X. X. X.
Study online at https://quizlet.com/_88btxh
X. X. X.
1. subjective What the client tells the nurse
X. X. X. X. X.
sources of data
X. X. X.
2. Objective Datathenurseobtainsthroughobservationandexamina- tion
X
. X
. X
. X
. X
. X
. X
. X.
sources of data
X. X. X.
what others tell the nurse; what the client had told them
X. X. X. X. X. X. X. X. X. X.
3. secondarysub- X
.
jective data
X. X.
Data the nurse collects from other sources;family, friends, X. X. X. X. X. X. X
. X.
4. secondaryobjec- caregivers, health care professionals, literature review,
X
. X. X. X. X. X. X.
tive sources of
X. X. medical records, etc. X. X. X. X.
data
X.
assessment/data collection, analysis/data collection, X. X. X.
5. Steps of the planning, implementation, evaluation; ADPIE
X. X. X. X. X. X.
NursingProcess
X. X
.
the systemic collection of information about clients' pre- sent X. X. X. X. X. X. X. X.
6. Assess- health statuses to identify needs and additional data to X. X. X. X. X. X. X. X. X.
ment/Data collect based on findings X. X. X. X.
collection
X.
recognize patterns or trends; compare the data with ex- X. X. X. X. X. X. X. X.
7. Analysis/data pected standards or reference ranges, and arrive to con- X. X. X. X. X. X. X. X. X.
collection
X. clusions to guide nursing care X. X. X. X. X.
requiresnurses
X. X
.
to look at the
X. X. X. X.
data and:
X. X.
8. Planning nurses must establish priorities and optimal outcomes of
X. X. X. X. X. X. X.
acretheycanreadilymeasureandevaluate,whichinclude
X. X
. X
. X
. X
. X
. X
. X
. X
.
interventions to promote, maintain, or restore health
X. X. X. X. X. X. X.
9. Dischargeplan- X
. a process of anticipating and planning for client's needs after
X. X. X. X. X. X. X. X. X.
ning
X. discharge.To be effective,discharge planning must begin
X
. X
. X. X. X. X. X. X.
during admission
X. X.
10. nurse-initiated/in-nurses use evidence and scientific rationale to take au- X. X. X. X. X. X. X. X. X.
dependent tonomous actions to benefit clients; based on identified X. X. X. X. X. X. X.
intervention
X. problems and health care needs, and make sure they are X. X. X. X. X. X. X. X. X. X.
s within their scope of practice.An example is repositioning a X. X. X. X. X. X
. X. X. X. X.
client at least every 2 hours to prevent skin breakdown X. X. X. X. X. X. X. X. X. X.
X. X.
, ATI Capstone NCLEX Review
X. X. X.
Study online at https://quizlet.com/_88btxh
X. X. X.
11. Provider-initiat- interventions nurses initiate as a result of a provider's X. X. X. X. X. X. X. X.
ed/dependent
X. prescription (written, standing, or verbal) or the facility's
X. X. X. X. X. X. X. X.
interventions
X. protocol (blood administration procedures)
X. X. X. X.
12. collaborativein- X
. interventions nurses carry out in collaboration with other X. X. X. X. X. X. X.
terventions
X. health care team professionals (ensuring that a client re-
X. X. X. X. X. X. X. X. X.
ceives and eats their evening snack)
X. X. X. X. X. X.
13. Implementation nurses base the care they provide based on assessment
X. X. X. X. X. X. X. X.
data, analysis, and the plan of care they developed in the
X. X. X. X. X. X. X. X. X. X. X.
previous steps of the nursing process. In this step they
X. X. X. X. X. X. X. X. X. X.
must use problem-solving, clinical judgement, and critical
X. X. X. X. X. X. X.
thinking to select and implement appropriate therapeutic
X. X. X. X. X. X. X.
interventions using nursing knowledge, priorities of care,
X. X. X. X. X. X. X.
and planned goals or outcomes to promote, maintain, or
X. X. X. X. X. X. X. X. X.
restore health.
X. X.
14. Evaluation nurses evaluate clients' responses to nursing interven-
X. X. X. X. X. X.
tions and form a clinical judgment about the extent to which
X. X. X. X. X. X. X. X. X. X.
clients have met the goals and outcomes; nurses
X. X. X. X. X. X. X. X.
determinetheeffectivenessofthenursingcareplan.They
X. X
. X
. X
. X
. X
. X
. X
. X
.
collect data based on the outcome criteria then com- pare
X. X. X. X. X. X. X. X. X. X.
what actually happened with the planned outcomes; clients'
X. X. X. X. X. X. X. X.
outcomesinspecific,measurabletermsareeasier to
X
. X
. X
. X
. X
. X
. X
. X.
evaluate
X.
15. Evaluate: Ques- "Did the client meet the planned outcomes?", "were the
X. X. X. X. X. X. X. X. X.
tionstoConsider nursing interventions appropriate and effective?", "should I
X. X
. X
. X. X. X. X. X. X. X.
modify the outcomes or interventions?" X. X. X. X. X.
16. Factorsthatcan an incomplete database, unrealistic client outcomes, non-
X
. X
. X. X
. X. X
. X
. X.
lead to lack
X. X. specific nursing interventions, and inadequate time for the
X. X. X
. X
. X
. X
. X
. X
. X
.
of goal achieve- client to achieve the outcomes
X. X. X. X. X. X. X.
mentduringeval-
X. X
. X
.
uation
X.
17. 4stepsofCritical 1.identifyandanalyzetheproblem;2.recallinfoyouneed to
X
. X
. X
. X
. X
. X
. X
. X
. X
. X
. X
. X
. X
. X.
Thinking
X. resolve the problem; 3. evaluate each option; 4. select the X. X. X. X. X. X. X. X. X. X.
correct or priority option X. X. X. X.
X. X.