Fundamentals of Nursing - Exam 1 2025 UPDATE
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Terms in this set (159)
Caregiver
Advocate
What are the most
important roles of the Educator
nurse (5)
Researcher
Leader
(1) Assessment
(2) Nursing Diagnosis
(3) Planning
What are the 5 steps in
the nursing process?
(4) Implementation
(5) Evaluation
*** All of the above require critical thinking!
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Collects comprehensive data pertinent to the
patient's health and/or situation.
Define Assessment
- info medical personnel can look at
- begins the moment you walk through the door
NO! Only the patient can give subjective info.
Can the RN provide
subjective information
OBJECTIVE info is what the RN sees, hears, or
about patient?
smells
Analyze the assessment and make a clinical
judgement related to an ACTUAL or POTENTIAL
health problem.
What is the Diagnosis
** Nurses have to be aware of potential risks
phase?
based on health problems.
** Also collaborate with other specialists to
manage the problem(s)
First info → Related to → as evidence by
WHAT is the problem?
WHY is it a problem?
What are the three
WHAT is the evidence of that problem?
phases of a Nursing
Diagnosis?
Ex:
"Acute pain → related to surgical incision → as
evidence by patient report (or as evidence by
crying)"
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This is the statement of how a patient's status will
change once interventions have been successfully
instituted
What are the OUTCOMES
Identify the expected outcomes when planning for
IDENTIFICATION?
the patient's individual situation.
Interventions must be measurable criterion
indicating that objectives have been met.
Develops a plan that prescribes strategies and
alternatives to attain expected outcomes.
Define the PLANNING
stage of the nursing - Prioritize strategies
process
- Goals (statement that describes the aim if the
nursing care) should be short term and long term
Describe The actions to facilitate positive patient outcomes
IMPLEMENTATION of the
nursing process
Cognitive
What three skills are
needed in order to Personal
implement goals?
Psychomotor
This describes how well the patients needs were
Describe the
met (or not met).
EVALUATION phase of
the nursing process
Done through reassessment
What percentage of all 90%
communication is
nonverbal?
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What two characteristics CARING
should nurses always
exude? COMPETENCE
Verbal interviewing and history taking
Visual and intuitive observation of nonverbal
How is communication behavior
used in the Assessment
phase of the nursing Visual, tactile, and auditory data gathering during
process? physical examination.
Written medical records, diagnostic tests, and
literature review.
The referent motivates one person to
communicate with another.
Define REFERENT
Examples of referents: sights, sounds, odors, time
schedules, messages, objects, emotions,
sensations, perceptions, ideas, etc.
The person who encodes and delivers the
message.
Define SENDER in
communication Sender puts ideas or feelings into form that is
transmitted and is responsible for accuracy and
emotional tone of message content
The person who receives and decodes the
message
What is the RECEIVER in
the communication
** senders message acts as a referent for the
process?
receiver, who is responsible for attending to,
translating, and responding to the message.
MESSAGE in Content of communication.... verbal, nonverbal &
communication process symbolic language.
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