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13 Cards in this Set
- Front
- Back
assessment
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Collecting information about the person; a step in the nursing process
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evaluation
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To measure if goals in the planning step were met; a step in the nursing process
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goal
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That which is desired in or by the person as a result of nursing care
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implementation
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To perform or carry out measures in the care plan; a step in the nursing process
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medical diagnosis
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The identification of a disease or condition by a doctor
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nursing diagnosis
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Describes a health problem that can be treated by nursing measures; a step in the nursing process
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nursing intervention
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An action or measure taken by the nursing team to help the person reach a goal
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nursing process
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The method RNs use to plan and deliver nursing care; its five stages are assessment, nursing diagnosis, planning, implementation, and evaluation
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objective data
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Information that is seen, heard, felt, or smelled; signs
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observation
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Using the senses of sight, hearing, touch, and smell to collect information
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signs
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Objective data
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subjective date
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Things a person tells you about that you cannot observe through your senses; symptoms
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symptoms
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Subjective data
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