Updates
what is the nursing process? ANS a systemic problem-solving approach to give individualized nursing care
what are the steps of the nursing process? ANS assessment, diagnosis, outcome identification, planning,
implementation, evaluation
Data collection methods ANS observation, interviewing, physical examination, intuition
data organization methods ANS record data in an orderly fashion, FHP (functional health pattern), head-to-
toe
nursing diagnosis format ANS PES= problem, etiology, signs and symptoms
nursing diagnostic statement ANS P related to E as evidence by S
funciontal level classifications 0-4 ANS 0- completely independent
4- dependent (does not participate in activity)
outcome identification ANS establish priorities, goals, outcome identification
life threatening situations- high priority ANS hemorrhage, respiratory distress
something of great important to the client- high priority ANS anxiety, pain
outcomes are documented as measurable goals ANS subject, action verbs (perform, discuss, walk, recall,
practice), condition/ modifiers on that verb, performance criteria, time frame
outcomes are what? ANS SMART
, what does SMART stand for? ANS specific, measurable, appropriate, realistic, timely
outcome is SMART ANS the patients fluid intake will be 2.5 ml every 25 hours (measurable, timely)
planning ANS plan nursing interventions, write the nursing plan of care
nursing interventions ANS specific strategies designed to assist the patient to achieve outcomes
what is true of nursing care plans? ANS must be accurately and completely documented, and serves as a
guide for many nurses to follow
skill set of implementation ANS technical competence, intellectual ability (problem solving, decision
making), communication skills, caring behaviors
implementation- action phase of the nursing process ANS initiation of the plan, reassess, set priorities,
record nursing actions, record actions
independent nursing interventions ANS interventions that can be delegated
collaborative dependent nursing interventions ANS physicians order is required in order for us to carry out
that intervention
evaluation is a ANS systemic and ongoing process, have the outcome goals been met?
generic name ANS what everyone calls it (acetaminophen
trade (brand) name ANS a company made that name (tylenol)
pharmacokinetics ANS absorption, distribution, metabolism, excretion
pharmacodynamics ANS therapeutic effects, adverse effects, interactions