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NURSING PROCESSES
Assessment Strategies
16
Psychology
Not Applicable
09/12/2007

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Cards

Term
countertransference
Definition
the nurse's reactions to a client that are based on the nurse's unconscious needs, conflicts, problems, or view of the world
Term
T/F
physical conditions can mimic psychiatric disorders
Definition
True
Term
Mental status examination (MSE)
Definition
part of any nursing assessment

analogous to the physical examination in general medicine

purpose is to evaluate an individual's cognitive processes

aids in collecting objective data
Term
psycohosocial assessment
Definition
includes:
personal background
social background
strengths and weaknesses
coping strategies
cultural beliefs and practices that could intervene with usual treatment
spiritual beliefs and practices

subjective
Term
Cultural and Social Assessment
Definition
can help minimize labeling of clients
Term
T/F

It is useful to summarize pertinent data with the client so that it provides reassurance that he or she was heard
Definition
True
Term
3 components to a nursing diagnosis are;
Definition
1. PROBLEM
2. ETIOLOGY
3. SUPPORTING DATA (SIGNS AND SYMPTOMS)
Term
outcome criteria
Definition
hoped for coutcomes that can be reached by nursing interventions
Term
Nursing Outcomes Classification (NOC)
Definition
using behavioral goals to measure the effectiveness of nursing interventions
Term
Behavioral goals
Definition
must be realistic and acceptable to both client and nurse

establish a specific time for goal achievement
Term
Nursing Interventions Classification
Definition
listing of 514 interventions that the nurse can use to plan care and reflects current clinical practice
Term
nursing interventions meet 3 outcomes
Definition
1. safe
2. appropriate
3. individualized
4. evidence-based
Term
The nursing process
Definition
1. Assessment
2. Nursing Diagnosis
3. Outcome Criteria
4. Planning
5. Implementation
6. Evaluation
7. Documentation
Term
Goals in a therapeutic relationship:
Definition
Facilitating communication of thoughts and feelings

Assisting clients with problem solving

Helping clients examine behaviors

Promoting independence
Term
T/F
A nurse-patient relationship is one that is centered on the client's needs and is not designed to meet the nurse's needs.
Definition
True
Term
Three vital components for establishing a relationship:
Definition
1. genuineness
2. empathy
3. positive regard
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