Care Plans

Question 1

decision making needs

Answer 1

need cognitive skills, ability to always question, be a life long learner, and know your personal biases in order to work toward a conclusion and justifications to support it

Question 2

characteristics of the nursing process

Answer 2

purposeful, systematic, dynamic, interactive, flexibility, theoretically based

Question 3

purposeful

Answer 3

goal oriented

Question 4

systematic

Answer 4

deliberate step process

Question 5

dynamic

Answer 5

continuous change

Question 6

interactive

Answer 6

nurse client and other health personnel are needed

Question 7

flexibility

Answer 7

adapt nursing to any area

Question 8

theoretically based

Answer 8

knowledge that you have and what you learn will show how effective you are as a nurse

Question 9

what must nurse have in order to implement the nursing process

Answer 9

knowledge, skills - technical and interpersonal

Question 10

purpose of assessment

Answer 10

establish a database about the clients perceived needs, health problems, and responses to these problems

Question 11

two components of assessment

Answer 11

data collection and documentation

Question 12

subjective sources of data

Answer 12

primary - pt, secondary - family/significant other, health care team, medical records

Question 13

methods of data collection

Answer 13

interview, observation, physical exam

Question 14

grouping your data

Answer 14

must be organized and done in various ways; must be able to collect and makes sense of info you have

Question 15

maslows hierarchy of needs

Answer 15

self-actualization, esteem, love/developing, society, physiological

Question 16

health perception and health management

Answer 16

describes clients perceived pattern of health and well being and how health is managed; safety and health maintenance

Question 17

activity and exercise

Answer 17

describes pattern of exercise, activity, leisure, and recreation; self care hygiene, mobility and body mechanics, oxygenation: respiratory function, oxygenation - respiratory function, oxygenation - cardiovascular function

Question 18

nutrition and metabolic

Answer 18

describes pattern of food and fluid consumption relative to metabolic need and patttern indicators of local nutrient supply; fluid electrolyte and acid-base balance, nutrition, skin integrity and wound healing, body defense agains infection

Question 19

elimination

Answer 19

describes patter of excretory function (bowel bladder and skin); urinary and bowl elimination

Question 20

sleep and rest

Answer 20

describes patterns of sleep rest and relaxation

Question 21

cognition and perception

Answer 21

describes sensory perceptual and cognitive pattern; pain perception and management, sensory perception, cognitive process

Question 22

self perception and self concept

Answer 22

describes self concept pattern and perceptions of self (body comfort, body image, feeling state)

Question 23

roles and relationships

Answer 23

describes patter of role engagements and relationships; families and their relationships, loss and grieving

Question 24

coping and stress management

Answer 24

describes general coping pattern and effectiveness of the pattern in terms of stress tolerance; coping, stress, adaptation

Question 25

sexuality and reproduction

Answer 25

describes clients patterns of satisfaction and dissatisfaction w/ sex, human reproductive patterns

Question 26

values and beliefs

Answer 26

describes patterns of values, beliefs, or goals that guide choices or decisions (spiritual health)

Question 27

diagnostic level

Answer 27

will always be a definition of the diagnosis

Question 28

defining characteristics (cues)

Answer 28

cluster of signs/symptoms, and risk factors usually present in pt with specific nursing diagnosis

Question 29

related factors

Answer 29

cause of diagnosis, its always w/in the domain of the nursing practice

Question 30

how to write a diagnosis statement

Answer 30

PROBLEM (Nanda diagnosis) r/t WHATS CAUSING PROBLEM (etiology)

Question 31

first diagnoses

Answer 31

diagnoses that deal the primary condition or problems (ABCs of CPOR first with pathophysiology)

Question 32

second diagnoses

Answer 32

additional problems r/t coexisting medical problems; not life threatening but can cause problems

Question 33

third diagnoses

Answer 33

problems that deter recovery/affect functional status (high risk, problems perceived as priority by the pt)

Question 34

goal :

Answer 34

the pt will (improvement/prevention) by date; broad statement that describes the desired change in a clients condition or behavior, an aim intent or end, reflects first have of statement

Question 35

outcomes

Answer 35

objective items that show the goal was met (may be answered yes or no); specific behaviors that diagnoses has been corrected

Question 36

goals function on

Answer 36

appearance and functioning of the body, specific symptoms will be alleviated, knowledge which the pt needs, psychomotor skills that need to be demonstrated, emotional status

Question 37

short term vs. long term goals

Answer 37

short - within ours to a week, long - days weeks or months

Question 38

guidelines for outcomes

Answer 38

pt centered, clear and concise, observable and measurable (y or n), time limited, realistic, determined by pt and nurse together

Question 39

types of nursing interventions

Answer 39

nurse initiated - independent; physician initiated - dependent; collaborative - interdependent

Question 40

characteristics of interventions

Answer 40

based on scientific principles, individualized to pt, used to provide safe and therapeutic environment, employs teaching - learning for the pt

Question 41

standard nursing interventions

Answer 41

clinical practice guidelines and protocols, standing orders (ex. allergic reaction), NIC (nursing interventions classification)

Question 42

major areas of nursing interventions

Answer 42

assessment, teaching, therapeutic treatments, discharge planning

Question 43

what evaluation accomplishes

Answer 43

determines original assessment, assess pt response to all aspects of care, measures effectiveness of your care, discover opportunities to improve the qualitiy of care