Chapter 5 Flashcards
Assessment
Collecting information about the person; a step in the nursing process
Comprehensive care plan
A written guide about the care a person should receive; developed by the interdisciplinary team ( IDT ); care plan
Evaluation
To determine if goals in the planning step were met; a step in the nursing process
Goal
That which is desired for or by a person as a result of nursing care
Implentation
To perform or carry out nursing measure in the care plan; a step in the nursing process
Interdisciplinary team ( IDT )
Members of the departments found in a nursing center: activities, dietary, nursing, social services, rehabilitation, etc.
Medical diagnosis
The identification of a disease or condition by a doctor
Nursing diagnosis
Describes a health problem that can be treated by nursing measure; a step in the nursing process
Nursing intervention
An action or measure taken by the nursing team to help the person reach a goal
Nursing process
The method nurses use to plan and deliver nursing care; its five steps are assessment, nursing diagnosis, planning, implementation, and evaluation
Objective data
Information that is seen, heard, felt, or smelled by an observer; signs
Observation
Using the senses of sight, hearing, touch, and smell to collect information
Planning
Setting priorities and goals; a step in the nursing process
Signs
see “ objective data”
Skilled care
Daily services provided by an RN and\or therapist for rehabilitation or other complex services; provided in nursing centers for short periods of time
Subjective data
Things a person tells you about that you cannot observe through your senses; symptoms
Symptoms
See “ subjective data “
Triggers
Information that is collected from the MDS for the care area assessments ( CAAs )
Which is not a step in the nursing process?
a. Observation
b. Assessment
c. Planning
d. Implentation
a. Observation
The nursing process
a. Involves guidelines for care plans
b. Is a care conference
c. Involves triggers
d. Is the method nurses use to plan and deliver nursing care
d. Is the method nurses use to plan and deliver nursing care
What happens during assessment?
a. Goals are set
b. Information is collected
c. Nursing measures are carried out
d. Progress is evaluated
b. Information is collected
Which is a symptom?
a. Redness
b. Vomiting
c. Pain
d. Pulse rate of 78
c. Pain
Which is a sign?
a. Nausea
b. Headache
c. Dizziness
d. Dry skin
d. Dry skin
Which should you report at once?
a. The person had a bowel movement
b. The person complains of sudden, severe pain
c. The person does not like the food served for lunch
d. The person complains of stiff, painful joints
b. The person complains of sudden severe pain
Which should you report at once?
a. The person can no longer move a body part
b. The person answers questions correctly
c. The person has a breath odor
d. The person walked to the dining room
a. The person can no longer move a body part
Measures in the nursing care plan are carried out. This is
a. A nursing diagnosis
b. Planning
c. Implementation
d. Evaluation
c. Implementation
Which statement about the nursing process is true?
a. It is done without the person’s input
b. You are responsible for it
c. It is used to communicate the person’s care
d. Steps can be done in any order
c. It is used to communicate the person’s care
The comprehensive care plan is
a. Written by the doctor
b. The measures to help the person
c. The same for all persons
d. Also called the Kardex
b. The measure to help the person
What is used to communicate the nursing tasks delegated to you?
a. The care plan
b. The Kardex
c. An assignment sheet
d. Care conferences
c. An assignment sheet
Which is a nursing diagnosis
a. Cancer
b. Heart attack
c. Kidney failure
d. Pain
d. Pain
