Initial Assessment correct answers - Shortly after admitted
- Baseline
Focused Assessment correct answers - Collects data for specific problem
- Ongoing collection
Emergency assessment correct answers Physiologic and psychological crisis
Time-lapsed Assessment correct answers - Long term care pt.
- Comparing status from baseline to current
Objective data correct answers What we measure
Subjective data correct answers What the pt. tells us
Nursing Diagnosis (PED) correct answers Problem: taken from NANDA-1 list
Etiology: cause or contributor of problem followed by R/T
Defining characteristics: signs and symptoms
Risk Nursing Diagnosis correct answers when risk factors require intervention from the nurse
and healthcare team prior to a real problem developing
problem-focused nursing diagnosis correct answers clinical judgment concerning an undesirable
human response to health condition/life processes that exist in an individual, family, group, or
community
, Health promotion nursing diagnosis correct answers a clinical judgment concerning motivation
and desire to increase well-being and to actualize human health potential
Nursing Process correct answers Assessment: objective and subjective data
Analysis: determine pt. problems
Planning: create a plan for pt. problems
Implementation: take action to provide care as outlined in planning
Evaluation: evaluate effectiveness of the interventions + pt. response
3 Elements of comprehensive planning correct answers initial, ongoing, discharge
SMART goal correct answers Specific, Measurable, Attainable, Realistic, Timely
Cognitive pt. outcome correct answers describes an increase in pt. knowledge or intellectual
behaviors
Psychomotor pt. outcome correct answers describes pt. achievements of new skills
Affective pt. outcome correct answers describes changes in pt. values, beliefs and attitudes
Types of Implementation correct answers direct care, individuals, family, community, nurse-
initiated treatments, provider initiated treatments
3 parts of the evaluation correct answers reassessment: constant measuring and monitoring status
modification: priority change, changes in pt. condition, time frame, or change in treatment plan
termination: when outcomes hav been achieved, turn focus on how the pt. will manage their own
outside of the unit.