| Term 
 
        | what are the five steps involved in the nursing process |  | Definition 
 
        | ADPIE assessment, analysis, planning, implementation, evaluation
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        | the analyzes in the nursing process includes |  | Definition 
 
        | diagnosis, goal setting, and outcome identification |  | 
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        | we now have six steps to the nursing process added by the ANA(1991) |  | Definition 
 
        | assessment, diagnosis, outcome identification,planning, implementation, and evaluation |  | 
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 | Definition 
 
        | gather basic objective and subjective data to be analyzed |  | 
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        | RN role in gathering assessment data |  | Definition 
 
        | complete and analyze a comprehensive review of the pt, including physiological, social, psychological, cultural, and spiritual realms |  | 
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        | Term 
 
        | cluster of assessment cues into groups to id criteria and to formulate nursing diagnosis |  | Definition 
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        | what step in the nursing process does the nurse prioritize nursing diagnosis and individualize interventions to be carried out by the health care team |  | Definition 
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 | Definition 
 
        | carry out the interventions |  | 
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 | Definition 
 
        | is the patient progressing, do i  need to adjust the plan of care  the RN is doing what stepin the nursing process |  | 
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        | first step of the nursing process |  | Definition 
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        | Term 
 
        | _______invovles collection of subjective and objective data |  | Definition 
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        | in an individual what 5 realms need to be addressed complete the assessment |  | Definition 
 
        | physiological, psychological, socail, cultural, and spiritual |  | 
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        | what is meant by primary source in data collection |  | Definition 
 
        | the patient gives the information |  | 
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        | secondary source of information |  | Definition 
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        | subjective data (symptoms) |  | Definition 
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        | what are the data collection methods |  | Definition 
 
        | interview, observation and physical assessment |  | 
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        | Term 
 
        | why is it necassary to validate data |  | Definition 
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        | what steps are included in the analyzis phase |  | Definition 
 
        | nursing and collaborative dx, setting goals, and identifyingn outcomes |  | 
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        | Term 
 
        | every nursing dx must be substantiated by |  | Definition 
 
        | identifying criteria also known as defining characteristics |  | 
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        | Term 
 
        | actual problems have what three parts of the dx |  | Definition 
 
        | problem, etiology and s/sx |  | 
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        | what nursing dx will not have an as evidenced by statement |  | Definition 
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        | __________are specefic and make the goal measurable |  | Definition 
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 | Definition 
 
        | realsitic and measureable |  | 
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 | Definition 
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        | Term 
 | Definition 
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        | to appropriatley plan interventions the Rn must include |  | Definition 
 
        | age, culture, gender, past experiences with health care |  | 
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        | the carrying out of the plan of care |  | Definition 
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        | Term 
 
        | _____________is important in this phase of the nursing process |  | Definition 
 
        | documentaion is important in the implemenation part |  | 
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        | Term 
 
        | ___________ and __________ often occur simutaniously and continually |  | Definition 
 
        | assessment and evaluation |  | 
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        | Term 
 
        | __________the process of exmining the effectiveness of the plan |  | Definition 
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