Fundamentals Nursing Process Class Notes

Fundamentals Nursing Process Class Notes the 5 parts of a physical examination - CORRECT ANSWER-height, weight, vitals, general appearance and behavior, head-to-toe examination of all body systems What is the last component of a complete assessment? - CORRECT ANSWER-data documentation and communication the type of diagnosis that is the identification of a disease condition based on specific evaluation of signs and symptoms - CORRECT ANSWER-medical the type of diagnosis that is the clinical judgement about the patient in response to an actual or potential health problem - CORRECT ANSWER-nursing the actual or potential physiological complication that nurses monitor to detect a change in patient status - CORRECT ANSWER-collaborative problem the type of nursing diagnosis that describes human responses to health conditions or life processes - CORRECT ANSWER-actual the type of nursing diagnosis that describes human responses to health conditions/life processes that may develop - CORRECT ANSWER-risk the type of nursing diagnosis that is the clinical judgement of motivation, desire, and readiness to enhance well-being and actualize human health potential - CORRECT ANSWER-health promotion the 3rd step of the nursing process - CORRECT ANSWER-planning part of the nursing process that involves setting priorities, identifying patient-centered goals and expected outcomes, and prescribing individualized nursing interventions - CORRECT ANSWER-planning the 3 classifications of priorities - CORRECT ANSWER-high, intermediate, low a broad statement that describes the desired change in a patient's condition or behavior - CORRECT ANSWER-goal measurable criteria to evaluate goal achievement - CORRECT ANSWER-expected outcome a specific and measurable beh