NR 302 – FINAL EXAM STUDY GUIDE
Nurses’ role in health assessment
o ADPIE
o Assessment – collection of data from multiple sources
Review of clinical record; interview; health history; physical examination;
funct
...
NR 302 – FINAL EXAM STUDY GUIDE
Nurses’ role in health assessment
o ADPIE
o Assessment – collection of data from multiple sources
Review of clinical record; interview; health history; physical examination;
functional assessment; cultural/spiritual assessment; consultation; review of
literature
o Diagnosis – interpretation of data by identifying clusters of cues so as to make inferences
Compare clusters of cues with definitions and defining characteristics
Validation on inferences based on findings
Identify related factors
Document the diagnosis
o Planning – establish priorities based on meeting identified patient care goals
Develop outcomes and set time frames for meeting proposed outcomes
Identify relevant interventions and utilize interdisciplinary health care team
members in the care planning process for the patient
Document plan of care
o Implementation – determine patient readiness and involve patient in health care process
Review planned interventions with interdisciplinary health care team members
to facilitate collaborative effort
Utilize principles of delegation, being mindful of supervision and evaluation
Counsel person and significant others
Refer to continuing care
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