Chapter 6- Nursing Process Flashcards

1
Q

nursing process

A

Assessment
Diagnosis
Plan
Intervention
Evaluation

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2
Q

mini-mental status assessment

A

11 questions assessing for cognitive impairment…
general appearance
emotions
cognition
thoughts
judgement and insight

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3
Q

problem-oriented recording

A

SOAPIE format
Subjective data
Objective data
Assessment (interpret S+O)
Planning
Intervention
Evaluation

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4
Q

PIE charting

A

assessment
Planning
Intervention
Evaluation

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5
Q

concept mapping

A

a diagrammatic teaching and learning strategy that allows students and faculty to visualize interrelationships among medical diagnoses, nursing diagnoses, assessment data, and treatments

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6
Q

focus charting

A

data
focus (diagnosis, current issue, do not need to update unless there is a change)
action
response

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7
Q

advantages of EHR

A

reduce info redundancy
decrease charting time
facilitate communication

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8
Q

how are nursing diagnosis prioritized?

A

by life-threatening potential

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