NURSE 2100 Unit 1, ch.10 Tegrity 1Outline of Tegrity 1: ‘The Nursing Process’- The Five Standards of the Nursing ProcessI. Standard 1: Assessment a. Establish nursing contractb. Obtain information from patient and familyc. Validate data with patienti. Do you, as a nurse, understand the core issue?d. Organize data i. Biological ii. Social1. How does the patient function within social relationships?2. Is there a cultural impact?3. Are there any legal issues?4. What is the patient’s quality of life, as defined by them?iii. Psychological 1. Mental status2. Behavior3. Stress and coping4. Risk assessment **LISTENING is the most important skill in nursing II. Standard 2: Diagnosis a. Analyze data and validate data with clientb. Identify nursing diagnosis and validatec. Nursing diagnosis is different than medical diagnosis in that a nurse can help to alleviate symptoms or watch over those in a nursing diagnosis III. Standard 3: Outcomea. Specify expected outcome and validate with clientIV. Standard 4: Planninga. Prioritize goalsi. Safety is the most importantb. Generate alternativesc. Identify nursing activitiesThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.d. Validate with client V. Standard 5: Implementa. Implement nursing activities with assistance from clientb. Coordinate with team membersc. Continue to collect data about implementation and its successi. Does anything need to be changed?VI. Standard 6: Evaluate a. Evaluate outcome of health care in consult with clienti. Did we meet our goal?b. Modify nursing process as neededc. Participate in quality implementation activitiesd. Evaluate patient family
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