ABC's
Safety and security
hand hygiene,proper med admin.,patient education, trusting others, free of fear
love and belonging
loneliness and isolation, demanding and critical
interventions-include family and friends in care,encouraging communication
self-esteem
pride and accomplishment,independence
factors effecting this are role changes and body image
Self-actualization
acceptance of self and others,focus on problems outside of self,respect for all people
interventions-providing a sense of direction and hope,max. potentials
5 steps of nursing process
Assessment, diagnosis, outcome identification and planning, implementation, evaluation
nursing process is based on what?
the method of problem solving
Types of data
Subjective -only received by the pt. (ex. headache,vomit)
Objective-VS
example of a time lapsed assessment
blood pressure, home care nurse
Types of nursing diagnosis
Actual-has 3 parts when charting
Risk-has 2 parts when charting
Pain R/T surgery AEB rates pain a 10
Actual nursing diagnosis
(actual trumps risks)
Risk for pain R/T surgery
Risk nursing diagnosis
Critical Thinking indicators is
evidence-based descriptions of behaviors that demonstrate the knowledge,characteristics,and skills that promote critical thinking in clinical practice
Outcome identification must have
time and be measurable
ex. the pt.BP will go down at 1230
Planning?
very individualized, 3 types of planning..initial, ongoing, and discharge
implementation
cognitive(critical thinking),interpersonal(communication),technical(VS),Ethical and legal
On implementation
Know how, why, adn possible adverse reactions