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25 Cards in this Set
- Front
- Back
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A systematic, rational method of planning and providing individualized nursing care
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Nursing process
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Collection, organization, validation and documentation of data
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Assessment
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Analyze data, identify health problems, risks and strengths, and formulate diagnostic statements
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Diagnosing
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Prioritize problems/diagnoses; formulate goals/desired outcomes; select nursing interventions; write nursing interventions
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Planning
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Reassess the client; determine nurse's need for assistance; implement the nursing interventions; supervise delegated care; document nursing activities
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Implementing
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Collect data related to outcomes; compare data with outcomes; relate nursing actions to client goals/outcomes; draw conclusions about problem status; continue, modify or terminate patient care plan
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Evaluating
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symptoms only described by the patient
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subjective data
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signs that can be tested or measured against an accepted standard
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objective data
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primary source of data
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client
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secondary source of data
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family, other support persons, other health professionals, records and reports.
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directive interview
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nurse established, highly structured and elicits specific information.
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nondirective
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nurse allows client to control the purpose, subject matter and pacing.
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framework of 11 functional health patterns
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Gordon functional health pattern
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three part nursing diagnostic statement
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standardizes organization of client care
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Nurse uses "secondary to" to divide what process in two?
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Etiology
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Novice nurse uses three steps in creating nursing diagnosis
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Analyzing data
Identifying health problems, risks and strengths Formulating diagnostic statement |
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Nursing diagnosis refers to?
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human response to medical treatment
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Independent nursing interventions for a collaborative problem focus mainly on?
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monitoring and preventing possible complications
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taxonomy II has three levels that include?
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domains, classes and nursing diagnoses
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three part nursing diagnostic statement
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standardizes organization of client care
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Nurse uses "secondary to" to divide what process in two?
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Etiology
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Novice nurse uses three steps in creating nursing diagnosis
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Analyzing data
Identifying health problems, risks and strengths Formulating diagnostic statement |
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Nursing diagnosis refers to?
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human response to medical treatment
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Independent nursing interventions for a collaborative problem focus mainly on?
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monitoring and preventing possible complications
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three components of quality evaluation
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structure, process and outcomes
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