N104: Essentials of Nursing Care - Health Safety

N104: Essentials of Nursing Care – Health Safety Study Guide

Table of Contents Chapter One: The Nursing Process ................................................................................................................. 6 1.1 Assessment ....................................................................................................................................................................7 Purpose of the Assessment ...........................................................................................................................................................7 Types of Assessments......................................................................................................................................................................7 Types of Assessment Data .............................................................................................................................................................8 Components of the Assessment...................................................................................................................................................8 1.2 Analysis and Diagnosis ........................................................................................................................................... 11 Analysis of the Data ....................................................................................................................................................................... 11 Problem Identification ................................................................................................................................................................. 11 Nursing Diagnosis Overview ..................................................................................................................................................... 11 Developing the Nursing Diagnoses List ................................................................................................................................ 12 1.3 Planning ....................................................................................................................................................................... 13 Nursing Diagnosis Prioritization ............................................................................................................................................. 13 Identification of Goals or Expected Outcomes ................................................................................................................... 13 Identification of Nursing Interventions ................................................................................................................................ 14 Development of the Patient’s Plan of Care........................................................................................................................... 15 1.4 Implementation/Intervention............................................................................................................................. 16 1.5 Evaluation ................................................................................................................................................................... 17 1.6 Conclusion................................................................................................................................................................... 18 1.7 Chapter One Practice Exam................................................................................................................................... 19 Chapter Two: The Physical Examination....................................................................................................21 2.1 Skin ................................................................................................................................................................................ 21 2.2 Neurological ............................................................................................................................................................... 22 2.3 Musculoskeletal ........................................................................................................................................................ 28 2.4 Ears ................................................................................................................................................................................ 30 2.5 Eyes................................................................................................................................................................................ 32 2.6 Nose ............................................................................................................................................................................... 35 2.7 Mouth/Throat ............................................................................................................................................................ 36 2.8 Neck ............................................................................................................................................................................... 38 2.9 Chest/Thorax ............................................................................................................................................................. 39 2.10 Breasts and Lymph Nodes................................................................................................................................... 41 2.11 Cardiac/Cardiovascular....................................................................................................................................... 43 2.12 Abdomen ................................................................................................................................................................... 44 2.13 Extremities ............................................................................................................................................................... 46 2.14 Chapter Two Practice Exam ............................................................................................................................... 48 Chapter Three: Communication and Learning Issues............................................................................50 3.1 Communication ......................................................................................................................................................... 50 Communication Process .............................................................................................................................................................. 50 Types of Communication............................................................................................................................................................. 51 Therapeutic Communication ..................................................................................................................................................... 52 Communication Barriers............................................................................................................................................................. 53 3.2 Teaching and Learning ........................................................................................................................................... 54

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