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13 Cards in this Set
- Front
- Back
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analysis |
using data to determine patient need or nursing diagnosis |
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assessment |
collection of subjective and objective data |
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evaluation |
decision making process determining the effectiveness of nursing actions or interventions |
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expected outcome |
expected behavior and physical and mental state of the patient after a therapeutic intervention |
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implementation |
carrying out of a plan of action |
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independent nursing actions |
actions that so not require a physicians order |
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initial assessment |
gathering of baseline data |
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nursing diagnosis |
description of a patient problem |
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nursing process |
framework for nursing action, consisting of a series of problem solving steps, which helps members of the health care team provide effective and consistent patient care |
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objective data |
information obtained through a physical assessment of physical examination, lab tests, or scans |
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ongoing assessment |
continuing assessment activities that proceed from the initial nursing assessment |
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planning |
design of steps to carry out nursing actions |
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subjective data |
information supplied by the patient or family |
