Student: _______________ NUR 101 Clinical Concept Map (Clinical Worksheet page 1)

NUR 101 Clinical Area - Student use ACTUAL data findings ... Assess the patient. Develop one physiological/psychosocial nursing diagnosis- all parts
of nursing diagnosis

Nursing Diagnosis/Problem/Label (Second

Nursing Diagnosis/Problem/Label (Focus of the Initials: ___ Age: ___ Adm. Date: __
Physiological)
week) Advanced Directives: __________
____________________________ Data
Data Chief complaint:
_______________________________
Objective:
Objective: _______________________________
Admitting Diagnosis:
_______________________________
_______________________________
PMH: _______________________
_____________________________
Subjective: _____________________________
_____________________________
_____________________________ Subjective:
________________________

PSH: _______________________
Nursing Diagnosis/Problem/Label
Religion:_____________________ (Psychosociocultural)

Culture:______________________ Data

Objective:

Subjective:

Fall 2017 NUR101

 NUR 101 Clinical Concept Map (Clinical Worksheet page 2)

Utilize the nursing diagnoses/Label on page 1 that you developed. Identify appropriate nursing interventions. This is your basis of your homework .

Actual Nursing Actual Nursing Diagnosis/Problem/Label (Second Actual Nursing Diagnosis/Problem/Label

Diagnosis/Problem/Label (Focus of the Physiological) (Psychosociocultural))
week)

Goal:
Goal:
Goal:
Interventions:
Interventions:
Interventions:

Fall 2017 NUR101

 Explain how the focused Nursing Diagnosis relates to the patient problem(s)
(How the medical diagnosis (secondary to) connects to the (related to) and how that relates to the nursing diagnosis/problem)-use text
for rationale

Focused Nursing Diagnosis:________________________________________________________________________________________________

Defining Characteristics as per Carpenito:______________________________________________________________________________________

Fall 2017 NUR101

Utilize the information on page 1 and 2 to fill in information below. Briefly explain why/how the nursing intervention helps achieve the goal. Include
any new interventions utilize. Insert and document patient’s actual response to the plan of care (compare and contrast to prior patient data and/or
norms). Evaluate and summarize patient’s outcome.

Patient Outcome/Goal:

Nursing Interventions: Actual patient response:

Scientific rationale:

Evaluation:

(Author, p )

Fall 2017 NUR101

Nursing Interventions: Actual patient response:

Scientific rationale:

Evaluation:

Nursing Interventions: Actual patient response:

Scientific rationale:

Evaluation:

Nursing Interventions: Actual patient response:

Scientific rationale:

Evaluation:

Fall 2017 NUR101

Nursing Interventions: Actual patient response:

Scientific rationale:

Evaluation:

Nursing Interventions: Actual patient response:

Scientific rationale:

Evaluation:

(Add more boxes as needed)

Overall Evaluation of Goal attainment (was the overall goal met/ not met/partially met and explain why or why not):

Reference List (APA format)

Fall 2017 NUR101
Include peer review evidence based article to support your plan. Submit/attach article(s) with homework on Black Board.

Fall 2017 NUR101