Nursing Process Flashcards
1
Q
Assessment
A
Recognizing cues
use primary and secondary sources
establish rapport
subjective and objective data
gather data
MSE
2
Q
Diagnosis
A
analyze assessment data to determine problems
focuses on top nursing concerns
risks
3
Q
Identify outcomes
A
Determining outcomes
Specific, Measurable, Attainable, Realistic, Time restricted
4
Q
Planning
A
develops a plan to get expected outcomes
usage of evidence-based practice
patient centered
safety
5
Q
Implementation
A
Taking action
These are your interventions
includes teaching, coordination, and medications/therapies
6
Q
Evaluation
A
evaluate outcomes
response to treatment
any revisions
7
Q
Documentation
A
patient progress
changes or reactions
