NUR520:.,exam.,1
nursing.,process.,-.,correct.,answer.,✔ ✔ Assessment
Diagnosis
Planning
Implementation
Evaluation
assessment.,-.,correct.,answer.,✔ ✔ systematically.,collect.,client.,data
assessment.,types.,-.,correct.,answer.,✔ ✔ Initial
Problem-focused
Emergency
Time-lapsed
initial.,assessment.,-.,correct.,answer.,✔ ✔ Time.,Performed:
-performed.,within.,specified.,time.,after.,admission.,to.,an.,agency
Purpose:
,-
establish.,complete.,database.,for.,problem.,identification,.,reference,.,&.,futur
e.,comparison
Example:
-nursing.,admission.,assessment
problem-focused.,assessment.,-.,correct.,answer.,✔ ✔ Time.,Performed:
-ongoing.,process.,integrated.,with.,nursing.,care
Purpose:
-determine.,status.,of.,specific.,problem.,identified.,in.,earlier.,assessment
Example:
-hourly.,assessment.,of.,client's.,fluid.,intake.,&.,urinary.,output.,in.,an.,ICU
-
assessment.,of.,client's.,ability.,to.,perform.,self.,care.,while.,assisting.,a.,client.,t
o.,bathe
emergency.,assessment.,-.,correct.,answer.,✔ ✔ Time.,Performed:
-during.,any.,physiological.,or.,psychological.,crisis.,of.,client
,Purpose:
-identify.,life.,threatening.,problems
-identify.,new.,or.,overlooked.,problems
Example:
-
rapid.,assessment.,of.,person's.,airways,.,breathing.,status,.,&.,circulation.,duri
ng.,cardiac.,arrest
-assessment.,of.,suicidal.,tendencies.,or.,potential.,for.,violence
time-lapsed.,reassessment.,-.,correct.,answer.,✔ ✔ Time.,Performed:
-several.,months.,after.,initial.,assessment
Purpose:
-compare.,client's.,current.,status.,to.,baseline.,data.,previously.,obtained
Example:
-
reassessment.,of.,client's.,functional.,health.,patterns.,in.,a.,home.,care,.,outpati
ent.,setting,.,or.,hospital,.,at.,shift.,change
sources.,of.,data.,-.,correct.,answer.,✔ ✔ primary:.,direct.,from.,patient
, secondary:.,family.,members,.,other.,healthcare.,professionals,.,records/repor
ts,.,lab.,values,.,diagnostic.,analyses
assessment.,information.,(subjective).,-.,correct.,answer.,✔ ✔ -symptoms
-what.,the.,patient.,says
-
sensations,.,feelings,.,beliefs,.,attitudes,.,personal.,perception.,of.,health.,status
assessment.,information.,(objective).,-.,correct.,answer.,✔ ✔ -signs
-what.,you.,observe
(nursing).,diagnosis.,-.,correct.,answer.,✔ ✔
clearly.,identify.,client.,strengths.,and.,actual/potential.,problems
types.,of.,diagnoses/problems.,-.,correct.,answer.,✔ ✔ actual
risk
possible
wellness.,or.,health.,promotion
actual.,nursing.,diagnosis.,-.,correct.,answer.,✔ ✔
problem.,is.,present;.,based.,on.,presence.,of.,associated.,s/s
nursing.,process.,-.,correct.,answer.,✔ ✔ Assessment
Diagnosis
Planning
Implementation
Evaluation
assessment.,-.,correct.,answer.,✔ ✔ systematically.,collect.,client.,data
assessment.,types.,-.,correct.,answer.,✔ ✔ Initial
Problem-focused
Emergency
Time-lapsed
initial.,assessment.,-.,correct.,answer.,✔ ✔ Time.,Performed:
-performed.,within.,specified.,time.,after.,admission.,to.,an.,agency
Purpose:
,-
establish.,complete.,database.,for.,problem.,identification,.,reference,.,&.,futur
e.,comparison
Example:
-nursing.,admission.,assessment
problem-focused.,assessment.,-.,correct.,answer.,✔ ✔ Time.,Performed:
-ongoing.,process.,integrated.,with.,nursing.,care
Purpose:
-determine.,status.,of.,specific.,problem.,identified.,in.,earlier.,assessment
Example:
-hourly.,assessment.,of.,client's.,fluid.,intake.,&.,urinary.,output.,in.,an.,ICU
-
assessment.,of.,client's.,ability.,to.,perform.,self.,care.,while.,assisting.,a.,client.,t
o.,bathe
emergency.,assessment.,-.,correct.,answer.,✔ ✔ Time.,Performed:
-during.,any.,physiological.,or.,psychological.,crisis.,of.,client
,Purpose:
-identify.,life.,threatening.,problems
-identify.,new.,or.,overlooked.,problems
Example:
-
rapid.,assessment.,of.,person's.,airways,.,breathing.,status,.,&.,circulation.,duri
ng.,cardiac.,arrest
-assessment.,of.,suicidal.,tendencies.,or.,potential.,for.,violence
time-lapsed.,reassessment.,-.,correct.,answer.,✔ ✔ Time.,Performed:
-several.,months.,after.,initial.,assessment
Purpose:
-compare.,client's.,current.,status.,to.,baseline.,data.,previously.,obtained
Example:
-
reassessment.,of.,client's.,functional.,health.,patterns.,in.,a.,home.,care,.,outpati
ent.,setting,.,or.,hospital,.,at.,shift.,change
sources.,of.,data.,-.,correct.,answer.,✔ ✔ primary:.,direct.,from.,patient
, secondary:.,family.,members,.,other.,healthcare.,professionals,.,records/repor
ts,.,lab.,values,.,diagnostic.,analyses
assessment.,information.,(subjective).,-.,correct.,answer.,✔ ✔ -symptoms
-what.,the.,patient.,says
-
sensations,.,feelings,.,beliefs,.,attitudes,.,personal.,perception.,of.,health.,status
assessment.,information.,(objective).,-.,correct.,answer.,✔ ✔ -signs
-what.,you.,observe
(nursing).,diagnosis.,-.,correct.,answer.,✔ ✔
clearly.,identify.,client.,strengths.,and.,actual/potential.,problems
types.,of.,diagnoses/problems.,-.,correct.,answer.,✔ ✔ actual
risk
possible
wellness.,or.,health.,promotion
actual.,nursing.,diagnosis.,-.,correct.,answer.,✔ ✔
problem.,is.,present;.,based.,on.,presence.,of.,associated.,s/s
