Module 1 Chapter 1: EBP Flashcards
Collection of data about an individual’s health status is known as an
assessment
what are the Two types of data collected?
Subjective data, and Objective data
Subjective data
is what the person says about himself or herself during history taking
Objective data
is what you as the health provider observe by examining the person
Diagnostic reasoning is the process of
analyzing health data and drawing conclusions to identify diagnoses
What are the 6 steps in the nursing process?
- Assessment
- Diagnosis
- Outcome
- Planning
- Implementation
- Evaluation
Assessment
Gather information about the patient’s condition
Diagnosis
identify the patient’s problem
Outcome identification
identify expected outcomes’
Planning
set goals od car/ desired outcomes
identify appropriate nursing actions
Implementing
Perform the nursing actions defined in planning
Evaluation
Determine if expected goals/outcomes are achieved
First-level priority
– Emergent, life-threatening, and immediate (establishing an
airway or supporting breathing)
Second-level
– Require prompt intervention to forestall further deterioration (acute pain, mental status change, abnormal lab values)
• Third-level
– Can be addressed after more urgent health problems)
Collaborative
– Approach to treatment involves multiple interventions
• You are a nurse working in the ED. Which of the following patients would you consider a first-level priority?
a) 82 y/o male with urinary retention
b) 56 y/o male with chest pain
c) 3 y/o female with shortness of breath and cyanosis d) 84 y/o with change in mental status
What are the different types of databases?
- Complete
- Focused
- Follow-up or problem centered
- Emergency
When is a Complete databased used?
- complete history and full PE
- describes current and past health status
- Used as baselinne data
When is a Focused database used?
smaller in scope, used for mainly one problem
When is a follow-up database used?
Evaluation of short-term and chronic health problems
When is an Emergency database used?
urgent, rapid collection of crucial information
- often concurrent with lifesaving measures
