FUNDA LAB NCP (1)

Question 1

The nursing process is modified as

Answer 1

scientific method

Question 2

Nursing practice was first described as a five-stage nursing process by ____ it should not be focused with NURSING THEORIES OR HEALTH INFORMATICS

Answer 2

ida jean orlando (1958)

Question 3

is a systematic problem-solving approach used to identify, prevent and treat actual or potential health problems and promote wellness

Answer 3

nursing process

Question 4

• to identify a client’s health status and actual or potential health care problems or needs
• to establish plants to met the identified needs
• to deliver specific nursing interventions to meet those needs

Answer 4

purposes of nursing process

Question 5

Developed the Nursing Process as we know it today is based upon the “Deliberative Nursing Process Theory”.

Answer 5

ida jean orlando pelletier

Question 6

Nurses use the standard nursing process in Orlando’s Nursing Process Discipline Theory to _________

Answer 6

produce positive outcomes or patient improvement.

Question 7

____ Is a critical thinking process that professional nurses use to apply the best available evidence to caregiving and promotion human functions and responses to health and illness

Answer 7

Nursing process (ANA 2010)

Question 8

characteristics of nursing process

Answer 8

cyclic
dynamic nature
client centeredness
focus on problem solving and decision making
interpersonal and collaboration style
universal applicability
use of critical thinking and clinical reasoning

Question 9

-is a unique approach or the nursing process that requires CARE RESPECTFUL of and responsive to the individual patient’s needs, preferences, values. The nurse functions as PATIENT ADVOCATE by keeping the patient’s right to practice informed decision making and maintaining ______ engagement in the health care settimg

Answer 9

patient-centered

Question 10

the nursing process provides the basis for the therapeutic process in which the nurse and patient RESPECT EACH OTHER as an individual, both of them learning and growing due to the interaction, It involves the INTERACTION BETWEEN the nurse and the patient with a common goal

Answer 10

interpersonal

Question 11

the nursing process functions effectively in nursing and inter-professional teams, promoting open communication, mutual respect and SHARED decision making to achieve quality patient care

Answer 11

collaborative

Question 12

the nursing process is a ________ process in which EACH PHASE INTERACTS with and is influenced by the other phases

Answer 12

dynamic and cyclical

Question 13

the use of the nursing process requires _______ which is a vital skill required for nurses in IDENTIFYING CLIENT PROBLEMS AND IMPLEMENTING INTERVENTIONS to promote effective care outcomes

Answer 13

critical thinking

Question 14

is the systematic and continuous collection, organization, validation and documentation of data (information)

Answer 14

assessment

Question 15

performed within SPECIFIED time after admission. to establish a complete database for problem identification (ex: nursing admission assessment)

Answer 15

initial nursing assessment

Question 16

to determine the status of a SPECIFIC PROBLEM identified in an earlier assessment (ex: hourly checking of vs)

Answer 16

problem-focused assessment

Question 17

during EMERGENCY SITUATION to identify any LIFE THREATENING situation (rapid assess of indiv airway and breathing status)

Answer 17

emergency assessment

Question 18

several month after initial assessment. to COMPARE the client’s current health status with the data PREVIOUSLY obtained

Answer 18

time-lapsed reassessment

Question 19

The nurse completes a holistic nursing assessment of the needs of the individuals/family/community, regardless of the reason for the encounter. The nurse collects SUBJECTIVE AND OBJECTIVE DATA using a nursing framework such as MARJORY GORDON’s functional health patterns

Answer 19

true

Question 20

is the process of gathering information about a client’s health status. it includes the health history, physical examination, results of laboratory and diagnostic test and material contributed by other health personnel

Answer 20

data collection/collection of data

Question 21

also referred to as symptoms or covert data, are clear only to the person affected and can be described only by that person (ex; itching, pain, feelings)

Answer 21

subjective data

Question 22

also referred to as signs or overt data, are detectable by an observer or can be measured or tested against an accepted standard. they can be seen, heard,smelled. ex: a discoloration of a skin or a bp reading

Answer 22

objective data

Question 23

it is the direct source of information.

