Chapter 15 Review from Potter and Perry Book
Help!
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| Gather information about the client's condition | Assess
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| Identifying the client's problems | Diagnose
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| Set goals of care and desired outcomes and identify appropriate nursing actions | Plan
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| Implement | Perform the nursing actions identified in planning
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| Evaluate | Determine if goals met the outcomes achieved
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| Three things that allow you to complete a successfy]ul comprehensive database | Critical thinking attitudes such as curiousity, perseverance, and confidence
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| Information that you obtain through the use of your senses | Cue
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| Your judgement or interpretations of those cues | Inference - Like when you see a client crying (cue) you assume that it implies fear or sadness.
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| Two approaches to a comprehensive exam | Functional health patters (Gordon) and a problem-oriented approach
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| Health perception - health managenent | how client's manade health; knowledge of preventtive health practices
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| Nutritional-metabolic patter | describes the client's daily/weekly pattern of food and fluid intake. actualy weight, weight loss or gain.
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| Elimination pattern | Patterns of excretory function (bowel, bladder, and skin)
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| Activity - exercise pattern | Describes patters of exercise, activity, leisure, and recreation; ability to perform activities of daily living
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| Sleep-rest pattern | describes patterns of sleep, rest, and relaxation
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| Cognitive-perceptual pattern | Describes sensory perceptual patterns; language adequacy, memory, decision-making ability
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| Self-perception-self concept pattern | Descripes the client's self-concept pattern and perceptions of self
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| Role-relationship patter | Descrieps the client's patters of role engagements and relationships
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| Sexuality-reproductive patterns | The client's patterns of satisfaction and dissatisfaction with sexuality patter; client's reporductive patterns; premenopausal and postmenopausal patterns
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| Coping-stress tolerance pattern | Describe the client's ability to manage stress; sources of support; effectiveness of the patterns in terms of stress tolerance
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| Value-belief pattern | Patterns of values, beliefs, and goals that guide the client's choices of decisions
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| 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)
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| Family members help during assessment by | telling when changes in the client's status occured
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Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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