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rwhitley59
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nursing process
an organized sequence of problem-solving steps used to identify and to manage the health problems of clients
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within the legal scope of nursing
an independent problem-solving role that involves the diagnosis and treatment of human responses to actual or potential health problems
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critical thinking
a process of objective reasoning or analyzing facts to reach a valid conclusion
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objective data
- observable and measurable facts;
- also known as signs
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subjective data
- consists of information that only the client feels and can describe;
- also known as symptoms
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data base assessment
initial information about the client's physical,emotional, social, and spiritual health
serves as a reference point for comparing all future data andf identifies the client's initial problems
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focus assessment
information that provides more details about specific problems and expands the original data base
usually repeated frequently to determine trends
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The NANDA List
developes and approves nursing diagnosis terms
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NANDA List
developes and approves nursing diagnosis terms
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collaborative problems
physiologic complications that require both nurse- and physician- prescribed interventions
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planning
the process of prioritizing nursing diagnoses and collaborative problems, identifying measurable goals or outcomes, selecting appropriate interventions, and documenting the plan of care
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