click below
click below
Normal Size Small Size show me how
Fundamentals-Ch 15
Chapter 15 Review from Potter and Perry Book
Question | Answer |
---|---|
Gather information about the client's condition | Assess |
Identifying the client's problems | Diagnose |
Set goals of care and desired outcomes and identify appropriate nursing actions | Plan |
Implement | Perform the nursing actions identified in planning |
Evaluate | Determine if goals met the outcomes achieved |
Three things that allow you to complete a successfy]ul comprehensive database | Critical thinking attitudes such as curiousity, perseverance, and confidence |
Information that you obtain through the use of your senses | Cue |
Your judgement or interpretations of those cues | Inference - Like when you see a client crying (cue) you assume that it implies fear or sadness. |
Two approaches to a comprehensive exam | Functional health patters (Gordon) and a problem-oriented approach |
Health perception - health managenent | how client's manade health; knowledge of preventtive health practices |
Nutritional-metabolic patter | describes the client's daily/weekly pattern of food and fluid intake. actualy weight, weight loss or gain. |
Elimination pattern | Patterns of excretory function (bowel, bladder, and skin) |
Activity - exercise pattern | Describes patters of exercise, activity, leisure, and recreation; ability to perform activities of daily living |
Sleep-rest pattern | describes patterns of sleep, rest, and relaxation |
Cognitive-perceptual pattern | Describes sensory perceptual patterns; language adequacy, memory, decision-making ability |
Self-perception-self concept pattern | Descripes the client's self-concept pattern and perceptions of self |
Role-relationship patter | Descrieps the client's patters of role engagements and relationships |
Sexuality-reproductive patterns | The client's patterns of satisfaction and dissatisfaction with sexuality patter; client's reporductive patterns; premenopausal and postmenopausal patterns |
Coping-stress tolerance pattern | Describe the client's ability to manage stress; sources of support; effectiveness of the patterns in terms of stress tolerance |
Value-belief pattern | Patterns of values, beliefs, and goals that guide the client's choices of decisions |
Focused Assessment - pain | Question -Describe your pain for me. Place your finger over the area that is uncomfortable."Rate pain 1-10" (Observe nonverbal cues.Observe where the client points to,note if it radiates or is localized.Inspect area of discomfort, palpate for tenderness) |
Family members help during assessment by | telling when changes in the client's status occured |