Fundamentals_of_Nursing_FINAL_study_guide (1

1022C Fundamentals of Nursing: Final Exam Study Guide 1. THE NURSING PROCESS: Apply each of the 5 steps to a question Assessing ● Collect Data ● Organize data ● Validate data ● Document data Diagnosing ● Analyze date ● Identify health problems, risks and strengths ● Formulate diagnostic statements Planning ● Prioritize problems / diagnosis ● Formulate goals / desired outcomes ● Select nursing interventions ● Write nursing interventions Implementing (action) ● Reassess the client ● Determine the nurse’s need for assistance ● Implement the nursing interventions ● Supervise delegated care ● Document nursing activities Evaluating ● Collect data related to outcomes ● Compare data with outcomes ● Relate nursing actions to client goals / outcomes ● Draw conclusions about problem status ● Continue, modify or terminate the client’s care plan 2. NURSING DIAGNOSIS FORMATION: May have to develop a nursing diagnosis Data analysis + Problem Identification = Formulation of Nursing Diagnosis 3. THERAPEUTIC COMMUNICATION (DO NOT NEED TO KNOW SPECIFIC NAMES OF TECHNIQUES) See table 26-2 4. VITAL SIGNS: Know ranges- BP, Pulse, Temperature (Axillary, PO), Respirations, Pulse Ox