Intro to Nursing Process Flashcards
What are the Five Steps of the Nursing Process?
- Assessing
- Diagnosing
- Planning (outcome and identification)
- Implementing
- Evaluating
What are the four types of Nursing Assessment?
Initial Comprehensive
Focused
Emergency
Time-lapsed
Which assessment is performed to identify life-threatening problems?
Emergency assessment
Which assessment is performed to gather data about about a specific problem already identified or to identify new or overlooked problems
Focused assessment
Which assessment is performed to compare a patients current status to baseline data obtained.
Time-lapsed assessment
Which assessment is performed to collect data on all aspects of a patient’s health?
Initial comprehensive
What are the four ways to conduct a physical assessment?
Inspection
Palpation
Percussion
Auscultation
What is the ABCs of Assessment Priorities?
Airway
Breathing
Circulation
Which level of conscious is this?
- Full awake; oriented to person, place, and time; responds to all stimuli, including verbal commands
Awake and alert
What level of consciousness is this?
- Appears drowsy or asleep most of the time but makes spontaneous movements;
- can be aroused by gentle shaking and saying patient’s name
Lethargic
Which level of conscious is this?
- Unconscious most of the time; has no spontaneous movement;
- must be shaken or shouted at to arouse; can make verbal responses, but these are less likely to be appropriate;
- responds to painful stimuli with purposeful movement
Stuporous
What level of consciousness is this?
- Cannot be aroused, even with use of painful stimuli; may have some reflex activity (such as gag reflex)
- if no reflexes present, is in a deep coma.
Comatose
What does the acronym SMART goals mean?
(for writing outcomes/goals)
- Specific
- Measurable
- Attainable
- Relevant
- Time Based
