NURSING Exam 1 - Into to nursing process Flashcards

0
Q

What are the steps of the nursing process?

A

Assessing

Diagnosing

Planning

Implementing

Evaluating

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1
Q

what is the nursing process?

A

a systematic method that directs the nurse and patient through the nursing problem solving method.

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2
Q

Describe assessing process

A

Collection of data, validation and communication of patient data

pg 193

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3
Q

Describe the diagnosing step

A

Analysis of patient data to identify patient strengths and health problems that nursing intervention can prevent or solve

pg. 193

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4
Q

Describe the outcome ID/planning step

A

Specification of patient outcomes to prevent, reduce, or resolve the problems identified in the nursing diagnoses and related nursing intervention

pg. 193

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5
Q

Describe the implementing step:

A

Carrying out plan of care

pg. 193

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6
Q

Describe the evaluating step:

A

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
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7
Q

What are three types of problem solving methods?

A

Trial and error (not recommended for nursing)

Scientific (data based)

Intuitive (background experience based)

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8
Q

define Assessing

A

the systematic and continuous collection, validation, analysis, and communication of patient data

pg. 222

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9
Q

What are the types of assessments?

A
  • initial assessment
  • focused assessment
  • emergency assessment
  • time-lapsed assessment
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10
Q

what are the types of data?

A

Objective

Subjective

pg. 228

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11
Q

what is Subjective data?

A

information perceived only by the affected person; not measurable

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12
Q

what is Objective data?

A

observable and measurable data that can be seen, heard, or felt by someone other than the affected person

pg. 228

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13
Q

Name some sources of patient data:

A
  • patient
  • family and significant others
  • patient record
  • other healthcare proffesionals
  • nursing other healthcare literature
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14
Q

purpose of Diagnosing:

A
  1. identify how an individual, group, or community responds to health and life processes
  2. identify factors that contribute to or cause health problems
  3. identify resources or strengths that can be drawn on to prevent or resolve problems
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15
Q

Medical diagnoses vs. Nursing diagnosess

A

medical diagnoses identify diseases

nursing diagnoses focus on unhealthy responses to health and illness