ch.4 nursing process Flashcards
what are the 5 steps to problem solving
- define problem
- consider alternative solutions
- consider the outcomes for each alternative
- predict the likelihood of each outcome occurring
- choose the alternative with the best chances of success and with the least undesirable outcomes
how do you prioritize in the nursing process
life threatening is high priority; what will happen if you dont see patient on time; review organization every 2 hours;
what is subjective data
subjective data is the patient saying something ( i have a headache)
what is objective data
objective data is what you see hear or measure
reassessment done by RN? T or F?
true
pieces of data or info that influence decisions
cues
what are most important(first thing) you check for when assessing patient?
maslows and your ABC’s
what is a specific statement regarding the goal the patient is expected to achieve?
expected outcome
what should an expected outcome be?
specific, attainable, and with a defined timeline
how often should you review and update your care plan?
24 hours
what is implementation in simple terms
action
what action doesnt require an order
independent nursing action
what action requires a doctors order? like giving medication
dependent nursing action