NURSING Exam 1 - Into to nursing process Flashcards
What are the steps of the nursing process?
Assessing
Diagnosing
Planning
Implementing
Evaluating
what is the nursing process?
a systematic method that directs the nurse and patient through the nursing problem solving method.
Describe assessing process
Collection of data, validation and communication of patient data
pg 193
Describe the diagnosing step
Analysis of patient data to identify patient strengths and health problems that nursing intervention can prevent or solve
pg. 193
Describe the outcome ID/planning step
Specification of patient outcomes to prevent, reduce, or resolve the problems identified in the nursing diagnoses and related nursing intervention
pg. 193
Describe the implementing step:
Carrying out plan of care
pg. 193
Describe the evaluating step:
Measuring the extent to which the patient has achieved the outcomes specified in the plan of care
- ID factors that positively or negatively influenced outcome achievement
- revise plan of care if necessary
pg. 193
What are three types of problem solving methods?
Trial and error (not recommended for nursing)
Scientific (data based)
Intuitive (background experience based)
define Assessing
the systematic and continuous collection, validation, analysis, and communication of patient data
pg. 222
What are the types of assessments?
- initial assessment
- focused assessment
- emergency assessment
- time-lapsed assessment
what are the types of data?
Objective
Subjective
pg. 228
what is Subjective data?
information perceived only by the affected person; not measurable
what is Objective data?
observable and measurable data that can be seen, heard, or felt by someone other than the affected person
pg. 228
Name some sources of patient data:
- patient
- family and significant others
- patient record
- other healthcare proffesionals
- nursing other healthcare literature
purpose of Diagnosing:
- identify how an individual, group, or community responds to health and life processes
- identify factors that contribute to or cause health problems
- identify resources or strengths that can be drawn on to prevent or resolve problems