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NR 302FINAL EXAM STUDY GUIDE

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NR 302 – FINAL EXAM STUDY GUIDE  Nurses’ role in health assessment o ADPIE o Assessment – collection of data from multiple sources  Review of clinical record; interview; health history... ; physical examination; functional assessment; cultural/spiritual assessment; consultation; review of literature o Diagnosis – interpretation of data by identifying clusters of cues so as to make inferences  Compare clusters of cues with definitions and defining characteristics  Validation on inferences based on findings  Identify related factors  Document the diagnosis o Planning – establish priorities based on meeting identified patient care goals  Develop outcomes and set time frames for meeting proposed outcomes  Identify relevant interventions and utilize interdisciplinary health care team members in the care planning process for the patient  Document plan of care o Implementation – determine patient readiness and involve patient in health care process  Review planned interventions with interdisciplinary health care team members to facilitate collaborative effort  Utilize principles of delegation, being mindful of supervision and evaluation  Counsel person and significant others  Refer to continuing care [Show More]

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