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Nursing Hist.

Test II, N101

QuestionAnswer
Communication w/in yourself, the nurse Intrapersonal
Communication between 1 or 2 ppl Interpersonal
Defines an actual or a potential patient problem Nursing Diagnosis
When nurses interact with 2 or more individuals Small-Group
Occurs when individuals and groups within an organization communicate to achieve established goals Organizational
Verbal Nonverbal Touch Eye Contact Facial Expressions Posture Gait Gestures Forms of Communication
_________ relationship is based on pt’s needs NOT needs of the nurse. Helping
Phase where we find out about this pt. Orientation
Phase where we work with pt. -> help them get better Working
Termination starts when? Admission
Describes patient problems nurses can treat independently Nursing diagnosis
Describes problems for which the physician directs the primary treatment Medical diagnosis
Managed by using physician-prescribed and nursing-prescribed interventions Collaborative problems
1. 2. patterns or clusters 3. strengths and problems 4. Conlusion Significant data
1. Significant data 2. patterns or clusters 3. 4. Conlusion strengths and problems
identifies what is unhealthy about patient Problem
identifies factors maintaining the unhealthy state. What caused the problem? Etiology
identifies the subjective and objective data that signal the existence of a problem. Proof of the problem. Defining characteristics
Data NOT measurable. Ex. Pt. anxious. Subjective
Data that IS measurable. Objective
Pt. is dehydrated with deficient fluid intake R/T vomiting & diarrhea as evidenced by skin turgor & abnormal electrolytes. MEDICAL DIAGOSIS: dehydration
Pt. is dehydrated with deficient fluid intake R/T vomiting & diarrhea as evidenced by skin turgor & abnormal electrolytes. NANDA: deficient fluid intake
Pt. is dehydrated with deficient fluid intake R/T vomiting & diarrhea as evidenced by skin turgor & abnormal electrolytes. RELATED FACTOR: vomiting and diarrhea
Pt. is dehydrated with deficient fluid intake R/T vomiting & diarrhea as evidenced by skin turgor & abnormal electrolytes. AEB: skin turgor & abnormal electrolytes
PO Planning Outcome
PI Planning Intervention
Created by: lost little girl
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