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Chapter 5

Assisting With the Nursing Process

QuestionAnswer
The first step in the nursing process. Assessment
The method nurses use to plan and deliver nursing care is called the nursing ______________________. Process
The second step in the nursing process is the nursing __________________. Diagnosis
The third step in the nursing process. Planning
The fourth step in the nursing process. Implementation
The last step in the nursing process. Evaluation
Name the step of the nursing process in which the nursing team collects information about the person. Assessment
Name the step in the nursing process in which the nursing team determines if the goals set in the planning step were met. Evaluation
Name the step in the nursing process in which the nursing team sets priorities and goals. Planning
Name the step in the nursing process in which the nursing team performs or carries out the nursing measures in the care plan. Implementation
The comprehensive ______________ plan is a written guide about the care a person should receive. Care
The comprehensive care plan is developed by the ________________ team. Interdisciplinary
An action or measure taken by the nursing team to help a person reach a goal is a nursing ____________________________. Intervention
The nursing __________________ describes a health problem that can be treated by a nursing measure. Diagnosis
Information that is seen, heard felt or smelled by an observer is called _________________ data. Objective
Thing a person tells you about that you cannot observe through your senses is called __________________ data. Subjective
What is another term for objective data? Signs
What is another term for subjective data? Symptoms
A _____________ is desired for or by a person as a result of nursing care and set during the planning step of the nursing process. Goal
The ______________________ diagnosis is the identification of a disease or condition by a doctor. Medical
If the nursing process is done in order with good communication then nursing care is ______________ and has a purpose. Organized
When does the assessment step end? Never
New information is collected about the person with every resident _____________. Contact
Observations to report at once include: a change in the person's ability to ________________ to commands and questions. Respond
Observations to report at once include: a change in the person's ______________ or ability to move body parts. Mobility
Observations to report at once include: complaints of sudden, severe ______________. Pain
Observations to report at once include: a sore or reddened area on the person's ____________. Skin
Observations to report at once include: complaints of a sudden change in ________________. Vision
Observations to report at once include: complaints of pain or difficulty _____________ or abnormal respirations. Breathing
Observations to report at once include: complaints or signs of _________________ swallowing. Difficulty
Observations to report at once include: vital signs outside their _____________ ranges. Normal
Goals are aimed at the person's ______________ level of well-being and function - physical, emotional, social and spiritual. Highest
The nurse communicates delegated tasks to you by using an _____________________ sheet. Assignment
The __________________ sheet tells you about each person's care needs, what tasks need to be done, and what cleaning tasks you need to do on the unit. Assignment
The nursing process never ____________. Ends
You constantly collect __________________ about the person. Information
Nursing diagnoses, goal, and the care plan may change as the person's _______________ change. Needs
Created by: na3
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