NP Flashcards

0
Q

Personal zone

A

18in-4ft

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1
Q

Intimate zone

A

0-18inches

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2
Q

Social zone

A

4-12ft

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3
Q

Public zone

A

12 ft or greater

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4
Q

Consent zone

A

Mouth wrists feet

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5
Q

Vulnerable zone

A

Face neck front of body

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6
Q

Intimate zone sensitivity

A

Genitalia

Rectum

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7
Q

Nursing process

A
Assessment
Nursing diagnosis
Planning
Implementation
Evaluation
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8
Q

Physical assessment

A
IAPP
Inspection
Auscultation
Palpation
Percussion
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9
Q

Inspection

A
look
Listen
Touch
Smell
Taste
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10
Q

Nursing intervention

A

Tells how often
Tells how much
Includes assessment
Individualized

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11
Q

Planning

A

Write goals and actions

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12
Q

Goals

A

Pt will experience__________ AEB
1.
2.
3.

Need to be realistic
Individualized
Futuristic

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13
Q

Short term goals

A

Few hours or days describe specific behavior that can be validated

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14
Q

Validated

A

Subjective and objective

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15
Q

AEB

A

As evidenced by

16
Q

Long term goal

A

Weeks or months
Broad statement
Aimed at resolution and or prevention

17
Q

GOALS

A
Specific
Measurable
Appropriate
Realistic
Timely
18
Q

Data

A
Gather
Cluster
Validate
Prioritize
Needs