Module 3 Exam QUESTIONS AND ANSWERS

Module 3 Exam QUESTIONS AND ANSWERS Definition: This is the key to helping nurses make clinical judgements that are appropriate for clients Nursing process What 2 types of information is involved in an assessment (during the nursing process)? Subjective & objective data Definition: Explain what subjective vs objective data is as it applies to the nursing process "Assessment / data collection": Objective - measurable; factual; observing or noticing using 1 of 5 senses (smelll, touch, sight, etc) * Ex. intake and output, VS, facial expressions Subjective - comes form client or family member; *Ex. clients report of pain / clients reason for seeking care In your own words, try to best describe what is in an ANALYSIS in the nursing process *Take all date collected and analyze it! * EX. When are meds due? When was their last dose? Why is their BP high? *PRIORITY SETTING *planning for the day! *Identify RISKS/ PROBLEMS for pt *draw conclusions * compare date w good ranges and bad *Determines a nursing diagnosis Best describe what is involved with PLANNING in the nursing process: *set goals! -EX. Its BP is up, get current vitals, call DR., Dec BP is the goal! _EX. Pain is a 10/10. Goal = pain 7/10 *Talk w pt about goals *plan meds *when will you reassess the pt? * identity any nursing interventions *use evidence based practice Definition: A _____________________________________ is a plan including the client problem (analysis), plans and goals, implementation, and responses; it is used by the inter professional health care team *the pt should be involved in this as much as possible Plan of Care Explain in your words what we do in the implementation step of the nursing process: *Implement interventions! *assist client to promote, maintain, or restore health *DELEGATE! *supervise care *DOCUMENT the care/ clients response *EX. asking tech to go get vitals *EX. Go get BP at 0800 on pt In your own words, what do we do when in the evaluation step of the nursing process? *evaluate pt RESPONSE! *have they met goals or not?? *does the client/ staff understand instructions and effectiveness of interventions *FURTHER implementation? OR ALTER plan! *did the pt follow the plan of care? We have an expert-written solution to this problem! Q: T OR F: the nursing care plan can continue in a loop till pt reaches goal