Nursing Process

Question 1

What is the nursing process?

Answer 1

A plan of care. Similar to the scientific method.

Question 2

Why do nurses use it?

Answer 2

A way to think & solve a problem.

Question 3

How many parts are there?

Answer 3

5. ADPIE OR ADGIE.

Question 4

What is assessment?

Answer 4

Data is collected which is used to identify client problems that can be managed or treated with nursing care.

Question 5

What are examples of data a nurse would be interested in assessing?

Answer 5

Labs, vitals, pain level, diagnosis, past medical history, situation, appearance, mental status, breathing pattern, I&O, etc.

Question 6

What does assessment of data include?

Answer 6

Collection, verification, organization, interpretation, + documentation of data.

Question 7

How do we collect data and what do we keep in mind?

Answer 7

On our SBAR form. Maslow’s Theory of Basic Human Needs + Erikson’s Theory of Growth & Development

Question 8

What are some sources of client data?

Answer 8

The patient, the chart, the family, & other medical professionals

Question 9

What is the difference between subjective and objective data?

Answer 9

Subjective: data you can’t feel or see. A symptom. E.g headache
Objective: data you can see. A sign. E.g bruise

Question 10

What is a nursing diagnosis?

Answer 10

A statement of a client problem which has been inferred from the collected data.
Abnormal findings support the diagnosis.

Question 11

How is a nursing diagnosis different from a medical diagnosis?

Answer 11

It is a response to a health problem.

Question 12

What is a clinical judgment about individual, family, or community responses to actual, at risk, or high risk health problems or wellness states?

Answer 12

A nursing diagnosis.

Question 13

What does a nursing diagnosis have?

Answer 13

Two parts.

Question 14

What does R/T mean?

Answer 14

Related to

Question 15

Types of diagnosis?

Answer 15

Problem statement R/T cause
Diagnostic label R/T etiology
Unhealthful response R/T contributing factors

Question 16

What are actual diagnoses?

Answer 16

Problems that exist.

Question 17

What are risk diagnoses?

Answer 17

Problems which might occur.

Question 18

What should not be the same with a nursing diagnosis?

Answer 18

The nursing diagnosis and etiology.

Question 19

What does a 3 part nursing diagnosis give?

Answer 19

Diagnostic label, the etiology, and the signs + symptoms

Question 20

What is AEB?

Answer 20

As evidenced by

Question 21

What is planning?

Answer 21

Involves setting the goals + planning the care.

Question 22

What do the goals give?

Answer 22

The specific behaviors you expect to see after your plan is put in place.

Question 23

What should the goal reflect?

Answer 23

The client’s optimal level of wellness.

Question 24

How is the goal done?

Answer 24

With client collaboration when possible + stated in the client’s point of view.
It is usually the opposite of the problem.

Question 25

The outcomes have to be what?

Answer 25

Measurable + have to include a time frame when they are to be achieved.

Question 26

What is implementation?

Answer 26

The plan of care is carried out.

Question 27

How to figure out interventions?

Answer 27

They relate to the etiology of the client problem.

Question 28

What are independent interventions?

Answer 28

Without an MD order

Question 29

What are dependent interventions?

Answer 29

Need an MD order

Question 30

What are interdependent interventions?

Answer 30

PRN order

Question 31

What do nursing interventions have?

Answer 31

Begin with an action verb + must be specific.

Question 32

What is the purpose of scientific rationales and psychological principles?

Answer 32

To provide evidence for the interventions.

Question 33

What is evaluation?

Answer 33

The planned outcomes are measured against the actual outcomes.

Question 34

Why is evaluation important?

Answer 34

Allows for revision of any portion of the plan of care if the goal was not achieved.