Fundamentals Chapter 5 Open book quiz

Compare subjective data and objective data.

Subjective data- Data obtained from patient verbally. Only apparent to the patient, only patient can describe or verify.

Identify and describe the three approaches to data collection?

(1) "Structured format" is to obtain comprehensive database based on 11 functional health patterns, each part of a whole/one understood un-conjunction with others. (2) Begin with areas in which problems are evident "focused assessment" (3) Assess every area in Maslow's hierarchy of needs

What are the purposes of the language labels provided by the Nursing Outcomes Classification (NOC)?

(1) Identify, label, validate, and classify patient outcomes and indicators. (2) Field test the classifications for validation. (3) Define and test the measurement procedures to determine whether the outcomes are met by interventions that have been implemented.

What are the three basic stages of the interview?

(1) The opening, when rapport is established with the patient (2) The body of the interview, when necessary questions are presented (3) The closing: Thank them for their time. Express concern for their welfare and tell them what will happen next.

During the planning process, what questions should the nurse consider?

1. What are the goals for this patient? How can they be expressed as expected outcomes so that the success of nursing care can be easily evaluated. 2. Should the goals for this patient be short term or long term? 3. What are the priorities of care?

Explain the purpose of the nursing diagnosis statement and describe how it is included with the medical diagnosis.

A statement indicating the patients actual health status or risk of a problem developing the causative or related factors, and specific defining characteristics (signs and symptoms) *The medical diagnosis is never included.

How does a nursing diagnosis differ from a medical diagnosis?

Nursing diagnosis defines patients in response to illness, where as medical diagnosis labels the illness.

Describe the difference between a short-term and long- term goals in the planning process.

Short term goals are those that are achievable within 7 to 10 days or before discharge, where as long term goals take many weeks or months to achieve. Long term goals often relate to rehabilitation.

When should the nursing care plan be constructed?

The nursing care plan should be constructed right after admission database is collected. It must be readily available to each nurse who is assigned to the patient. Once every 24 hours, the care plan is reviewed and updated.

Once the nursing diagnosis have been designated, how are they prioritized?

They are ranked according to their importance. This order can be guided by the hierarchy of needs adapted from Maslow, by the patients beliefs regarding the importance of each problem and by what is most life threatening or problematic for the patient.