and Answers 100% Pass
Nursing Process - ✔✔an organizing framework for professional nursing practice, has 5
steps, uses the acronym (ADPIE)
Assess - ✔✔step one of the nursing process, perform a nursing assessment
Diagnose - ✔✔step two of the nursing process, make nursing diagnoses
Plan - ✔✔step three of the nursing process, formulate and write outcome/goal
statements and determine appropriate nursing interventions base on the client's reality
and evidence
Implement Care - ✔✔step four of the nursing process
Evaluate - ✔✔step five of the nursing process, appraise the outcomes and the nursing
care that has been implemented, make necessary revisions in care interventions as
needed
Subjective Information - ✔✔information that contributes to the formulation of a nursing
diagnosis, obtained verbally from a patient
Objective Information - ✔✔information that contributes to the formulation of a nursing
diagnosis, obtained by performing a physical assessment, taking vital signs, and noting
diagnostic test results
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, Clinical Reasoning - ✔✔a cognitive process that uses formal and informal thinking
strategies to gather and analyze patient information, evaluate the significance of this
information, and determine the value of alternative actions (thorough analysis--which
includes recognizing cues, sorting through and organizing or clustering the
information, and determining patient strengths and unmet needs)
The Two-Part System - ✔✔consists of nursing diagnosis an the "related to" (r/t)
statement; often used when the defining characteristics, or signs and symptoms
identified in the assessment, may be obvious to those caring for the patient
The Three-Part System - ✔✔consists of nursing diagnosis, the r/t statement, and the
defining characteristics; also called the PES system
Defining Characteristics - ✔✔the observable cues/inferences that cluster as
manifestations of an actual or wellness nursing diagnosis (relevant symptoms)
Related Factors - ✔✔etiologies, circumstances, facts, or influences that have some type
of relationship with the nursing diagnosis; factors that appear to show some type of
patterned relationship with the human response that supports the nursing diagnosis
Problem-Focused Nursing Diagnosis - ✔✔a type of nursing diagnosis; a clinical
judgment concerning an undesirable human response to a health condition/life process
that exists in an individual, family, group, or community
Risk Nursing Diagnosis - ✔✔a type of nursing diagnosis; a clinical judgment
concerning the susceptibility of an individual, caregiver, family, group, or community
for developing an undesirable human response to health conditions/life processes
Health Promotion Nursing Diagnosis - ✔✔a type of nursing diagnosis; a clinical
judgment concerning motivation and desire to increase well-being and to actualize
health potential; may exist in an individual, caregiver, family, group, or community
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