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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 |