NUR 2092 Health Assessment Exam 1 (Muskus)

NUR 2092 Health Assessment Exam 1 (Muskus) Health Assessment - NUR 2092 Exam 1 (Muskus) What are the 6 steps of the nursing process? 1. Assessment 2. Diagnosis 3. Outcome 4. Planning 5. Implementation 6. Evaluation Assessment Definition (nursing process) 1. Collect data 2. Use evidence-based assessment techniques 3. Document relevant data Diagnosis Definition (nursing process) 1. Compare clinical findings with normal and abnormal variation and developmental events 2. Interpret data-- make & test hypotheses 3. Validate diagnoses 4. Document diagnoses Outcome Identification Definition (nursing process) 1. Identify expected outcomes 2. Individualize to the person 3. Culturally appropriate 4. Realistic and measurable 5. Include a timeline Planning Definition (nursing process) 1. ESTABLISH PRIORITIES 2. Develop Outcomes 3. Set timelines for outcomes 4. IDENTIFY interventions 5. Integrate evidence-based trends and research 6. Document plan of care Implementation Definition (nursing process) 1. Implement in a safe and timely manner 2. Use evidence-based interventions 3. Collaborate with colleagues 4. Use community resources 5. Coordinate care delivery 6. Provide health teaching and health promotion 7. Document implementation and any modifications. Evaluation Definition (nursing process) 1. Progress toward outcomes 2. Conduct systematic, ongoing, criterion-based evaluation. 3. Include patient and significant others 4. Use ongoing assessment to revise diagnoses, outcomes, and plan 5. Distribute results to patient and family Acute pain 1. Is short term and self-limiting, often follows a predictable trajectory, and dissipates after an injury heals. 2. Self-protective purpose; it w