Nursing Documentation

Question 1

Nursing process includes what?

Answer 1

ADPIE

Question 2

What is assessment?

Answer 2

Gather information. Collect data.

Question 3

What is diagnosis?

Answer 3

Nursing diagnosis. Interpret the information given.

Question 4

What is plan?

Answer 4

Set goals for the problem. Prioritize the outcomes of care.

Question 5

What is implement?

Answer 5

Reach the goals through nursing action.

Question 6

What is evaluate of nursing process?

Answer 6

Determine the outcome of the goals. Evaluate the patient’s compliance. Modify and assess.

Question 7

Define objective data.

Answer 7

Unbiased facts. Things you can observe. Example: VS, Bleeding, vomitting.

Question 8

Define subjective data.

Answer 8

Opinions or bias. Example: pain, history, emotions.