Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Fundamentals > NP > Flashcards

NP Flashcards

1
Q

is a systematic problem solving process that guide all nursing actions.

A

Nursing Process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

This is the type of thinking and doing that nurses use in their practice (ANA, 2004).

A

Nursing Process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Organized Systematic
Goal - oriented
Humanistic care
-leads to ?

A

Effective and Efficient NP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Introduced three steps of nursing process in 1959

A

Dorothy Johnson

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Dorothy Johnson’s 3 Steps in Nursing Process

A

Assessment
Decision
Nursing action

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Originated nursing process in 1955

A

Lydia Hall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lyda Hall three steps in Nursing Process

A

Note Observation
Ministration of care
Validation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Identified three steps of nursing process: 1961

A

Ida Jean Orlando

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Ida Jean Orlando Nursing Process steps

A

Clients behavior
Nurse’s reaction
Nurse’s actions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

has the four components of nursing process: 1967

A

Yura and Walsh

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Yura and Walsh has the four nursing components of nursing process:

A

Assessing
Planning
Implementing
Evaluating

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Described nursing process in 1967

A

Discover
Delve
Do
Decide
Descriminate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

True or False
ANA: Diagnosis distinguished as a separate step of nursing process 1973

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

True or False
ANA :Diagnosis of actual and potential health problems delineated as integral part of nursing practice. 1973

A

False;1980

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

• differentiated as a distinct step of the nursing process. (ADOPIE)

A

Outcome identification

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

A systematic, dynamic process by which the nurse, through interaction with the client, significant others, and health care providers, collects and analyzes data about the client (ANA, 2004).

A

Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Data may include the following dimensions: physical, psychological, sociocultural, spiritual, cognitive, functional abilities, developmental, economic, and lifestyle

A

Assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Types of Data

A

Subjective and Objective Data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q
  • “Symptoms” or covert data
A

Subjective Data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

-Client’s sensation, feelings, values, beliefs, attitudes, perception of personal health status and life situation.

A

Subjective Data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Information told to the nurse

A

Subjective Data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q
  • “signs” or Overt data
A

Objective Data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q
  • Vital signs results, x-ray test results, skin color and urine output.
A

Objective Data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Information gathered through a physical assessment or from laboratory or diagnostic test.

A

Objective Data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

True or False
Objective Data: It can be measured or Observed by the nurse or other health care providers
What the nurse Observes

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Gathering information about the client’s status

A

Data collection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Sources of Data

A

Primary Data
Secondary Data

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Subjective or objective data obtained from the client: what the client says or what you observe.

A

Primary Data

29
Q

All sources other than the client
- Significant others
- Client records
- Health care professionals

A

Secondary Data

30
Q

Methods of Data Collection

A

Observation
Interview

31
Q

-“All that you see,smell or sense becomes data in the context

A

Observation

32
Q

• planned communication or a conversation with a purpose.

A

Interview

33
Q

True or False
Observation is the Deliberate use of all five senses to gather and interpret patient and environment.

A

True

34
Q

• Purposeful, structured communication in which you question the patient to gather subjective data for the nursing databas

A

Nursing Interview

35
Q

Focus of Nursing Interview

A

Focus:
• Establishing rapport
• Gather information
•

36
Q

• Is the second step of Nursing Process
• The nurse analyzes the assessment data in determining Diagnoses.

A

DIAGNOSIS

37
Q

True or False
the nurse analyzes the data gathered during assessment and identifies problem areas for the patient.
The nurse then makes a nursing diagnosis.

A

True

38
Q

applies to the label when nurses assign meaning to collected data appropriately labeled with NANDA-I-approved nursing diagnosis

A

Nursing diagnosis

39
Q

is made by the physician or advance health care practitioner that deals more with the disease, medical condition, or pathological state only a practitioner can treat.

A

Medical Diagnosis

40
Q

There are three steps in the diagnosis step:

A

Data Analysis
Problem identification
Formulation of Nursing Diagnosis

41
Q

COMPONENTS OF A NURSING DIAGNOSIS

A

Problem statement/Diagnostic label
Etiology
Risk Factors
Defining Characteristics

42
Q

describes the client’s health problem or response for which nursing therapy is given as concisely as possible.

