the nursing process

Question 1

ADPIE

Answer 1

assessment
diagnoses
planning
implementation
evaluation

Question 2

five things to do w data that you collect

Answer 2

verify
validate
cluster
document
analyze

Question 3

keep in mind for care maps data…

Answer 3

cluster by body system
analyze and look for patterns

Question 4

medical dx

Answer 4

disease of a specific organ or system that physicians treat

Question 5

nursing dx

Answer 5

a pt’s response to a health problem that nurses are able to treat

Question 6

NANDA

Answer 6

north american nursing diagnoses association

Question 7

maslows first tier

Answer 7

oxygen
food and water
body temp
eliminate and dispose of bodily waste

Question 8

maslows second tier

Answer 8

physical threats
mental saftey

Question 9

maslows third tier

Answer 9

affiliation
affection
intimacy
support
reassurance

Question 10

maslows fourth tier

Answer 10

sense of self respect

Question 11

maslows fifth tier

Answer 11

self actualization

Question 12

format for etiology

Answer 12

actual/potential risk for a NANDA approved dx r/t etiology AEB defining charecteristics

Question 13

etiology help

Answer 13

identify the pt response not the medical dx
explain the underlying patho. not just clinical signs
include only one px per dx
write a single sentence

Question 14

characteristics of a good goal

Answer 14

Specific Measurable Attainable Realistic Timed

Question 15

intervention format

Answer 15

action + freq. + rationale

Question 16

assessment format

Answer 16

list assessment and add freq.

Question 17

goals met

Answer 17

discontinue plan of care and assess future needs

Question 18

goal partially met

Answer 18

continue plan of care

Question 19

goal unmet

Answer 19

continue or revise plan of care
ask: was goal realistic?
were interventions effective?
is more time needed?