Key Highlights from Nursing Process Lecture

Question 1

List the different type of reasoning

Answer 1

Socrative
Inductive
Deductive

Question 2

Describe socrative reasoning

Answer 2

Examines multiple points of view/ examines assumptions and looks for inconsistencies

Question 3

Describe indcutive reasoning

Answer 3

Generalizations formed from a set of facts or observations

Question 4

Describe deductive reasoning

Answer 4

General premise to the specific conclusion

Question 5

Normal electrolytes

Answer 5

Na - 135 - 145
K - 3.5 - 5.0
Cl - 95 -108
Ca - 8.5 - 10.5
Mg - 1.5 - 2.5
Ph - 2.5 - 4.5

Question 6

Describe objective data

Answer 6

Measurable data (i.e. vital signs, lab values, information on medical chart)

Question 7

Describe subjective date

Answer 7

Anything the pt tells you or the information given to you by their family members or caregivers. This is THEIR story and only they can tell it.

Question 8

In the cognative domain of learning, what are the four types of styles:

Answer 8

Problem solving
Decision making
Creativity
Critical thinking

Question 9

Which parts of the nursing process overlap each other?

Answer 9

Assess and Evaluation

Question 10

Which four parts of the nursing process belong to the pt?

Answer 10

Assess
Diagnosis
Plan
Evaluation

Question 11

What part of the nursing process belong to the nurse?

Answer 11

Intervention

Question 12

What are the two types of interpersonal skills?

Answer 12

Verbal
Nonverbal

Question 13

Describe verbal interpersonal skills

Answer 13

Speaking

Question 14

Describe nonverbal interpersonal skills

Answer 14

Touch
facial expressions
gestures

Question 15

When should the initial assessment take place?

Answer 15

Should be completed in 24 hours

Question 16

What is included in the initial assessment?

Answer 16

Complete health hx
Physical examination

Question 17

All NANDA dx do this

Answer 17

Promote taxonomy of nursing

Question 18

In a NANDA two part label, it does not have __________.

Answer 18

Signs / symptoms

Question 19

What are the three types of planning?

Answer 19

Initial
Ongoing (done by all nurses who work with pt)
Discharge

Question 20

What are the four types of nursing care plans?

Answer 20

Informal
Formal
Standardized (formal - actions for group of clients with common needs)
Non standardized

Question 21

What are the types of nursing interventions?

Answer 21

Independent
Dependent

Question 22

What is initial planning?

Answer 22

Client contact - continues until pt leave
Hands on exam

Question 23

Describe independent nursing interventions:

Answer 23

Actions that the nurse can do without being told or ordered (teaching ensuring the pt is in a safe environment, monitoring the pt)

Question 24

Describe dependent nursing interventions

Answer 24

Responsibilities that have been ordered or authorized by the attending physician (medication administration)

Question 25

How are nursing care plans evaluated?

Answer 25

Met Partially met Not met

Question 26

When gathering subjective data, you can legally get information from these people regarding the patient:

Answer 26

Parents Care givers (both secondary sources of data)

Question 27

What are the four types of assessments?

Answer 27

Initial Problem focused Emergency Time lapsed

Question 28

Describe what a problem focused assessment is

Answer 28

Ongoing process with nursing care to determine a status of a specific problem identified in an earlier assessment. (ex: hourly assessment of I&O for pt in ICU)

Question 29

Describe what an emergency assessment is

Answer 29

Any physiologic or psychologic crisis (ex: rapid assessment of Pts airway, breathing, and circulation during cardiac arrest)

Question 30

Describe a time-lapsed assessment

Answer 30

Occurs several months after initial assessment (compares current status to baseline data previously obtained)

Question 31

Using a direct interview method, which type of questions are asked?

Answer 31

Close ended questions (yes or no// begin with: when, where, who, does/did, is-are-was)

Question 32

Using the non-directive interview method, which type of questions are asked?

Answer 32

Open ended (broad topics// begin with: what, how, would you describe)

Question 33

In the physiological level of Maslow's Hierarchy of needs, what are the priorities?

Answer 33

Oxygen Food Water Shelter Maintaining body temperature Sleep Excretion