Data Collection - Answers - History: subjective
- Physical: objective
Diagnostic reasoning data collection - Answers Attending
Formulating
Gathering
Evaluating
Nursing Process - Answers Assessment
Diagnosis
Outcome
Planning
Implementation
Evaluation
Nursing Process: Assessment - Answers collecting subjective and objective data
Nursing Process: Diagnosis - Answers - Interpreting data and making inferences
- Can be actual, risk, or wellness diagnosis
Nursing Process: Outcome Identification - Answers Identify expected outcomes related to
patient individualization
Nursing Process: Planning - Answers - plan of care, establish priorities, develop outcomes
Nursing Process: Implementation - Answers perform the nursing actions identified in planning
Nursing Process: Evaluation - Answers - refer to establish outcomes and change if needed
PQRST - Answers p- rovocative/palliative
- quality
- region/radiation
- severity
- timing