Nursing Process Steps and Body Quadrants

Assessment, Diagnosis, Planning, Implementation, Evaluation

<p>Administering medications (B)</p> Signup and view all the answers

<p>Both subjective and objective (C)</p> Signup and view all the answers

<p>An initial health history and physical exam (C)</p> Signup and view all the answers

<p>Focused/problem-oriented assessment (C)</p> Signup and view all the answers

<p>To evaluate the patient's progress since their last visit and monitor the effectiveness of interventions.</p> Signup and view all the answers

<p>Patient reports feeling nauseous (B)</p> Signup and view all the answers

<p>Patient's skin appears pale (D)</p> Signup and view all the answers

<p>Vital signs (A)</p> Signup and view all the answers

<p>To provide comprehensive and individualized patient care, ensuring that the patient's needs are addressed systematically and effectively.</p> Signup and view all the answers

<p>Childhood illnesses and surgeries (B)</p> Signup and view all the answers

<p>Family history of diseases (B)</p> Signup and view all the answers

<p>Introduction, working phase, and closing</p> Signup and view all the answers

<p>Facilitation (C)</p> Signup and view all the answers

<p>All of the above (D)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Provocative or Palliative, Quality or Quantity, Region or Radiation, Severity Scale, Timing, Understanding the patient's perception of the problem.</p> Signup and view all the answers

<p>Vital signs (B)</p> Signup and view all the answers

<p>All of the above (D)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Medication history (D)</p> Signup and view all the answers

<p>Inspection, auscultation, percussion, palpation (A)</p> Signup and view all the answers

<p>Hand hygiene, Personal Protective Equipment (PPE), and cleaning patient care equipment.</p> Signup and view all the answers

<p>True (A)</p> Signup and view all the answers

<p>Supine (C)</p> Signup and view all the answers

<p>To observe and identify any significant physical findings (D)</p> Signup and view all the answers

<p>True (A)</p> Signup and view all the answers

<p>Fingertips (C)</p> Signup and view all the answers

<p>Palpation with the palmar side of the hand (B)</p> Signup and view all the answers

<p>Bimanual palpation (D)</p> Signup and view all the answers

<p>To assess the underlying tissues, identify organ boundaries, and detect abnormal masses or fluid.</p> Signup and view all the answers

<p>True (A)</p> Signup and view all the answers

<p>Indirect percussion (C)</p> Signup and view all the answers

<p>True (A)</p> Signup and view all the answers

<p>Dull (A)</p> Signup and view all the answers

<p>True (A)</p> Signup and view all the answers

<p>Diaphragm (C)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

Assessment, Diagnosis, Planning, Implementation, Evaluation

Collecting subjective and objective data. Subjective data is what the patient tells you, and objective data is what you observe.

Analyzing the collected data to make clinical judgments and prioritize problems.

Developing a plan to address prioritized problems, including specific outcomes and interventions.

Putting the planned interventions into action, prioritizing tasks, and making adjustments as needed.

Evaluating the effectiveness of interventions and revisiting the plan if needed.

A comprehensive assessment that includes a full health history, physical exam, and review of systems. It's typically done for new patients.

An assessment focused on a specific health issue or problem. It's used for follow-up appointments or when a patient presents with a specific complaint.

An assessment used when a patient is experiencing a sudden or critical health issue. It's focused on stabilizing the patient and addressing immediate concerns.

Data that is collected from the patient directly, such as their reports of pain levels or symptoms.

Data that is observed or measured by the healthcare professional, such as vital signs or physical exam findings.

The highest priority for patients who are experiencing a life-threatening emergency. This includes airway, breathing, and circulation (ABC) issues.

The second priority for patients who need urgent attention to prevent deterioration. This includes mental status changes and acute pain.

The third priority for patients who need care, but it can wait after more urgent problems are addressed. This includes lack of knowledge, mobility issues, and family coping.

A structured approach to gathering information from the patient. It usually includes three phases: introduction, working phase, and closing.

A verbal response that encourages the patient to elaborate on their thoughts or feelings.

A verbal response that involves simply repeating the patient's last few words to show you're listening and encourage them to continue.

A verbal response that aims to clarify the patient's statements by summarizing or rephrasing what they've said.

A verbal response that confronts the patient with inconsistencies or discrepancies in their statements. This is done respectfully and with a goal of helping them to work through their thoughts and feelings.

A verbal response that offers an interpretation of the patient's thoughts or feelings. It's important to do this cautiously and to check in with the patient to make sure your interpretation is accurate.

A verbal response that provides factual information to the patient. It's important to make sure the information is accurate and understandable to the patient.

A verbal response that summarizes the main points of the interview. It's a helpful way to ensure that you and the patient are on the same page.

A mnemonic tool used to collect a detailed health history from a patient. It helps to ensure that all relevant information is gathered in a structured way.

A systematic approach to assessing the different body systems. It helps to ensure that no important information is missed during the interview.

An assessment that evaluates a patient's ability to perform activities of daily living, such as bathing, dressing, and eating. It helps to identify any functional limitations and potential areas for support.

A systematic approach to physical assessment that begins with inspection, followed by palpation, percussion, and auscultation.

The use of touch to assess the texture, temperature, moisture, shape, size, and consistency of different body parts.

A technique that involves tapping on the body surface to produce sounds that can be used to assess underlying structures.

The process of listening to the sounds produced by the body, such as heart sounds, lung sounds, and bowel sounds.