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**What is an actual nursing diagnosis? - 🧠 ANSWER ✔✔indicates the client is
currently experiencing the state problem or has a dysfunctional pattern
Example: impaired skin integrity related to immobility
Nursing diagnosis + "related to..."
**What is a risk diagnosis? - 🧠 ANSWER ✔✔Patient doesn't currently have the
problem, but are at a high risk for developing; vulnerability
example: Poor nutrition and incontinence
,"Risk for..."
**What is a collaborative problem? - 🧠 ANSWER ✔✔Potential complications of a
client's condition that a nurse cannot treat independently. They will probably occur
with a specific disease, injury or treatment.
**Describe the process of identifying an appropriate nursing diagnosis. - 🧠
ANSWER ✔✔The nursing diagnosis process includes: 1. data clustering, 2.
identifying patient needs or problems, and 3. formulating the nursing diagnosis or
collaborative problem.
What is health promotion diagnosis? - 🧠 ANSWER ✔✔behavior motivated by the
desire to increase well-being and actualize human potetial
example: Readiness for enhanced sleep
"Readiness for enhanced...." or "Stated as a problem such as: diversional activity
deficit, sedentary lifestyle"
**What are the basic parts/steps of nursing process? - 🧠 ANSWER ✔✔"ADPIE"
Assessment
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,Diagnosis
Planning
Implementation
Evaluation
**Describe assessment stage of the nursing process - 🧠 ANSWER ✔✔collecting
subjective and objective data
**Describe Diagnosis stage of the nursing process - 🧠 ANSWER ✔✔analyzing
data collected to make a professional nursing judgement (diagnosis, collaborative
problem, referral)
**Describe planning stage of the nursing process - 🧠 ANSWER ✔✔determining
outcome criteria and developing a plan
**Describe implementation stage of the nursing process - 🧠 ANSWER
✔✔carrying out the plan
**Describe Evaluation stage of nursing process - 🧠 ANSWER ✔✔assessing
whether outcome criteria has been met and revising the plan as necessary
**List the four different types of assessments - 🧠 ANSWER ✔✔Comprehensive
Ongoing
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, Focused
Emergency
"COF-E"
**Describe a comprehensive assessment - 🧠 ANSWER ✔✔subjective data about
the client's perception about his/her health (includes history of current or family)
and objective data collected during the physical exam
**Describe an ongoing assessment - 🧠 ANSWER ✔✔data collection that occurs
after the comprehensive database is established; consists of mini overview as a
follow-up on health status; looking for deterioration or improvement
**Describe a focused assessment - 🧠 ANSWER ✔✔performed when a
comprehensive database exists for a client who seeks care regarding a SPECIFIC
health concern
**Describe an emergency assessment - 🧠 ANSWER ✔✔rapid assessment
performed in life threatening situations (airway, breathing, circulation...)
**What is subjective data? Examples? - 🧠 ANSWER ✔✔data obtained from the
client regarding their current problem/health history; patient's perception
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