Exam-Ready Client Centered Care Notes
& Guides – Grab Now!"
1.
what is the nursing process?: assessment, diagnosis, planning,
implementing, evaluation
2.what is assessment in the nursing process?: gather information
about the client's condition.
- view data (lab tests) investigation reports is part of assessment
- collect pertinent data and information relative to the healthcare
consumer's health or the situation
3.what is the nursing diagnosis in the nursing process?: identify the
client's problem
- analyze the assessment data to determine the actual or potential
diagnosis, problems, and issues
4.what is planning in the nursing diagnosis?: set goals of care and
desired outcomes and identify appropriate nursing actions
- analyze the assessment data to determine the actual or potential
diagnosis, problems, and issues
5.what is implementing in the nursing diagnosis?: perform the nursing
actions identified in planning
- american nurses association standard implements the plan, which
includes care coordination, health teaching, health promotion,
consultation, prescriptive authority, and treatment
- Coordination of care, using therapeutic procedures for patient care.
- Health teaching and health promotion - RNs employs strategies to
teach and promote health and wellness.
6.what is evaluating in the nursing process?: determine if goals met and
out- comes achieved
- nursing goals and outcomes should be individualized
- evaluates progress towards attainment of goals and outcomes
7.what is culture competence skills?: - Respecting a patient's health
beliefs and understanding the effect of the patient's beliefs on health
care delivery
- Shifting a model of understanding a patient's experience from a
disease happening in the patient's organ systems to that of an illness
occurring in the context of culture
- Ability to elicit a patient's explanation of an illness and it causes
-Ability to explain to a patient the health care provider's perspective on
the illness and its perceived causes
- Being able to negotiate a mutually agreeable, safe, and effective
treatment plan
, Exam-Ready Client Centered Care Notes
& Guides – Grab Now!"
8.what are the tools of physical assessment?:
Inspection Palpation
Percussion
Auscultati
on
, Exam-Ready Client Centered Care Notes
& Guides – Grab Now!"
9.what are the tools of a abdominal assessment?: inspect, auscultate,
percuss, palpate
10.what is the general survey of the assessment?: physical appearance,
body structure and position, body movement, and emotional mental
status and behavior
11.what are three phases of the interview?: orientation + setting an
agenda, working phase, and terminating interview
12.what are the four c's with patient centered techniques?:
Courtesy Comfort
Connection
Confirmation
13.What are the ten traps of interviewing?: False
assurance Unwanted advice
Using authority
Avoidance language
Engaging in
distancing Using
professional jargon
Leading/biased
questions Talking too
much Interruption
Why question
14.what are some communication skill for interviewing a patient?: Open-
end- ed, nonjudgmental questions
Paraphrase for
understanding Avoid
stereotyping
15.what are the four c's with cultural and spiritual assessment?: call,
cope, concerns, and causes
16.what are some cultural and spiritual assessment during an interview?:
•To provide patient-centered culturally competent care, you must know
how to collect relevant cultural data about a patient's presenting health
problem(s) and how to then use it.
• The goal of a cultural assessment is to obtain accurate information
from a patient that allows you to formulate a mutually acceptable and
culturally relevant plan of care for each health problem of a patient.
• Using a cultural assessment model will help you focus on the
information that is most relevant to your patient's problems.
• You need to assess and interpret a patient's perspective during your
, Exam-Ready Client Centered Care Notes
& Guides – Grab Now!"
assessment. Use open-ended, focused, and contrasted questions.
• One effective approach to assessment is to ask questions that will hel
you
& Guides – Grab Now!"
1.
what is the nursing process?: assessment, diagnosis, planning,
implementing, evaluation
2.what is assessment in the nursing process?: gather information
about the client's condition.
- view data (lab tests) investigation reports is part of assessment
- collect pertinent data and information relative to the healthcare
consumer's health or the situation
3.what is the nursing diagnosis in the nursing process?: identify the
client's problem
- analyze the assessment data to determine the actual or potential
diagnosis, problems, and issues
4.what is planning in the nursing diagnosis?: set goals of care and
desired outcomes and identify appropriate nursing actions
- analyze the assessment data to determine the actual or potential
diagnosis, problems, and issues
5.what is implementing in the nursing diagnosis?: perform the nursing
actions identified in planning
- american nurses association standard implements the plan, which
includes care coordination, health teaching, health promotion,
consultation, prescriptive authority, and treatment
- Coordination of care, using therapeutic procedures for patient care.
- Health teaching and health promotion - RNs employs strategies to
teach and promote health and wellness.
6.what is evaluating in the nursing process?: determine if goals met and
out- comes achieved
- nursing goals and outcomes should be individualized
- evaluates progress towards attainment of goals and outcomes
7.what is culture competence skills?: - Respecting a patient's health
beliefs and understanding the effect of the patient's beliefs on health
care delivery
- Shifting a model of understanding a patient's experience from a
disease happening in the patient's organ systems to that of an illness
occurring in the context of culture
- Ability to elicit a patient's explanation of an illness and it causes
-Ability to explain to a patient the health care provider's perspective on
the illness and its perceived causes
- Being able to negotiate a mutually agreeable, safe, and effective
treatment plan
, Exam-Ready Client Centered Care Notes
& Guides – Grab Now!"
8.what are the tools of physical assessment?:
Inspection Palpation
Percussion
Auscultati
on
, Exam-Ready Client Centered Care Notes
& Guides – Grab Now!"
9.what are the tools of a abdominal assessment?: inspect, auscultate,
percuss, palpate
10.what is the general survey of the assessment?: physical appearance,
body structure and position, body movement, and emotional mental
status and behavior
11.what are three phases of the interview?: orientation + setting an
agenda, working phase, and terminating interview
12.what are the four c's with patient centered techniques?:
Courtesy Comfort
Connection
Confirmation
13.What are the ten traps of interviewing?: False
assurance Unwanted advice
Using authority
Avoidance language
Engaging in
distancing Using
professional jargon
Leading/biased
questions Talking too
much Interruption
Why question
14.what are some communication skill for interviewing a patient?: Open-
end- ed, nonjudgmental questions
Paraphrase for
understanding Avoid
stereotyping
15.what are the four c's with cultural and spiritual assessment?: call,
cope, concerns, and causes
16.what are some cultural and spiritual assessment during an interview?:
•To provide patient-centered culturally competent care, you must know
how to collect relevant cultural data about a patient's presenting health
problem(s) and how to then use it.
• The goal of a cultural assessment is to obtain accurate information
from a patient that allows you to formulate a mutually acceptable and
culturally relevant plan of care for each health problem of a patient.
• Using a cultural assessment model will help you focus on the
information that is most relevant to your patient's problems.
• You need to assess and interpret a patient's perspective during your
, Exam-Ready Client Centered Care Notes
& Guides – Grab Now!"
assessment. Use open-ended, focused, and contrasted questions.
• One effective approach to assessment is to ask questions that will hel
you
