Nursing process

Question 1

What is the nursing process?

Answer 1

A systematic, rational method for planning and delivering individualized nursing care.

Question 2

What are the purposes of the nursing process?

Answer 2

• Identify client’s health status
• Determine actual or potential problems/needs
• Establish and implement plans to meet those needs

Question 3

To whom is the nursing process applicable?

Answer 3

Individuals, families, communities, and groups.

Question 4

Who introduced the term ‘nursing process’?

Answer 4

Hall (1955).

Question 5

What organization adopted the nursing process in 1973?

Answer 5

American Nurses Association (ANA).

Question 6

What are the five phases of the nursing process?

Answer 6

• Assessing
• Diagnosing
• Planning
• Implementing
• Evaluating

Question 7

What is the focus of the assessing phase?

Answer 7

Gathering and validating client data.

Question 8

What does the diagnosing phase involve?

Answer 8

Analyzing data to identify actual/potential health issues.

Question 9

What is established during the planning phase?

Answer 9

Prioritizing problems and determining goals/interventions.

Question 10

What occurs during the implementing phase?

Answer 10

Carrying out interventions.

Question 11

What is evaluated in the evaluating phase?

Answer 11

Determining goal achievement and care plan effectiveness.

Question 12

True or False: The phases of the nursing process are static and do not overlap.

Answer 12

False.

Question 13

What is a characteristic of the nursing process?

Answer 13

Cyclic and dynamic.

Question 14

What does client-centered care focus on?

Answer 14

Client problems, not just nursing goals.

Question 15

How does the nursing process differ from the medical model?

Answer 15

Nursing process is client response-focused, while the medical model is disease-focused.

Question 16

What is critical thinking’s role in the nursing process?

Answer 16

Essential in all phases.

Question 17

What is the purpose of the initial nursing assessment?

Answer 17

Performed within 24 hours of admission; includes health history and physical exam.

Question 18

What type of assessment targets a specific issue?

Answer 18

Problem-Focused Assessment.

Question 19

When is an emergency assessment performed?

Answer 19

During a crisis to identify life-threatening problems.

Question 20

What does time-lapsed reassessment compare?

Answer 20

Current status to baseline data.

Question 21

What type of data is known only to the client?

Answer 21

Subjective Data (Symptoms).

Question 22

What type of data is observable and measurable?

Answer 22

Objective Data (Signs).

Question 23

Fill in the blank: The client is the most reliable _______ if able and willing to communicate.

Answer 23

Primary Source.

Question 24

What must be done if using secondary sources for data?

Answer 24

Must have client’s permission if client is mentally capable.

Question 25

What is the importance of active participation in data collection?

Answer 25

Essential for accurate and complete data gathering.

Question 26

What are the main data collection methods?

Answer 26

* Observing * Interviewing * Examining

Question 27

What is the purpose of validating data?

Answer 27

Ensure data is complete, accurate, and factual.

Question 28

What should be recorded during documentation?

Answer 28

Only facts, not interpretations or assumptions.

Question 29

What does Gordon’s Functional Health Patterns include?

Answer 29

* Health perception/management * Nutritional-metabolic * Elimination * Activity-exercise * Sleep-rest * Cognitive-perceptual * Self-perception/self-concept * Role-relationship * Sexuality-reproductive * Coping-stress tolerance * Value-belief

Question 30

What does Orem’s Self-Care Model focus on?

Answer 30

Eight universal self-care requisites like nutrition, elimination, and rest.

Question 31

What is the purpose of documenting data in the nursing process?

Answer 31

Builds an accurate, reliable database for diagnosis and care planning.