Assessment correct answers gathering information
Why do we assess? correct answers to create a plan of care for patient
Initial Assessment correct answers done on admission to establish a complete data base for
problem identification and care planning
Focused Assessment correct answers completed as often as necessary depending on pts status,
focusing on specific problems
Emergency Assessment correct answers focus on life threatening issue first, then may go back
and complete rest of the assessment
Characteristics of data: correct answers -complete
-factual and accurate
-relevant
Diagnosis correct answers identifying pt problem
Data Interpretation & Analysis correct answers -recognizing patterns
- identify strengths and problems
Formulations & Validating Nursing Diagnosis correct answers writing nursing diagnosis, actual,
potential and possible nursing diagnosis
Actual Problem correct answers a problem that is present (ex. pain,nausea,skin break down)
, Potential Problem correct answers a problem that might happen in the future (ex.risk for falls,
risk for skin breakdown)
Diagnosis example include... correct answers -due to
-associated with
NANDA correct answers North American Nursing Diagnosis Association
What did NANDA do? correct answers developed to differentiate nursing diagnosis from
medical diagnosis
Planning correct answers setting goals and deciding how to achieve them
What are types of goals? correct answers -cognitive and psychomotor
-short term and long term
Planning steps correct answers 1. set client centered goals
2. prioritize goals
3. outline expected outcomes
Plan statements always start with... correct answers "the client will"
Writing a plan should include... correct answers SMART criteria
SMART correct answers -specific
-measurable
-achievable