objective data - correct answer ✔✔what is measured
(Vital Signs, pale face, ect.)
Subjective data - correct answer ✔✔what the patient says
(pain in abdomen, sore throat, ect.)
diagnostic reasoning - correct answer ✔✔-using clues or what you notice to form a hypothesis
- gathering data relative to tentative hypothesis
- evaluating the hypothesis with new data to form diagnosis
nursing process - correct answer ✔✔Assessment
Diagnosis
Outcome Identification
Planning
Implementation
Evaluation
clinical judgement - correct answer ✔✔-identify problems and make decisions using nursing process
- ability to solve problems based on experience
- novice to expert model
Analyzing cues - correct answer ✔✔-cluster data and cues
- identify patterns
- identify missing information
, - validate
prioritization - correct answer ✔✔ABCs (airway, breathing, circulation)
vital signs and lab values
2nd priority
-change in mental state
-untreated medical problems
-pain
- urinary elimination problems
3rd priority
- activity, rest, family coping, lack of knowledge
evidence-based practice - correct answer ✔✔supports nursing interventions
Complete (total health assessment)
- primary
- admission assessment - correct answer ✔✔Primary care - wellness visit
admission assessment- head to toe assessment
Initial assessment. - correct answer ✔✔gathering of baseline data
focused assessment - correct answer ✔✔focused on whatever complaint is
reassessment - correct answer ✔✔reassess head to toe
emergency assessment - correct answer ✔✔emergency, cannot wait