Podcast
Play an AI-generated podcast conversation about this lesson
Questions and Answers
What should be documented during a physical exam?
What should be documented during a physical exam?
- Assumptions about the patient's condition
- Only abnormal findings
- What you observe and hear from the patient (correct)
- Only what the patient states
Which of the following is a correct SMART goal for a patient with impaired mobility?
Which of the following is a correct SMART goal for a patient with impaired mobility?
- The patient will walk down the hall for 2 laps under 30 minutes (correct)
- The patient will improve their strength over time
- The patient will feel better by next week
- The patient will understand their condition
What is a primary focus of a care plan?
What is a primary focus of a care plan?
- To assign blame for health problems
- To document past medical history
- To evaluate the effectiveness of interventions (correct)
- To focus solely on the clinician's observations
What is a risk problem that could be identified during a health assessment?
What is a risk problem that could be identified during a health assessment?
Signup and view all the answers
How should nursing assessments be approached?
How should nursing assessments be approached?
Signup and view all the answers
What is an important aspect when administering medications?
What is an important aspect when administering medications?
Signup and view all the answers
What is the role of communication in patient care?
What is the role of communication in patient care?
Signup and view all the answers
What does evaluation in patient care involve?
What does evaluation in patient care involve?
Signup and view all the answers
Flashcards are hidden until you start studying
Study Notes
Physical Exam and Care Planning
- Establish a clear and thorough care plan based on the patient's needs and observations.
- Building a relationship with patients enhances effective communication and trust.
- Document observations accurately and distinctly, focusing on what is seen and reported by the patient.
Patient Assessment and Problem Evaluation
- Conduct a comprehensive assessment including baseline evaluations to understand the patient's current health status.
- Use observations as a basis for evaluating the patient's condition, not solely relying on patient reports.
- Identify actual problems (e.g., edema) and potential risks (e.g., swelling in legs) for proactive care.
Collaboration in Patient Care
- Emphasize the importance of teamwork and collaboration when caring for patients.
- Regularly evaluate interventions to determine effectiveness: Did the care given meet the patient's needs?
- Consider all aspects of patient health, including mobility, gas exchange issues (e.g., pneumonia), and lifestyle concerns (e.g., alcohol syndrome).
Setting Goals and Priorities
- Focus on achievable SMART (Specific, Measurable, Achievable, Relevant, Time-bound) goals for patient progress, such as walking specific distances.
- Understand the rationale behind each procedure or medication administered to prioritize patient care appropriately, particularly concerning critical issues like breathing difficulties.
Continuous Evaluation and Education
- Continuous evaluation is key to patient care; reassess whether initial goals were achieved.
- Conduct thorough health history assessments, including family health backgrounds, to identify potential health patterns.
- Provide education to patients on health management, such as medication adherence for high blood pressure and preventive screenings.
Importance of Research and Screening
- Utilize research to justify nursing practices and interventions.
- Aim for early detection of health issues through screening to prevent complications and advance treatment.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
