N125 Study Guide+ Questions with 100%
Correct Solutions
Diagnosis
problems that the nurse can solve
Planning
Goals for the patient
Implementation
implementing skills/interventions
Evaluating
are the interventions working?
-next step is to reassess
Types of assessments
1. Patient centered-interview + physical exam
2. Periodic assessment + physical exam
Subjective Data
Cannot be measured
(pain, dizziness, nausea, chest pain, other sensations)
Objective data
measurable
(lab results, BP, HR, Fever)
Sources of Data
, Client/patient
Family
Health care team
Medical records
Diagnostic data
What types of questions should be asked in a patient centered interview?
open ended
Last component of assessment
Data documentation
3 types of diagnosis
Medical
Nursing
Collaborative
Medical diagnosis
ID of a disease based on signs and symptoms (nurses won't make this diagnosis)
Nursing diagnosis
clinical judgement about patient in response to actual or potential health problem
Nursing diagnosis examples
-impaired comfort (i.e. itching)
-Risk for electrolye imbalance
-disturbed body image
-deficient fluid volume
types of Nursing diagnosis
Correct Solutions
Diagnosis
problems that the nurse can solve
Planning
Goals for the patient
Implementation
implementing skills/interventions
Evaluating
are the interventions working?
-next step is to reassess
Types of assessments
1. Patient centered-interview + physical exam
2. Periodic assessment + physical exam
Subjective Data
Cannot be measured
(pain, dizziness, nausea, chest pain, other sensations)
Objective data
measurable
(lab results, BP, HR, Fever)
Sources of Data
, Client/patient
Family
Health care team
Medical records
Diagnostic data
What types of questions should be asked in a patient centered interview?
open ended
Last component of assessment
Data documentation
3 types of diagnosis
Medical
Nursing
Collaborative
Medical diagnosis
ID of a disease based on signs and symptoms (nurses won't make this diagnosis)
Nursing diagnosis
clinical judgement about patient in response to actual or potential health problem
Nursing diagnosis examples
-impaired comfort (i.e. itching)
-Risk for electrolye imbalance
-disturbed body image
-deficient fluid volume
types of Nursing diagnosis
