Questions and Answers
What is subjective data?
Not directly observable or measurable by persons other than the person whom the data relate.
What is objective data?
Observable pieces of information about the client that are measurable.
The 5 Steps of the Nursing Process are _____, Diagnosis, Planning, Implementation, and Evaluation.
Assessment
What is the purpose of assessment in the nursing process?
Signup and view all the answers
What is nursing diagnosis?
Signup and view all the answers
What are outcome goals in nursing?
Signup and view all the answers
What is an intervention in the nursing process?
Signup and view all the answers
What does evaluation determine in nursing?
Signup and view all the answers
Which of the following are techniques used in nursing assessment? (Select all that apply)
Signup and view all the answers
What is inspection in the context of nursing?
Signup and view all the answers
What does palpation involve?
Signup and view all the answers
What is percussion in nursing assessment?
Signup and view all the answers
What is auscultation?
Signup and view all the answers
Study Notes
Key Concepts in Nursing Process
-
Subjective Data: Non-observable information derived from a patient's perspective; includes feelings, pain levels, and personal perceptions.
-
Objective Data: Observable and measurable information; includes diagnostic results, test findings, and data collected through physical examinations.
Five Steps of the Nursing Process
-
Assessment: A systematic approach for collecting and analyzing diverse data about a client, incorporating physiological, psychological, sociocultural, spiritual, economic, and lifestyle factors.
-
Diagnosis: A clinical conclusion about a patient's health status, identifying actual or potential health issues that necessitate nursing intervention; involves problem identification based on assessment data and risk factor evaluation.
-
Outcome (Goals): Establishing measurable and achievable goals for patient care, with realistic timelines (example: moving from bed to chair three times a day).
-
Intervention: Implementation of the agreed-upon care plan, executing nursing activities tailored to achieve patient goals.
-
Evaluation: Assessment of the effectiveness of nursing interventions and whether objectives have been met; critical for adjusting care plans as necessary.
Techniques for Assessment
-
Inspection: Visual examination of the patient for physical signs of health or illness.
-
Palpation: Use of touch to assess body structures and their characteristics beneath the skin.
-
Percussion: Tapping on body surfaces to create sounds that help evaluate underlying structures.
-
Auscultation: Listening to sounds produced within the body; can be performed directly with the ear or indirectly with a stethoscope.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Review the five essential steps of the nursing process with these flashcards. Each card presents key terms related to subjective and objective data, which are vital for patient assessment. Enhance your understanding of nursing concepts and improve your clinical skills.