Define the nursing process a systematic problem solving approach toward providing individualized nursing care. 2. What is NANDA-I North American Nursing
... [Show More] Diagnosis Association International 3. What are the characteristics of the nursing process? 1-framework for care to indiv, families, & communities 2-orderly & systematic 3-interdependent 4-provides specific care for the indiv, fam, & comm 5- client centered 6-appropriate for use throughout lifespan 7-used in ALL settings 4. What are the steps of the nursing process? ADPIE A=assessment D=diagnosis P=planning I=implementation E=evaluation 5. How does the nurse obtain assessment info? 1- initial (or admission assessment) 2- focused assessment 3- emergency assesment 6. How does the nurse obtain assessment info? past medical hx - family hx - reason for admission - current meds - previous hospitalizations & surgeries - psychosocial assessment - nutrition - complete physical assessment 7. focused assessment Collects data about a problem that has already been identified. This type of assessment determines whether the problem still exists, or any changes. 8. focused assessment questions What are your symptoms? When did they start? What activity were you doing ? What makes it better or worse? What are you doing to relieve the symptom? 9. Emergency assessment Performed to identify a lifethreatening problem (choking, stab wound, heart attack). 10. subjective data Information verbalized or stated by the client. 1 / 8 Nursing Process Study online at https://quizlet.com/_cyri05 11. objective data Observable and measurable information. Remember to include your senses: smell, hearing, touch and sight. 12. sign An objective finding perceived by the examiner ex. (fever, rash, etc.) 13. symptom Subjective findings verbalized or stated by the client ex. ("I have a headache" " I feel sick in my stomach.") 14. signs are objective 15. symptoms are subjective 16. 2 sources of data primary & 2ndary 17. primary source of data Information obtained from the patient (only) [Show Less]