41-50 Flashcards
(21 cards)
A systematic, rational method of planning and providing individualized nursing care
Nursing Process
Who are the clients?
Individual
Family
Community
Group
Purpose of the Nursing Process
identify
establish plans
deliver
IPD
Phases of the nursing process accrd. to ANA
ADOPIE
assessment diagnosis outcome identification planning implementation evaluation
Phases of the nursing process accrd. to NCLEX
ADPIE
Characteristic of nursing process
Each phase provides input into the next phase.
Cyclic and Dynamic Nature
Characteristic of nursing process
Plan of care is according to client problems, rather than
nursing goals.
Client-Centeredness
Characteristic of nursing process
Directed towards client’s responses rather than on
physiological system and disease process.
Focus on Problem Solving & Decision Making
Characteristic of nursing process
Use as a framework for nursing care in all types of healthcare settings.
Universal Applicability
process of intentional higher level thinking to define a client’s problem, examine the evidence-based practice in caring for the client, and make choices in the delivery of care.
Critical Thinking
cognitive process that uses thinking strategies to gather and analyze client information
Clinical Reasoning
a mental activity in which a problem is identified that represents an unsteady state, and requires the nurse to obtain information that clarifies the nature of the problem and suggest possible solutions.
Problem Solving
refers to disease process
MEDICAL DIAGNOSIS
describe the human response (physical, sociocultural, psychological, and spiritual response) to an illness. It changes as the client’s response changes.
NURSING DIAGNOSIS
Components of a NANDA Nursing Diagnosis
- Problem and Definition
- Etiology (Related factors/Risk factors)
- Defining Characteristics
words that have been added to
give additional meaning to the diagnostic statement
qualifiers
client’s signs and symptoms
Actual Nursing Diagnosis
factors that cause the client to be more vulnerable to the problem; cues. No subjective or objective signs
Risk Nursing Diagnosis
Diagnostic Process
- Analyzing Data
- Identifying Health Problems, Risks and Strengths
- Formulating Diagnostic Statements
generally accepted measure, rule, model or pattern.
Standard/Norm
Formats in formulating diagnostic statements
Basic Two-Part Statements (PE Format)
Basic Three-Part Statements (PES)
One-Part Statement
