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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 |