answers
Nursing Process is how nurses... Correct Answer-Think
Identify patient problems
Determine patient outcomes
Prioritize patient care
ADPIE Correct Answer-Assessment
Diagnosis (analysis)
Planning
Implementation
Evaluation
Assessment is... Correct Answer-The systematic collection of data
through interview, observation, & examination to determine the pt health
status, and any actual or potential problems
(ALWAYS ASSESSING)
Assessment: Information from the client is... Correct Answer-Holistic
and detailed
Prioritized
Determines the strength & problems
Beginning & Ongoing
,Gathered
Report significant changes immediately
Examination
Labs & images
Assessment: Comprehensive Physical Assessment Correct Answer-Vital
signs
Height & weight
ROS
HTT
Risk Assessments
Assessment: Objective & Subjective Data Correct Answer-O:
observable & measurable
S: from the patient
Both can change from moment to moment
Assessment: Predict, Prevent, Manage, & Promote Correct Answer-
Predict most common dangers, take immediate action to prevent them
and manage them
Look for evidence risk factors
Assessment: Critical Thinking Correct Answer-1: Fact vs
Fiction/Validate data
, 2: Understand issue and possible solution
3: Analyze determine relation
4: Predict outcomes and consequences
5: Evaluate
Assessment: Maslow's Hierarchy Correct Answer-1: Physiological
Needs
2: Safety and Security
3: Belongingness and affection
4: Esteem and self-respect
5: Self-actualization
Diagnosis (Analysis) is... Correct Answer-Potential nursing problem or
concern you identify
Based on collection & review of assessment
Actual or potential problems
Some are collaborative problems
Planning is... Correct Answer-outcomes and interventions
Planning: GOALS Correct Answer-Prioritize
Identify expected outcomes
Select evidence-based nursing
Communicate