• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off

Card Range To Study



Play button


Play button




Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

14 Cards in this Set

  • Front
  • Back
What are the phases of the nursing process?
Diagnosis (Nursing Diagnosis)

What is involved with the assessment step of the nursing process?
data collection (vital signs) weight etc.
MAR (medical record)
Physical Assessment
OTC meds- supplements, vitamins, recreational drugs etc.
Allergy assessment
Health history (surgeries, fractures)
Family history (genetic disease info)
Subjective and Objective Data
Environment- home/work life
Subjective Data
feelings, opinions, expressions (feedback from patient)
Objective Data
what we can see, touch, evaluate (measurable)
What is involved with Nursing Diagnosis?
General survey- 60 sec check(color, speech, mobility, LOC)
Data analysis
Clustering information Determine strengths, determine unmet needs
Nurses Diagnosis (NANDA nursing diagnosis)
Physical Exam (objective data) -
Types, techniques (palpation & osculation)

Diagnostic Statements
PES (S is first)
What is involved with the Planning phase of the Nursing Process?
Outcomes, Goals, Interventions
Priority setting- Patient’s greatest concern (safety need vs. physical need)
What is involved in the implementation phase of the Nursing Process?
activation of the plan
Should be patient centered and individualized
Measurability- what specific outcomes do we expect?
Describe the evaluation phase of the Nursing Process
It's Continuous
Was it realistic to the specific patent?
Was the outcome or goal met?
Describe the components of the PES model in nursing diagnostic statements.
"S"is first Signs & Symptoms (assessment, verbalization)
E- Etiology (manifestation source of problem)

Connect problem to etiology

Connect the etiology to the signs and symptoms
Actual Nursing Diagnosis
related to patient condition or disease process, identified through data collection, using PES
Ex- diabetic, low blood sugar levels
Potential Nursing Diagnosis
may occur based on patient condition, intervention, or disease process
Only identifies problem & etiology
Ex- risk of infection from a surgical procedure (etiology)
Describe guidelines for writing an outcome statement
Planning should be a collaborative effort between nurse and client (patient). The setting of more specific outcomes is necessary for systematic measurement of the patient’s progress. The nurse may write patient outcomes by describing/desired, realistic, measurable patient behaviors to be accomplished by a specific date
Ex- short term outcomes, the patient will maintain normal vital signs in response to activity in two days
What to do if interventions have been effective
What actually happened? Do we need to continue therapy? Is therapy ongoing?

If goal was met, what’s next? Revisit problem.
What to do if interventions have been ineffective
Revisit Problem, Go through Nursing Process with further research and detail