Exam 1 NR 222 Health and Wellness Which nursing leader is the founder of public health? - ANSWER Lillian Wald Which of the following is not a nursing association? - ANSWER AMA Competent nurses can rely on advanced planning and organizational skills acquired - ANSWER True Barry suffered a hemorrhagic stroke, but is no longer in the acute phase. He has a trach & PEG that needs management. - ANSWER extended/longterm acute care 1 / 4
five-step systematic method for giving patient care; involves assessing, diagnosing, planning, implementing, and evaluating - ANSWER Nursing Process where nurses collect data and gather information about the client -
ANSWER Step 1: Assessment
things a person tells you about that you cannot observe through your senses; symptoms -data that is stated by the client - ANSWER subjective data what the health professional observes by inspecting, palpating, percussing, and auscultating during the physical examination i.e blood pressure reading, temperature reading, large bruising, head to toe assessment, taking vital signs analyze-assess - ANSWER objective data 2 / 4
patient or client - ANSWER primary source someone other than patient i.e family member or healthcare provider - ANSWER secondary source -able to do because of data collected during nursing assessment step - ANSWER Step 2: Diagnosis/Identify The Problem nursing diagnosis is made in this step - ANSWER Step 2/Diagnosis Who can make a medical diagnosis? - ANSWER physicians 3 / 4
North American Nursing Diagnosis Association, purpose is to define, refine, and promote a taxonomy of nursing diagnostic terminology of general use to professional nurses.-list of EBP nursing diagnosis' used in practice to determine patient interventions i,e, risk for impaired skin integrity - ANSWER NANDA to create a nursing diagnosis we must - ANSWER analyze the data -determine goals/outcomes for patient
-develop PLAN OF CARE (POC): assessment/teaching, concealing, must be
individualized to patient -communicate/document plan
THIS IS WHERE WE CREATE SMART GOALS - ANSWER
Step 3: planning
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