NRS 220 chapter 1&2

  1. subjective data=
    what a person says about themselves
  2. objective data =
    what you observe
  3. database= 
    objective and subjective data
  4. diagnostic reasoning
    process of analyzing health data and drawing conclusions to identify diagnosis
  5. what is the nursing process?
    • assessment
    • diagnosis
    • outcome identification
    • planning
    • implementation
  6. what key factors are involved in establishing a diagnosis
    • interpret data (id clusters, make inferences)
    • validate inferences
    • compare clusters of cues
    • identify related factors
    • document diagnosis
  7. what is involved in the outcome id
    • identify expected outcomes
    • individualize to the person
    • ensure outcomes are realistic and measurable
    • include a time frame
  8. what is involved in planning
    • establish priorities
    • develop outcomes
    • set time frame
    • identify interventions
    • document plan of care
  9. what is critical thinking in nursing
    ability to think in a systematic and logical manner with openness to question and reflect on the reasoning process used to ensure safe nursing practice and quality care
  10. critical thinkers strive to be 
    • clear, accurate, precise, logical, complete, significant and fair
    • when listening, speaking, reading and writing
  11. what are the different levels of priorities
    • 1st level = emergent ABC's
    • 2nd level = next in urgency (pain, MS, urinary retention, abnormal labs)
    • 3rd level = pt knowledge deficit, low self esteem, altered family process
  12. which health model does nursing follow?
    holistic = concerned with the person as a whole (disease, social, spiritual)
  13. types of databases are 
    • complete (total health)
    • episodic (problem centered)
    • follow-up 
    • emergency database
Card Set
NRS 220 chapter 1&2
220 chapter 1&2