Shared Flashcard Set

Details

Nursing Process
Assessment
20
Nursing
Undergraduate 1
09/21/2013

Additional Nursing Flashcards

 


 

Cards

Term
Structured Database
Definition
Includes core needs
Anxiety
sexuality
safety
mobility
sensation/perception
nutrition/metabolism
fluid & electrolytes
circulation
aeration
elimination
Term
Comprehensive Assessment Data Collection (Systematic)
Definition
1. Body Sytems assessment tools
2. Problem Oriented
Term
Assessment Data Collection
Definition
Client
Family members
Health care team
Medical record information
Scientific literature
Term
Assessment Data Clustering
Definition
Look for deviations from normal patterns.

Core Needs

Gordon's Functional Health Patterns
Term
Cue
Definition
What your client or significant other tells you

What you see,hear,feel,smell,measure
Term
Inference
Definition
Your judgement interpretation.
Term
"short of breath for 2 days"
Definition
Cue
Term
"I've gained 10 pounds since last month"
Definition
Cue
Term
Weight 9/24/xx 200 pounds
Definition
cue
Term
Elevated BP
Definition
Inference
Term
BP 142/83
Definition
Cue
Term
Hypertension
Definition
Inference
Term
Pitting edema
Definition
Inference
Term
5 mm pitting lower extremities
Definition
cue
Term
Subjective Data
Definition
Symptom
Client's verbal description of the health problem.

Feelings,preceptions,self report of symptoms.

"I feel short of breath"(cue)
"I ate ham a a whole bag of salted peanuts"
Term
Objective Data
Definition
Sign
Observations or measurements of a client's health status

Weight 190 pounds on 9/12/xx (cues only)
Weight 200 pounds on 9/19/xx
Term
Analysis of Data- Problem and Stressors
Definition
Note any discrepancies or distortions between client's or significant other's perception and the nurse.
Term
Intrapersonal Stressors
Definition
Physiological
Psychological
Developmental
Spritual
Sociocultural
Term
Interpersonal Stressors
Definition
Relationships of family,friends,caregivers
Term
Extrapersonal Stressors
Definition
Resources,finances,employment
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