Answer 23

primary

Question 24

it is the indirct source of information. all sources other than the client are considered ______ like family members, health prof, records, lab, diagnostic

Answer 24

secondary data

Question 25

it is gathering data by using the senses. vision smell and hearing are used

Answer 25

observation

Question 26

an _____ is planned communication or s conversation with a purpose

Answer 26

interview

Question 27

the physical _____ is a systematic data collection method to detect health problems. to conduct it, the nurses uses techniques of inspection, palpation, percussion and auscultation

Answer 27

examination

Question 28

the nurses uses a format that organizes the assessment data systematically. this is often referred to as nursing health history or nursing assessment form

Answer 28

organization of data

Question 29

the information gathered during the assessment is “double-checked” or verified to confirm that is is accurate or complete

Answer 29

validation data

Question 30

to complete the assessment , the nurse records client data. accurate documentation is essential and should include all data collected about the health status

Answer 30

documentation data

Question 31

- analyze data - identify health problems, risks, and strength - formulate diagnosis statements

Answer 31

diagnosing

Question 32

“a clinical judgement concerning a human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community”

Answer 32

NANDA

Question 33

is the second phase of the nursing process, in this phase, nurses use critical thinking skills to interpret assessment data to identify client problems

Answer 33

diagnosis

Question 34

MEANING OF NANDA

Answer 34

north american nursing diagnosis association

Question 35

This phase in the nursing process is one of the most important. We must consider all external factors of the patient (environmental, socioeconomic, and physiological etc.) when developing a diagnosis, which can be challenging at times.

Answer 35

nursing diagnosis

Question 36

it is a client problem that is present at the time of the nursing asses

Answer 36

actual diagnosis

Question 37

relates to client’s preparedness to improve their health condition

Answer 37

health promotion diagnosis

Question 38

is a clinical judgement that a problem does not exist, but pt the presence of risk factors indicates that a problem may develop if adequate care is not given

Answer 38

risk nursing diagnosis

Question 39

3 components of NANDA

Answer 39

problem statement, etiology, defining characteristics

Question 40

component of a nursing diagnosis identified causes of the health problem

Answer 40

etiology

Question 41

component of a nursing diagnosis identifies causes of the health problem

Answer 41

etiology

Question 42

describes the client’s health problems

Answer 42

problem statement

Question 43

are the cluster of signs and symptoms that indicate the presence of health problem

Answer 43

defining characteristics

Question 44

- prioritize problems/diagnoses - formulate goals/desired outcomes - select nursing interventions - write nursing interventions

Answer 44

planning

Question 45

- it involves decision making and problem solving - it is the process of formulating client goals and designing the nursing interventions required to prevent, reduce or eliminate the client’s health problems

Answer 45

planning

Question 46

planning which is done after the initial assessments

Answer 46

initial planning

Question 47

it is a continuous planning

Answer 47

ongoing planning

Question 48

planning for needs after discharge

Answer 48

discharge planning

Question 49

nurses frequently use ________ of needs when setting priorities

Answer 49

maslow’s hierarchy

Question 50

what are the 5 maslow’s hierarchy starting from lower to upper

Answer 50

physiological needs safety needs belongingness and love needs esteem needs self actualization

Question 51

it can be achieved in a reasonable amount of tike (few hours to de days)ex:8hrs

Answer 51

short term

Question 52

this may take weeks/months to be achieved

Answer 52

long term

Question 53

a ______ is any treatment, that a nurse performs to improve patient’s health

Answer 53

nursing interventions

Question 54

the process of implementation includes

Answer 54

implementing the nursing interventions and documenting nursing activities

Question 55

Any intervention that the nurse can independently provide without obtaining a prescription is considered an _______ An example of an _______ nursing intervention is when the nurses monitor the patient’s 24-hour intake/output record for trends because of a risk for imbalanced fluid volume.

Answer 55

independent nursing interventions

Question 56

require a prescription before they can be performed. Prescriptions are orders, interventions, remedies, or treatments ordered or directed by an authorized primary health care provider. A primary health care provider is a member of the health care team (usually a physician, advanced practice nurse, or physician’s assistant) who is licensed and authorized to formulate prescriptions on behalf of the client. For example, administering medication

Answer 56

dependent nursing interventions

Question 57

“The nurse will reposition the patient with dependent edema frequently, as appropriate.”

Answer 57

independent nursing interventions

Question 58

are actions that the nurse carries out in collaboration with other health team members, such as physicians, social workers, respiratory therapists, physical therapists, and occupational therapists. These actions are developed in consultation with other health care professionals and incorporate their professional viewpoint.

Answer 58

collaborative nursing interventions

Question 59

“The nurse will administer scheduled diuretics as prescribed.”

Answer 59

dependent nursing interventions

Question 60

“The nurse will administer scheduled diuretics as prescribed.”

Answer 60

collaborative nursing interventions

Question 61

is a written or computers information about the client’s care

Answer 61

nursing care plan

Question 62

action performed to client (inserting foley catheter)

Answer 62

direct care interventions

Question 63

actions performed away from client ( looking at lab results)

Answer 63

indirect care interventions

Question 64

- putting your plan into action - set priorities after report - assess and reassess /revise or review - perf interventions - chart client response - give report to next shift - organize resources and care delivery

Answer 64

implementation

Question 65

is a planned, ongoing, purposeful activity in which the nurse determines (a) the client’s progress toward achievement of goals/outcomes and (b) the effectiveness of the ncp

Answer 65

evaluation