Nursing 104

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 .......................................................................................................................... 14 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.........................................................................................................................................................................31 2.5 Eyes ........................................................................................................................................................................32 2.6 Nose........................................................................................................................................................................35 2.7 Mouth/Throat .....................................................................................................................................................36 2.8 Neck........................................................................................................................................................................38 2.9 Chest/Thorax.......................................................................................................................................................40 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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