Nursing Process Flashcards
(21 cards)
Used by the nurse for the appropriate delivery of patient care and drug administration.
Nursing Process
When the nurse gathers information from the patient about the patient’s health and lifestyle.
Assessment
Based on analysis of the assessment data.
Patient Problem
Nurse uses the data collected to set goals or expected outcomes and interventions that address the patient problem.
Planning
Nurse provides education, drug administration, patient care, and other intervention necessary to assist the patient goals.
Implementation
Nurse determines whether the goals and teaching objectives have been met.
Evaluation
Is a 6-step decision making approach.
Nursing Process
Nursing Process includes:
- Concept
- Assessment
- Patient Problem (replaces diagnosis)
- Planning
- Implementation (nursing interventions)
- Evaluation
Nursing process should be a ______ _______ care.
patient-centered collaborative
Concepts include:
- Health of the patient
- Illness of the patient
- Health promotion of the patient
Nursing role (in concept) is to provide:
- Patient education
- Restorative health needs
- Medication administration
- Possibly emergency care
Assessment include:
- Subjective Data
- Objective Data
Nursing role (in assessment):
1. Should always perform a _____ ______ ______ of the patient body system.
complete systematic assessment
Nursing role (in assessment):
2. Asks the patient questions about their ______, including the drug regimen.
illness
Nursing role (in assessment):
3. Obtain information from the _____, _____, and the _____.
family members, health professionals, and the medical record
Nursing role (in assessment):
4. Possibly ____ _____.
emergency care
Subjective Data includes information provided by: (4)
- The patient
- Family members
- Friends
- Other sources
Is based on what the patient or family members communicate to the nurse.
Subjective Data
The nurse asks ______ questions allowing the patient to answer directly.
open-ended
The nurse may help the patient explain or describe subjective data but must never ___ for the patient.
speak
Examples of pertinent information that nurses can use to help solicit responses from the patient
- Inquire about patient health/family history
- Dysphagia
- Verbalize signs/symptoms of illness