Nursing Exam 1

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14 Terms

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ADPIE

asses, diagnose, plan, implement evaluate

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Assessment

gather information/collect data

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Analysis/Diagnosis

analyze and interpret data (identify patient problems and needs)

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Planning

formulate patient outcomes/goals

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Implementation

action phase; carry out planned interventions

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Evaluation

evaluate the achievement of the goals and patient's response to interventions

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initial and ongoing

initial- data related to a patient's reason for seeking care

ongoing- performed as needed; may identify new problems

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comprehensive assessment

used to obtain holistic information regarding patient's overall health

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focused assessment

used to obtain information about actual or potential problems

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SMART

Specific, Measurable, Achievable, Relevant, and Time-bound

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Maslow's Hierarchy of Needs

small -> large

self-actualization-> esteem needs-> belongingness and love needs-> safety needs-> physiological needs

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ABCDE

Airway, Breathing, Circulation, Disability, Exposure

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Delegating

the process of transferring the responsibility for the performance of a task from one individual to another, WHILE retaining accountability for the outcomw

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SOAP

Subjective, Objective, Assessment, Plan