Chapter 8 Vocab

Question 1

Assessment

step in nursing process

Answer 1

Collecting info about the person

Question 2

Evaluation

(step in nursing process)

Answer 2

Measuring if goals in plan were met

Question 3

Goal

Answer 3

What’s desired by person as result of nursing care

Question 4

Implementation

Step in nursing process

Answer 4

To perform/carry out nursing interventions (measures/actions) in care plan

Question 5

Medical diagnosis

Answer 5

Identification of a disease/condition by Doctor

Question 6

Nursing care plan

Answer 6

Written guide about person’s nursing care (aka care plan)

Question 7

Nursing diagnosis

Step in nursing process

Answer 7

Describes health problem that can be treated by nursing measures

Question 8

Nursing intervention

Answer 8

Action/measure taken by nursing team to help person reach goal

Question 9

Nursing process (5 steps)

Answer 9

Method nurses use to plan/deliver care; 5 steps:

1. Assessment
2. Nursing diagnosis
3. Planning
4. Implementation
5. Evaluation

Question 10

Objective data

Signs

Answer 10

Information that’s seen, heard, felt, or smelled by observer

Question 11

Subjective data

Symptoms

Answer 11

Things a person tells you about that you can’t observe through senses

Question 12

Observation

Answer 12

Using senses (sight, hearing, touch, smell) to collect info

Question 13

Planning

Step in nursing process

Answer 13

Setting priorities and goals

Question 14

BMs (abbreviation)

Answer 14

Bowel Movements

Question 15

CAA (abbreviation)

Answer 15

Care Area Assessment

Question 16

CMS (abbreviate)

Answer 16

Centers for Medicare & Medicaid Services

Question 17

IDCP (abbreviate)

Answer 17

Interdisciplinary Care Planning

Question 18

MDS (abbreviation)

Answer 18

Minimum Data Set

Question 19

OASIS

Answer 19

Outcome and Assessment Information Set

Question 20

RN (abbreviation)

Answer 20

Registered Nurse