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NURSING PROCESS
Question | Answer |
---|---|
IS A SYSTEMATIC PROBLEM SOLVING PROCESS THAT GUIDES ALL NURSING ACTIONS...ITS WHAT WE DO | NURSING PROCESS |
WHAT ARE THE 5 STEPS TO THE NURSING PROCESS | ASSESSMENT, DIAGNOSIS,PLANNING, IMPLEMENTATION, EVALUATION |
THIS IS THE GATHERING OF INFORMATION ABOUT THE PHYSICAL , MENTAL, SPIRITUAL, SOCIAL ECONOMICAL & CULTURAL STATUS-THE FIRST PHASE OF YOUR NURSING PROCESS | ASSESSMENT |
_____________STATED BY THE PT'S FAMILY,PATIENT "SYMPTOMS-HOW THEY FEEL" | SUBJECTIVE |
OBSERVATION & MEASURABLE DATA "VITALS, PAIN SCALE, WOUNDS, LABS & VOMITING" | OBJECTIVE |
2 TYPES OF ASSESSMENTS | COMPREHENSIVE & FOCUSED |
PROVIDES HOLISTIC INFO ABOUT THE CLIENT'S OVERALL HEALTH STATUS. IT INCLUDES DATA ABOUT THE CLIENTS BODY SYSTEMS,FUNCTION ABILITIES, EMOTIONAL STATE & PSYCHOSOCIAL SITUATIONS | COMPREHENSIVE ASSESSMENT |
PERFORMED TO OBTAIN DATA ABOUT ACTUAL, POTENIAL OR POSSIBLE PROBLEMS THAT HAS BEEN IDENTIFIED. IT FOCUSES ON A PARTICULAR TOPIC, BODY PART OR FUNCTIONAL ABILITY RATHER THAN ON OVERALL HEALTH STATUS | FOCUSED ASSESSMENT |
WHAT ARE THE 4 TYPES OF INTERVIEWING | DIRECTIVE, NON-DIRECTIVE, CLOSED QUESTIONS, OPEN QUESTIONS |
WHAT IS NANDA | NORTH AMERICA NURSING DIAGNOSIS ASSOC. |
WHAT ARE THE 2 DIAGNOSTIC STATEMENTS | ACTUAL PROBLEM & POTENTIAL PROBLEM |
PROBLEM CURRENTLY EXSISTS W/DATA TO SUPPORT THE DX | ACTUAL PROBLEM |
AT RISK FOR A PROBLEM THAT MAY DEVELOP. NO SIGNS OR SYMPTOMS @ PRESENT | POTENTIAL PROBLEM |
OBTAINING FACTS, AGE, SEX, DEMOGRAPHICS ECT... | DIRECTIVE INTERVIEWING |
NURSES SUMMERIZE & CLARIFY & OPEN END QUESTIONS | NON-DIRECTIVE INTERVIEWING |
"TELL ME HOW YOU FEEL"...CAN BE ANSWERED BY YES OR NO | CLOSED QUESTIONS |
PROBLEM QUESTIONS, ENCOURAGE THE PT TO TALK | OPEN QUESTIONS |