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13 Cards in this Set

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