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C.5
Assisting with the Nursing Process
| Question | Answer |
|---|---|
| Collecting information about the person; a step in the nursing process | assessment |
| A written guide about the care a person should receive | comprehensive care plan |
| to measure if goals in the planning step were met; a step in the nursing process | evaluation |
| that which is desired in or by the person as a result of nursing care | goal |
| To perform or carry out nursing measures in the care plan; a step in the nursing process | implementation |
| The identification of a disease or condition by a doctor | medical diagnosis |
| Describes a health problem that can be treated by nursing measures; a step in the nursing process | nursing diagnosis |
| An action or measure taken by the nursing team to help the person reach a goall | nursing intervention |
| the method nurses us to plan and deliver nursing care; its five steps are assessment, nursing diagnosis, planning, implementation, and evaluation | nursing process |
| Information that is seen, heard, felt, or smelled; signs | objective data |
| Using the senses of sight, hearing, touch and smell to collect information | observation |
| Setting priorities and goals; a step in the nursing process | planning |
| Objective data | signs |
| things a person tells you about that you cannot observe through your senses; symptoms | subjective data |
| subjective data | symptoms |
| Clues for the resident assessment protocols (RAPs) | triggers |