*NURSING > QUESTIONS & ANSWERS > NR 410 Exam 3 Study Guide Nursing Process (Taylor, Lynn & Bartlett Chapters 13-18) (All)

NR 410 Exam 3 Study Guide Nursing Process (Taylor, Lynn & Bartlett Chapters 13-18)

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1. Sources of assessment  what the RN observes, data from the chart, report from others on the health care team and subjective vs. objective data 2. What is clustering organizing items into rel... ated groups 3. Recognize Gordon’s Functional Health Pattern classifications (11 general ones)  health perception/health management  activity and exercise  metabolism  elimination  sleep-rest  cognitive – perceptual  self-perception - self-concept  role - relationship  sexuality – reproductive  coping - stress tolerance  values - beliefs 4. Differentiate between subjective and objective data  subjective is what the patient says, objective is what I can observe 5. Identify the primary source for assessment datapatient 6. Recall that REASSESSMENT is needed throughout the nursing process before modifying a care plan, reassess the patient’s response to the initial interventions T. RESSASEMENT AND EVALUATION TOGETHER 7. What are the Joint Commission Guidelines related to assessment? HINT: Who is allowed to complete the assessment?  the nurse, RNs can't delegate patient assessments to CNAs.  T. ACTION RULE IS YOU HAVE TO GO AND RESSASE THE PAIN ASSESSMENT FOR THE PATIENT. IT IS NURSE JOB TO COMLETE THE ASSESSMENT 8. Examples of types of data that need to be validated…Hint = incongruent information  incongruent objective data or discrepancies, any changes in status Nursing Diagnosis 1. Explain what the nurse does to formulate a nursing diagnosis (What is needed?  problem, r/t etiology, AEB symptomatic support - defining characteristics 2. Be able to give reasons why we use nursing diagnoses  to prioritize and individualize care [Show More]

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