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The Nursing Process

Review of terminology and information over Chapter 4.

AB
analysisusing data to determine client need or nursing diagnosis
assessmentcollection of subjective and objective data
evaluationdecision-making process determining the effectiveness of nursing actions or interventions
expected outcomeexpected behavior and physical and mental state of the client after a therapeutic intervention
implementationcarrying out of a plan of action
independent nursing actionsactions that do not require a physician’s orders
initial assessmentgathering of baseline data
nursing diagnosisdescription of a client problem
nursing processframework for nursing action, consisting of a series of problem-solving steps, which helps members of the health care team provide effective and consistent client care
objective datainformation obtained through a physical assessment or physical examination, laboratory tests, or scans
ongoing assessmentcontinuing assessment activities that proceed from the initial nursing assessment
planningdesign of steps to carry out nursing actions
subjective datainformation supplied by the client or family
anxietyvague uneasiness or apprehension that manifests itself in varying degrees
deficient knowledgethe absence or deficiency of cognitive information on a specific subject
baselineobjective data obtained at the time of admission


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