nursing process correct answers Assessing
Diagnosing
Planning
Implementing
Evaluating
assessment correct answers collecting data (subjective and objective)
sources of assessment correct answers patient
patients family
patient record
assessment technology
and health care literature
methods of assessment correct answers observation
nursing history
patient interview
physical assessment (inspection, palpation, percussion, auscultation).
assessment correct answers systemic and continuous collection, analysis, validation,
communication on data.
- reflects how health functioning is enchanted or compromised.
critical thinking correct answers assessing systemically, comprehensively, to identify medical
concerns.
detecting bias and credibility
distinguishing abnormally and normal findings
making judgements
physical assessments correct answers inspection
palpation
auscultation
objective data correct answers observations or measurements of a patient's health status
subjective data correct answers information perceived only by the affected person
nursing concern: correct answers identify pathophys
connect manifestations
prioritize assessment findings
risk for concern or problem correct answers list reasons as to why this isa concern
what are potential future concerns?
nursing concern example correct answers pain: acute
impaired skin integrity
anxiety
disturbed body image
, readiness for enhanced coping
documentation correct answers - give verbal reporting of data
- eneter initial database
- summarize objective and subjective data
- use good grammar
- use patients own words
analyzing: correct answers meical diagnosis vs. concern
- problem focused
- risk nursing
- health promotion
formulation on nursing concerns correct answers problem- indentifies what's wrong.
etiology- identifies factors
defining charactersitics- put together (subjective and objective characersitcs).
planning correct answers establishing priorities: identify and write expected outcomes
selecent evidence based practice nursing internventions
writing outcomes: correct answers subject--> patient
condition--> will have 2000 ML total flip intake
performance criteria
target time --> time frame
implementation correct answers carry out a plan
collect and midday data
document care
factos affecting hygiene correct answers culture
socioeconomic class
spiritual practices
developmental level
health state
personal preferences
hygiene practices correct answers Caring for the skin, hair, nails, mouth, teeth, and perineal
area.
physical assessment hygiene correct answers look for cleanliness, color, temp, smositure,
sensation, rascality, turgor, lesions.
nursing process for hygiene correct answers at risk for skin alteration
focus on self care deficit
patient outcome and achievement
intervention
evaluation
at risk for skin alteration correct answers Lifestyle factors
Changes in health state