N125 N125 (midterm) Study Material+
Questions & 100% Correct Solutions
Medical Diagnosis VS Nursing Diagnosis
Medical Diagnosis: is the identification of a disease condition based on specific
evaluation of signs and symptoms.
Nursing Diagnosis: is a clinical judgement about the client in response to an actual
or potential health problem
nursing diagnosis
describes a human's responses to levels of wellness that have a readiness for
enhancement
risk nursing diagnosis
risk nursing diagnosis describes a human's responses to health conditions/life
processes that may develop
ABC's
Airways- obstruction of airways
Breathing-respiratory distress
Circulation- pulse, BP, capilaries
Maslow's Hierarchy of Needs
,1. physiological
2. safety
3. love and belonging, esteem
4. self-actualization
Goal and Outcomes
Goal : A broad statement that describes the desired change in a client's condition
or behavior
Expected Outcome :Measurable criteria to evaluate goal
achievement Nursing Outcomes Classification (NOC)
• Client-centered goal
A specific and measurable behavior or response
Short-term goal
An objective behavior or response expected within hours to a week
Long-term goal
An objective behavior or response expected within days, weeks, or months
SMART goals
S.M.A.R.T.
• Specific• Measurable • Attainable• Relevant• Timely
Interventions
nursing orders are carried out
Types of Interventions
, Dependent - provider initiated
Independent - nurse initiated
Interdependent - collaborative
Standard Interventions
Allow nurses to act quickly and appropriately
Help capture patient care information that can be shared across disciplines and
care settings
Nurse- and Health Care Provider-Initiated Standard Interventions
-Clinical practice guidelines and protocols
-Care Bundles
-Standing Orders
-NIC
-Standards of Practice
Nursing Interventions Classification (NIC) Interventions
Common interventions recommended for various nursing diagnoses
Evaluate
Determine whether the patient's condition or well-being improved after the nursing
interventions were delivered
Interpreting and Summarizing Findings
-Evaluate the effects of the interventions and
interpret -Early detection is first line of defense -
Compare actual and expected findings
vital signs
Questions & 100% Correct Solutions
Medical Diagnosis VS Nursing Diagnosis
Medical Diagnosis: is the identification of a disease condition based on specific
evaluation of signs and symptoms.
Nursing Diagnosis: is a clinical judgement about the client in response to an actual
or potential health problem
nursing diagnosis
describes a human's responses to levels of wellness that have a readiness for
enhancement
risk nursing diagnosis
risk nursing diagnosis describes a human's responses to health conditions/life
processes that may develop
ABC's
Airways- obstruction of airways
Breathing-respiratory distress
Circulation- pulse, BP, capilaries
Maslow's Hierarchy of Needs
,1. physiological
2. safety
3. love and belonging, esteem
4. self-actualization
Goal and Outcomes
Goal : A broad statement that describes the desired change in a client's condition
or behavior
Expected Outcome :Measurable criteria to evaluate goal
achievement Nursing Outcomes Classification (NOC)
• Client-centered goal
A specific and measurable behavior or response
Short-term goal
An objective behavior or response expected within hours to a week
Long-term goal
An objective behavior or response expected within days, weeks, or months
SMART goals
S.M.A.R.T.
• Specific• Measurable • Attainable• Relevant• Timely
Interventions
nursing orders are carried out
Types of Interventions
, Dependent - provider initiated
Independent - nurse initiated
Interdependent - collaborative
Standard Interventions
Allow nurses to act quickly and appropriately
Help capture patient care information that can be shared across disciplines and
care settings
Nurse- and Health Care Provider-Initiated Standard Interventions
-Clinical practice guidelines and protocols
-Care Bundles
-Standing Orders
-NIC
-Standards of Practice
Nursing Interventions Classification (NIC) Interventions
Common interventions recommended for various nursing diagnoses
Evaluate
Determine whether the patient's condition or well-being improved after the nursing
interventions were delivered
Interpreting and Summarizing Findings
-Evaluate the effects of the interventions and
interpret -Early detection is first line of defense -
Compare actual and expected findings
vital signs