Chapter 6

Question 1

The nursing process

Answer 1

Applicable to every focus of nursing. A helpful tool

Question 2

Standards of practice that we’ll be doing at unity and other psych hospitals

Answer 2

Hist & MSA

Quick head to toe exam every morning

Hist: fam, meds, ER assessment

They might need insulin or an EKG done. Learn how to help!

EKG: we need a baseline to help detect any heart problems.

Waist circumference: some meds cause weight gain

Question 3

Expected outcomes (goals)

Answer 3

SMART goal
Realistic
Short term & long term goal
Only evaluate short term goals in care plan

Question 4

Planning

Answer 4

What are you doing for your patient?

Question 5

Implementation

Answer 5

List of goals/interventions is helpful, but use introspection

We need to know why you’re doing what you’re doing

Question 6

Nursing case management

Answer 6

Influences what/how we chart, can put us liable

A health delivery process whose goals are to provide quality health care, decrease fragmentation, enhance the client’s quality of life, and contain cost

Question 7

Managed care

Answer 7

A concept designed to control the balance between cost and quality care. Individuals endive care based on need, which is determined by coordinators of the provider-ship

Question 8

Concept mapping

Answer 8

Just a different way to care plan

Question 9

Charting/documentation

Answer 9

Do what your nurse does

Epic & narrative charting

Professional. No opinions. Actually write “fuck”

Question 10

Objective data

Answer 10

Are observable and measurable data (signs) obtained through observation, physical examination, and lab and diagnostic. Testing.

Question 11

Subjective data

Answer 11

Are information from the clients’s point of view ( “symptoms”), including feelings, perceptions, and concerns obtained through interviews