ANSWERS (ALREADY GRADED A+)
Initial Assessment - ANSWER-- Shortly after admitted
- Baseline
Focused Assessment - ANSWER-- Collects data for specific problem
- Ongoing collection
Emergency assessment - ANSWER-Physiologic and psychological crisis
Time-lapsed Assessment - ANSWER-- Long term care pt.
- Comparing status from baseline to current
Objective data - ANSWER-What we measure
Subjective data - ANSWER-What the pt. tells us
Nursing Diagnosis (PED) - ANSWER-Problem: taken from NANDA-1 list
Etiology: cause or contributor of problem followed by R/T
Defining characteristics: signs and symptoms
Risk Nursing Diagnosis - ANSWER-when risk factors require intervention from the
nurse and healthcare team prior to a real problem developing
problem-focused nursing diagnosis - ANSWER-clinical judgment concerning an
undesirable human response to health condition/life processes that exist in an
individual, family, group, or community
Health promotion nursing diagnosis - ANSWER-a clinical judgment concerning
motivation and desire to increase well-being and to actualize human health potential
Nursing Process - ANSWER-Assessment: objective and subjective data
Analysis: determine pt. problems
Planning: create a plan for pt. problems
Implementation: take action to provide care as outlined in planning
Evaluation: evaluate effectiveness of the interventions + pt. response
3 Elements of comprehensive planning - ANSWER-initial, ongoing, discharge
SMART goal - ANSWER-Specific, Measurable, Attainable, Realistic, Timely
, Cognitive pt. outcome - ANSWER-describes an increase in pt. knowledge or intellectual
behaviors
Psychomotor pt. outcome - ANSWER-describes pt. achievements of new skills
Affective pt. outcome - ANSWER-describes changes in pt. values, beliefs and attitudes
Types of Implementation - ANSWER-direct care, individuals, family, community, nurse-
initiated treatments, provider initiated treatments
3 parts of the evaluation - ANSWER-reassessment: constant measuring and monitoring
status
modification: priority change, changes in pt. condition, time frame, or change in
treatment plan
termination: when outcomes hav been achieved, turn focus on how the pt. will manage
their own outside of the unit.
patient centered care - ANSWER-Recognize the patient or designee as the source of
control and full partner in providing compassionate and coordinated care based on
respect for patient's preferences, values, and needs.
Advocacy - ANSWER-the support of an individual to promote his or her own well-being,
as understood by that individual.
Autonomy - ANSWER-the ability of the nurse to assess and perform nursing actions for
patient care based on competence, professional expertise, and knowledge.
Ethics - ANSWER-the principles of right and wrong that guide an individual in making
decisions
ethical distress - ANSWER-occurs when the nurse knows the right thing to do but either
personal or institutional factors make it difficult to follow the correct course of action
ethical dilemma - ANSWER-a situation in which a difficult choice has to be made
between two courses of action, either of which entails transgressing a moral principle.
What are the 6 QSEN competencies? - ANSWER-1. Patient-centered care
2. Teamwork and collaboration
3. Evidence-based practice
4. Quality improvement
5. Safety
6. Informatics
Cultural Competent care - ANSWER-having cultural awareness and practicing in a
culturally responsible manner