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Core - Nursing

    Chapter 7

    The Nursing Process II

    7.1 : Nursing Assessment01:29

    7.1 : Nursing Assessment

    The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the ...

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    7.2 : Data Collection I01:30

    7.2 : Data Collection I

    Data collection gathers information needed to make accurate judgments about a patient's present condition. During a health history interview, ...

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    7.3 : Data Collection II01:29

    7.3 : Data Collection II

    The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The ...

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    7.4 : Data Collection III01:05

    7.4 : Data Collection III

    The physical assessment examines the patient for objective data that defines the patient's condition, and aids in formulating the nursing care plan. ...

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    7.5 : Data Validation01:03

    7.5 : Data Validation

    Data validation is an essential part of a comprehensive assessment. Validation is confirming or verifying and opening the door to gathering more ...

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    7.6 : Data Reporting and Recording01:24

    7.6 : Data Reporting and Recording

    Reporting and recording are crucial in data documentation. The timely, thorough, and accurate documentation of facts is essential when recording patient ...

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    7.7 : Nursing Diagnosis01:22

    7.7 : Nursing Diagnosis

    Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. ...

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    7.8 : Formulating and Validating Nursing Diagnosis I01:26

    7.8 : Formulating and Validating Nursing Diagnosis I

    A nursing diagnosis is written when the nurse recognizes a cluster of essential patient data indicating health problems treated with independent nursing ...

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    7.9 : Formulating and Validating Nursing Diagnosis II01:25

    7.9 : Formulating and Validating Nursing Diagnosis II

    Nursing diagnoses represent a problem validated by major defining characteristics. There are four categories of nursing diagnoses: problem-focused, risk, ...

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    7.10 : Documentation of Nursing Diagnosis01:10

    7.10 : Documentation of Nursing Diagnosis

    The nurse documents nursing diagnoses and enters them into the patient record. The identified patient's nursing diagnosis is either written out with a ...

    1.2K views
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