Lecture 4

Question 1

Assessment

Answer 1

a systematic, dynamic way to collect and analyze data about a client, the first step in delivering nursing care

Question 2

Nursing Process

Answer 2

a systematic method by which nurses plan and provide care for patients
Assess, Analyze (Diagnose), Plan, Implement, Evaluate

Question 3

Diagnose

Answer 3

to identify the type and cause of a health condition

Question 4

Medical Diagnoses

Answer 4

the identification of a disease or condition with the evaluation of physical signs, symptoms, patient interviews, laboratory tests, diagnostic procedures, review of medical records, and patient history

Question 5

Planning

Answer 5

Phase of the nursing process, priorities of care are established and nursing interventions are chosen to best address the patient problem statement

Question 6

Patient Problem Statement

Answer 6

address human responses to health problems and life processes
the patient problem statement may change or resolve as care is provided

Question 7

Patient goal statement

Answer 7

indicates the degree of wellness desired, expected, or possible for the pt to achieve

Question 8

Nursing Interventions

Answer 8

activities that promote the achievement of the desired patient goal

Question 9

Example of Pt Problem and Goal Statement

Answer 9

Pt Problem Statement: Potential for compromised skin integrity due to the pressure on bony prominences, impaired circulation and physical immobilization
Pt Goal Statement: Pt will remain free of any skin impairments, such as reddened areas by 10/28/2018

Question 10

Implementation

Answer 10

Phase of the nursing process the nurse and other members of the team put the established plan into action

Question 11

Evaluation

Answer 11

determinations made about the extent to which the established goals have been achieved