A

Problem statement/Diagnostic label

43
Q

Problem Statement/Diagnostic Label two parts

A

two parts: QUALIFIER & FOCUS (of the diagnosis)

44
Q

:
-are words that have been added to some NANDA label to give additional meaning to the diagnostic statement:

A

QUALIFIERS

45
Q

Deficient -
Impaired-
Decreased -
Ineffective -
Compromised -

A

Deficient - (inadequate in amount, quality, or degree; not sufficient; incomplete)
Impaired - (made worse, weakened, damaged, reduced, deteriorated)
Decreased - (lesser in size, amount, or degree)
Ineffective - (not producing the desired effect)
Compromised - (to make vulnerable to threat).

46
Q
  • Also known as “related factors”
  • component of a nursing diagnosis label that identifies one or more probable causes of the health problem,
A

Etiology

47
Q
  • are used instead of etiological factors for risk nursing diagnosis.
A

Risk Factors

48
Q
  • are forces that puts an individual (or group) at an increased vulnerability to an unhealthy condition.
A

Risk factors

49
Q
  • the conditions involved in the development of the problem
  • gives direction to the required nursing therapy
  • enables the nurse to individualize the client’s care.
A

Etiology

50
Q

True or False
Etiology is linked with the problem statement with the phrase “related to”.

A

True

51
Q
  • the clusters of signs and symptoms that indicate the presence of a particular diagnostic label.
A

Defining Characteristics

52
Q

True or False Defining characteristics are written following the phrase
“as evidenced by” or “as manifested by” in the diagnostic statement.

A

True

53
Q

the defining characteristics are the identified signs and symptoms of the client.

A

Actual Nursing Diagnosis

54
Q

no signs and symptoms are present therefore the factors that cause the client to be more susceptible to the problem form the etiology of a risk nursing diagnosis.

A

For risk nursing diagnosis

55
Q

TYPES OF NURSING DIAGNOSIS

A

ACTUAL NURSING DIAGNOSIS
RISK NURSING DIAGNOSIS
POSSIBLE NURSING DIAGNOSIS
WELLNESS DIAGNOSIS
SYNDROME DIAGNOSIS

56
Q
  • is a client problem that is present at the time of the nursing assessment. These diagnoses are based on the presence of associated signs and symptoms.
A

ACTUAL NURSING DIAGNOSIS

57
Q

refers to the problem that”exist at the present moment.’

A

Actual Nursing Diagnosis

58
Q

Actual Nursing Diagnosis Formula

A

Patient’s Problem + Causes if Known = Actual Nursing Diagnosis

59
Q
  • These are clinical judgment that a problem does not exist, but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene.
A

RISK NURSING DIAGNOSIS

60
Q

FORMULATING A RISK NURSING DIAGNOSIS

A

Problem Statement + Risk Factors = At Risk/High Risk Nursing Diagnoses

61
Q
  • a clinical judgment that is more vulnerable to develop the problem.
A

Risk Reduction Diagnosis

62
Q
  • Possible nursing diagnoses are statements describing a suspected problem for which additional data are needed to confirm or rule out the suspected problem.
A

POSSIBLE NURSING DIAGNOSIS

63
Q
  • the nurse may decide to formulate a tentative or possible nursing Diagnosis
A

Possible Nursing Diagnosis

64
Q

Possible Nursing Diagnosis

A

Possible+Diagnostic Label

65
Q
  • Also known as Health promotion diagnosis
  • is a clinical judgment about motivation and desire to increase well-being.
A

Wellness Diagnosis

66
Q

True or False
Components of a health promotion diagnosis generally include only the diagnostic label or a one-part-statement. It may also include a defining characteristic.

A

True

67
Q

Wellness Diagnosis Formula

A

Health Promotion Label + defining Characteristics

68
Q

Data may include the following dimensions:

A

physical,
psychological,
sociocultural,
spiritual,
cognitive,
functional abilities,
developmental,
economic,
and lifestyle

Fundamentals (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions