The Nursing Process

Question 1

The Nursing Process:

What is it?

Answer 1

An orderly systemic method of identifying what a patient needs and how we will help

Question 2

The Nursing Process:

What are the 5 steps of the nursing process?

Answer 2

1. Assessment
2. Nursing diagnosis
3. Planning
4. Implementation
5. Evaluation

Question 3

The Nursing Process:

What is the first step in the nursing process?

Answer 3

Assessment

Question 4

The Nursing Process:

Assessment

Answer 4

Obtaining information

Question 5

The Nursing Process:

What are the two types of data to collect for assessment?

Answer 5

1. Objective Data
2. Subjective Data

Question 6

The Nursing Process:

Objective Data

Answer 6

What you can see or measure

(quantifiable, “the numbers”)

Ex: Height, weight, lab tests, vital signs, lung sounds, etc.

Question 7

The Nursing Process:

Height, weight, lab tests, vital signs, lung sounds

Answer 7

Objective data

Question 8

The Nursing Process:

Subjective Data

Answer 8

What the patient/family has to tell you

(“touchy-feely”)

Ex: How the patient feels-pains, nausea, tired,etc.

About their medications…take a drug history

Question 9

The Nursing Process:

How the patient feels (pain, nausea, tired, etc)

Answer 9

Subjective Data

Question 10

The Nursing Process:

What’s included in a drug history?

Answer 10

Drug History:

1. Prescription drugs
2. Over-the-counter medications (OTCs)
3. Herbal preparations
4. Vitamins
5. Home remedies
6. Alcohol/ tobaccp hx.
7. Caffeine intake
8. Street Dx. (marijuana, cocaine, etc.)
   
   1. Does the patient have side effects?
      
      1. What happens when they take medications? (i.e. side effects)

Question 11

The Nursing Process:

Nursing Diagnosis

Answer 11

Analyze the data gathered- make a conclusion

Question 12

The Nursing Process:

T/F

Nursing diagnosis have special wording

Answer 12

True

Question 13

The Nursing Process:

Most nursing diagnoses r/t pharmacology would center around:

• ____(1)_____ the patient about meds (d/t knowledge deficient)
• Helping the __(2)____ work better
• Preventing or treating ____(3)_____ or ____(4)______

Answer 13

• Teaching
• drug
• side effects
• complications.

Question 14

The Nursing Process:

Planning

Answer 14

Identification of a goal to be met; planning what interventions will be done

Question 15

The Nursing Process:

What is the first step of the nursing process?

Answer 15

Assessment

Question 16

The Nursing Process:

What is the second step of the nursing process?

Answer 16

Nursing diagnosis

Question 17

The Nursing Process:

What is the third step of the nursing process?

Answer 17

Planning

Question 18

The Nursing Process:

What is the fourth step of the nursing process?

Answer 18

Implementation/Interventions

Question 19

The Nursing Process:

The planning step in the nursing process must be what 3 things?

Answer 19

1. Objective
2. Measurable
3. Realistic

Question 20

The Nursing Process:

What is the fifth step of the nursing processs?

Answer 20

Evaluation

Question 21

The Nursing Process:

Describe the correct wording layout for the planning step of the nursing assessment.

Answer 21

Correct

“The patient will….”

Incorrect

“The nurse will..”

Question 22

The Nursing Process:

Implementation/ Interventions

Answer 22

The doing phase

Question 23

The Nursing Process:

What are the three types of interventions pertaining to the following?

1. What does the patient know about his/her medications?
2. Give the medication
3. Watch for a complication or side effects

Answer 23

1. Teaching/ Educating
2. Action
3. Further assessment

Question 24

The Nursing Process:

Evaluation

Answer 24

How did it (ex. the medication) work out?

Question 25

The Nursing Process:

What are the components of medication evaluation?

1. Did you meet your ____(1)___?
2. Did the medication ____(2)____?
3. Did you ___(3)____ or ___(4)____ with any complications/adverse reactions?

Answer 25

1. Goal
2. work
3. prevent
4. deal