Nursing Process

Question 0

North American Nursing Diagnosis Association (NANDA)

Answer 0

1982

Question 1

Lydia hall introduced the term “nursing process”

Answer 1

1955

Question 2

What are the components of the nursing process?

Answer 2

Assessing 
Diagnosing 
Planning 
Implementing 
Evaluating 
AD-PIE

Question 3

Promotes continuity of care; patient centered care; individualized; participation of the family and patient.

Answer 3

Patient benefits

Question 4

Improves professional growth; allows nurse to be innovative and creative; more effective care, allows collaboration with other team members.

Answer 4

Nurse benefits

Question 5

Defines our scope of practice; defines our role to the consumer; defines what we do; it’s a basic standard with joint commission.

Answer 5

Profession benefits

Question 6

1st step: deliberate systematic collection of data, holistic approach; utilizes therapeutic communication

Answer 6

Assessing

Question 7

Covert

Answer 7

Patients perception

Question 8

Overt

Answer 8

Observations or measurements

Question 9

Ensures accuracy of information

Answer 9

Data validation

Question 10

Cues and interpretation

Answer 10

Data interpretation

Question 11

Data acquired through one of the 5 senses including subjective and objective data

Answer 11

Cues

Question 12

Nurses judgement or interpretation of cues; always subjective

Answer 12

Inferences

Question 13

2nd step: nanda

Answer 13

Diagnosis

Question 14

Physiological problems that nurses monitor and collaborate with medicine for co-treatment

Answer 14

Collaborative problems

Question 15

3rd step: 3 components; prioritize the nursing diagnosis, develop patient goals, plan nursing interventions

Answer 15

Planning

Question 16

Components of an an expected outcome: SVQT

Answer 16

Subject
Verb
Qualifier
Time frame

Question 17

Nurse prescribed

Answer 17

Independent

Question 18

Physician prescribed

Answer 18

Dependent

Question 19

Physicians and nurses

Answer 19

Collaborative

Question 20

What are the 4 types of

Independent nursing interventions

Answer 20

Cognitive
Interpersonal
Technical
Monitoring

Question 21

Teach/educate, related to knowledge to ADLs, supervise family performance, improve feedback

Answer 21

Cognitive

Question 22

Use therapeutic communication, set limits, provide opportunity to examine values and attitudes, provide spiritual support

Answer 22

Interpersonal

Question 23

Provides basic hygiene, perform routine nursing, activities, provides independent and dependent treatment assist with ADLs

Answer 23

Technical

Question 24

Ongoing assessment

Answer 24

Monitoring

Question 25

4th step: carrying out the proposed plan of care to resolve the problem; NIs are based on sound rationale

Answer 25

Implementing

Question 26

5th step: determine the patients response to NIs and the extent which the EOs have been achieved

Answer 26

Evaluating

Question 27

What is included in patient preparation?

Answer 27

``` Patient scheduling Patient teaching Informed consent Physical preparation Collection of supplies ```

Question 28

What are the responsibilities of the nurse during testing?

Answer 28

Patient assessment Patient support Patient positioning

Question 29

What are the responsibilities after testing

Answer 29

``` Patient assessment Specimen collection Documentation Patient and family support Individualized care based on data ```

Question 30

What is the purpose of patient teaching?

Answer 30

Promote health Prevent illness/injury Restore health Adapt to altered health

Question 31

What is the teaching process?

Answer 31

``` Collect data Determine learning need Prepare teaching plan Implement teaching strategies Evaluate learning CD-PIE ```

Question 32

Requirement or desire to know information

Answer 32

Learning need

Question 33

Desire to learn or act on the learning

Answer 33

Compliance

Question 34

Commitment to new knowledge/integrate into lifestyle

Answer 34

Adherence

Question 35

Teaching adults/learn based on need to know

Answer 35

Andragogy

Question 36

Teaching children

Answer 36

Pedagogy

Question 37

Teaching older adults/takes longer to process information

Answer 37

Geragogy

Question 38

Manipulate environment for intended purpose; stimulus Pavlovs Dog

Answer 38

Behaviorism

Question 39

Learning is a complex thinking process

Answer 39

Cognitivism

Question 40

Learning occurs in all 3 domains

Answer 40

Cognitive Affective Psychomotor

Question 41

Thinking or intellectual level

Answer 41

Cognitive

Question 42

Feelings or emotional level

Answer 42

Affective

Question 43

Skill or motor level

Answer 43

Psychomotor

Question 44

Teaches from simple to complex; refers to rational thought; the best way to learn is through written test

Answer 44

Cognitive

Question 45

The hardest domain to teach in; difficult to measure learning in this domain

Answer 45

Affective

Question 46

Needs to be hands on and demonstrate back

Answer 46

Psychomotor

Question 47

Learning is self motivated, self initiated, and self evaluated; nursing uses this

Answer 47

Humanism

Question 48

1 in 5 people read at a 5th grade level or below

Answer 48

Literacy level

Question 49

8 out of 10 users have searched for health information online

Answer 49

Internet access to healthcare

Question 50

Individual

Answer 50

Psychomotor

Question 51

Small group

Answer 51

Cognitive and effective