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307 Exam 1

Terms in this set (164)

Steps of the Nursing Process
Assessment
Diagnosis
Planning
Implementation
Evaluation
Assessment
gather data from the client through interview, physical exam and observation to make judgments
critical reasoning cycle
consider patient
collect information
process information
identify problems
establish goals
take action
evaluate outcomes
reflect on process
Nonmaleficence
to do no harm
Benefience
to act to promote the good of the client
autonomy
clients right to make decisions
Justice
to treat everyone fairly regardless of their ability to pay for treatment, social status cultural or religious background
Confidentiality
respecting the rights of the client to maintain privacy
Therapeutic communication
-keep questions focused and relevant to context and situation
-redirect client as needed
-clarify to see if information is correct
-keep emotionally charged conversation for last
-be vigilant throughout the conversation
nontherapeutic communication
-give approval and disapproval
-asks for explanations
-give false reassurances
-use plural pronouns like "we"
-give personal opinions
ISBARR
-Introduce
-Situation
-Assessment
-Recommendations
-Read back orders
tools for chest
-stethoscope
-doppler
-inspect
-auscultate
tools for abdomen
-stethoscope
-inspect
-palpate
-auscultate
-tape measure
tools for eye assessment
-inspect
-penlight
-palpate
tools for foot assessment
-inspect
-palpate
-doppler
-blood pressure cuff
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