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Health Assessment Unit 1
Na
22
Nursing
Undergraduate 2
04/07/2012

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Cards

Term
What are the Five steps in the Nursing Process ?
Definition
1- Assessment
2- Diagnosis
3- Plan
4- Implementation
5- Evaluation
Term
What is Assessment?
Definition
To collect, organize and Validate Data
two types
1- Objective Data- observable and measurable
2- Subjective Data- what the patient says or thinks
Assessment from head to toe
Term
What are the parts of the Nursing Diagnosis? And what is each?
Definition
Actual- Problem validated by nurse. Ex. Disturbed sleep pattern or Impaired memory

Potential Risk- What the patient is at risk for. Ex. Risk for falls

Wellness- what the patient wants to do for a higher level of health. Ex Readiness for enhanced spiritual well being.
Term
What are the four Components to Writing the Nurse Diagnosis?
Definition
Descriptor- the word that describes the human response
ex. impaired, ineffective

Label- the actual health problem
ex.hypothermia, acute pain

Related Factors- factors that show relationship with nursing diagnosis.
Ex. Ineffective breathing pattern due to pain.

Defining characteristics- signs,statements and symptoms made by patient
ex. Anxiety related to threat of death as evidenced by by expressed concerns due to life change, shakiness and voice quivering.
Term
What are the three steps in the outcomes identification part of the nursing process?
Definition
Patient goal- removal or repsonse to patient problem
Ex. If patient has anxiety then " Removal of patent anxiety"

Patient outcome- expected change in patient behavior to have progress toward goal.
Ex. loose 8 pounds

practice- start the outcomes
Term
What are the parts of planning in the nursing process?
Definition
Prioritize- prioritize the the rank of each nursing diagnosis.
Use Maslow's Hierarchy of Needs

Intervention-steps made by nurse to help meet the patient outcomes.
Independent interventions- nurse legally allowed to implement plan based on experience and education.
Collaborative interventions- Physician made plans carried out by nurse

Evidence based-
Term
Maslow's Hierarchy Of needs
Definition
1- physiological needs
2- safety and security needs
3- love and belonging
4-self-esteem
5- self-actualization
Term
What is the implementation part of the nursing process?
Definition
Do what you planned
Make modifications
Term
What is the evaluation part of the nursing process?
Definition
was the diagnosis appropriate?
was the outcome met?
Did the situation change?
was the patient involved?
Term
What does the soapier nemonic stand for?
Definition
S-Subjective Data
O- Objective Data
A- Analysis of data
P- Plan
I- Intervention
E- Evaluation
R- Revision
Term
Piaget 19s Theory of Cognitive Development
Definition
age related stages all children must go through to think,reason and exercise judgement.

Examples- language, problem solving, critical thinking, oral communication.
Term
Freud 19s Theory of Personality Development
Definition
Human behavior driven by psychodynamic forces.
We are motivated by sexual needs.
Term
Erikson 19s Theory of Personality
Definition
All organisms have a plan of growth .
Humans must use skills to overcome conflict to move on into each stage.
Term
Kohlberg 19s Theory of Moral Development
Definition
Moral development

Ex If a conflict happens we must use our judgement to come to a conclusion.
Term
What is the "Recent Life Changes Questionnaire"?
Definition
Records life events in the ;art 6months- 2years.
Shows how much adjustment needed for stress
May link stress related illness.
Term
What is the "Everyday Hassles Scale"?
Definition
Records every day hassles that give stress
* Everyday hassles effect stress and illness more than life events
Term
What is the "Stress Audit "?
Definition
surveys experienced and anticipated stress events
Helps give guidance to anticipate stressful events
Term
What is the Functional activities Questionnaire ?
Definition
Assesses the independence of daily living activities.
Term
what is the "mini mental state" Examination?
Definition
used to screen for cognitive impairment

May show early signs of dementia
Term
What is the Beck Depression Inventory"?
Definition
An inventory of depression symptoms

Score given helps give level of depression.
Term
What is the Beck Depression Inventory"?
Definition
An inventory of depression symptoms

Score given helps give level of depression.
Term
What is the Beck Depression Inventory"?
Definition
An inventory of depression symptoms

Score given helps give level of depression.
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