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Fundamentals Ch. 13-16

Fundamentals 
Across
This data is information perceived only by the affected person, this data canot be perceived or verified by another person, ie feeling nervious, nauseatied, pain.
A male client is admitted to the hospital with blunt chest trauma after a motor vehicle accident. The first nursing priority for this client would be to? (AIRWAY): Assess the client's airway (PAIN): Provide pain relief (ENCOURAGE): Encourage deep breathing and coughing (SPLINT): Splint the chest wall with a pillow **** Use the word in parentheses for your answer
The nursing diagnosis Impaired Parenting related to mother's developmental delay is an example of which of the following? (RISK): Risk nursing diagnosis (PROBLEM): Problem focused nursing diagnosis (HEALTH): Health Promotion nursing diagnosis (WELLNESS): wellness nursing diagnosis
These pathways are tools used in case management to communicate the standardized , interdisciplinary care plan for patients?
The nurse is caring for a post operative patient and decides to work together with the patient to achieve this outcome: The patient will ambulate to the bathroom with assistance one hour after surgery. what part of the nursing process would this be considered?
The nurse administers pain medication to a postoperative client. In which phase of the nursing process is this occurring?
A systematic way to form and shape one's thinking is know as?
When possible subjective data should be recording using the patient's own words? True of False
The identification of a disease condition based on a specific evaluation of physical signs and symptoms, a patient's medical history, and the results of diagnostic tests and procedures, Is this considered a Medical or Nursing diagnosis?
A female client who received general anesthesia returns from surgery. Postoperatively, which nursing diagnosis takes highest priority for this client? (PAIN): Acute pain R/T surgery (FLUID): Deficient fluid volume R/T blood and fluid loss from surgery (MOBILITY): Impaired physical mobility R/T surgery (ASPIRATION): Risk for aspiration R/T anesthesia **** Use the word in parentheses for your answer.
Data that is observable and measurable, can be seen, heard, felt by someone other than the person experiencing them. example, elevated temp edema, vomiting
The nurse is turning a patient in bed and notices that his heels are red. The nurse places the patient on precautions for skin breakdown, this is an example of what type of planning?
This planning is best carried out by the nurse who has worked most closely with the patient and family?
When used well, the nursing process achieves for the patient scientifically based ,______________, individualized care. (fill in the blank)
A clinical judgment concerning a human response to health conditions/life processes, or vulnerability for that response by an individual, family, or community that a nurse is licensed and competent to treat, is this a Medical Diagnosis or Nursing Diagnosis?
Down
A nurse is revising a client's care plan. During which step of the nursing process does such a revision take place?
Assessment, diagnosis, Planning, implementation, and evaluation (ADPIE) are part of the?
The concept map can help the nurse view the client's situation in a ___________ approach?
At shift report the nurse gets report on a new patient the nurse does not get any reports of skin breakdown in report, upon assessing the patient the nurse notes, skin breakdown over the buttocks, the nurse would be priority for the nurse. Use the word in parentheses (initial) assessment (Emergency) assessment (Focused) assessment
The following statement appears on the nursing care plan for an immunosuppressed client: The client will remain free from infection throughout hospitalization. This statement is an example of a ___________- term goal
After enough time has passed the nurse checks on the patient to see if the pain medication given has been effective for pain relieve, this is an example of step in the nursing process?
Characteristics of the nursing process include - Dynamic, interpersonal, outcome oriented, and universally applicable. what characteristic is missing?
The nursing process ensures that nurses are person centered rather than task centered. Rather than simply approaching a patient to take vital signs, the nurse thinks, “How is Mrs. Barclay today? Are our nursing actions helping her to achieve her goals? How can we better help her?” This demonstrates which characteristic of the nursing process?
A process in which two or more people with varying degrees of experience and expertise discuss a problem and its solution.
These are derived from the problem statement of the nursing diagnosis?
A client comes to the emergency department reporting severe chest pain. The nurse asks the client questions and takes vital signs. Which step of the nursing process is the nurse demonstrating?
The nurse in charge identifies a patient's responses to actual or potential health problems during which step of the nursing process?
A concept map care plan is a diagram of patient?
The nurse learns the correct dosages for patient pain medications. What type of skill would this be considered?
Which would require the nurse to do an emergency assessment? Use the word in parentheses (Skin) skin breakdown (superficial) superficial wound (Ear) ear ache (distress) respiratory distress