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Exam (elaborations)

Nursing Process Exam 2 Questions With 100% Correct Answers 2024

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Nursing Process Exam 2 Questions With 100% Correct Answers 2024 What are the steps of the nursing process Assess Diagnose Plan Implement Evaluate Describe and explain the purpose of the steps of the nursing process: Assessment Gathering information to identify and confirm pt's health problems, risks, readiness for change. Collecting a comprehensive seto data about a pt,recognize and identify pattens that begin to reflect the meaning of pt's response to health problems. Describe and explain the purpose of the steps of the nursing process: Diagnosis To analyze cues and interpret the data so we can identify and prioritize throughout the nursing process Describe and explain the purpose of the steps of the nursing process: Planning Setting goals to solve problems and prioritize outcomes. We identify patient-centered outcomes, generate solutions, and prioritize care outcomes using the SMART acronym. Describe and explain the purpose of the steps of the nursing process: Implementation Perform nursing actions needed to reach goals. Describe and explain the purpose of the steps of the nursing process: Evaluation Determine outcome of goals, patient compliance, document response to interventions, modify, and assess the need for change. Components of the assessment phase Data collection: pt centered interview, other recorda Interpretation: cues, inferences → clinical reasoning Validation: confirming data,comparing w/ another source to verify accuracy Types of patient assessment Patient-centered interview- during nursing history Periodic assessments- during ongoing contact Physical assessment- comprehensive assessment of all body systems Focused assessment- concentrated on area of concern Sources of data for nursing assessment Patient Family Other HCP's Medical records Nurses personal experience w/ pt Subjective data is: What a pt tells you Objective data is: What you can measure List elements of a health history Biographical Information Patient expectations Reason for seeking care/chief concern Present illness/health concerns Past health history Family history Psychosocial history Spiritual Health Review of systems Diagnostics and labs Observation of pt behavior How to organize assessment data according to the basic needs of humans Organize data by clustering cues Concept mapping Describe elements of a health history: Biographical Information Name, age, etc. Difference between a medical and nursing diagnosis Medical diagnosis: the disease Nursing diagnosis: patient’s response to the disease If a nurse can prevent a complication or provide primary treatment, then the diagnosis is a nursing diagnosis. Describe elements of a health

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