WEEK 3- NURSING AS A SCIENCE

Question 1

The cornerstone of the nursing profession

Answer 1

NURSING PROCESS

Question 2

Originated the term NURSING PROCESS in 1955

Answer 2

LYDIA HALL

Question 3

LYDIA HALL had three steps in nursing process, what are they?

Answer 3

• note observation
• ministration of care
• validation

Question 4

she came up with the behavioral system models and introduced three steps of nursing process

Answer 4

DOROTHY JOHNSON

Question 5

what three steps of nursing process did dorothy johnson introduce?

Answer 5

• assessment
• decision
• nursing action

Question 6

she introduced the nursing process,

Answer 6

IDA JEAN ORLANDO

Question 7

what are IDA JEAN ORLANDO’S three nursing process?

Answer 7

• client’s behavior
• nurse’s reaction
• nurse’s action

Question 8

who was in charge of identifying the SIX STEPS OF NURSING PROCESS?

Answer 8

ANA- AMERICAN NURSES ASSOCIATION

Question 9

what are the six steps of the nursing process according to ANA?

Answer 9

• assessment
• diagnosis
• outcome identification
• planning
• implementation
• evaluation

Question 10

what are the basic concepts of the nursing process?

Answer 10

• nursing
• person
• environment
• health

Question 11

is defined as a systematic, continuous and dynamic method of providing care to clients. It compromises series of sequential phases built upon the preceding step. Each phase logically leads to the next

Answer 11

NURSING PROCESS (NP)

Question 12

What are some characteristics of the nursing process?

Answer 12

• dynamic and cyclic
• patient centered
• goal directed
• flexible
• problem oriented
• cognitive
• action oriented
• interpersonal
• holistic
• systematic

Question 13

5 steps in nursing process

Answer 13

1. assessment
2. nursing diagnosis
3. planning
4. implementing
5. evaluating

Question 14

this is also known as gathering data

Answer 14

assessment

Question 15

identifying the problem and formulating a nursing diagnosis

Answer 15

analyzing

Question 16

writing a care plan to meet goals

Answer 16

PLANNING

Question 17

carrying out plan

Answer 17

IMPLEMENTING

Question 18

collect obj data, determine extent to which goals were achieved, revise plan as needed.

Answer 18

EVALUATION

Question 19

deliberate systemic collection of data to determine client current and past health status

Answer 19

ASSESSMENT

Question 20

what are the two types of assessment?

Answer 20

comprehensive assessment

focused assessment

Question 21

examines the patient’s overall health status

Answer 21

comprehensive assessment

Question 22

frequently performed on an on going basis to monitor and evaluate the patient’s progress, interventions, and response to treatments

Answer 22

FOCUSED ASSESSMENT

Question 23

components of assessment

Answer 23

• collection of data
• verification of data
• organization of data
• recording of data

Question 24

purposes of assessment

Answer 24

-establish database

Question 25

these are client's perception about their health problem e.g. pain

Answer 25

SUBJECTIVE DATA

Question 26

these data are observable and measurable by data collector e.g. vital signs

Answer 26

OBJECTIVE DATA

Question 27

source of data is client themself

Answer 27

PRIMARY SOURCE

Question 28

source of data is family and significant others, healthcare team members, medical records, other records, literature review, nurses experience

Answer 28

SECONDARY SOURCES

Question 29

It is an organized conversation with the client or family member to obtain the current health information regarding patient

Answer 29

INTERVIEW TECHNIQUE

Question 30

A ____ is defined as "a clinical judgement about an individual, family, or community response's to actual and potential health problems/ life processes. ____ provide the basis for selection of nursing intervention to achieve outcomes for which the nurse is accountable.

Answer 30

NURSING DIAGNOSIS, (NANDA,2009)

Question 31

AN ACTION: the process of analyzing assessment data

Answer 31

nursing diagnosis

Question 32

_____ is a label that describes the patient's response to an actual potential health problem

Answer 32

Nursing diagnosis

Question 33

describes a disease or pathology,

Answer 33

medical diagnosis

Question 34

describes patient's response to a health problem

Answer 34

NURSING DIAGNOSIS

Question 35

patient has problem, judgement about the client response to a health problem that is present at a time of nursing assessment

Answer 35

actual nursing diagnosis

Question 36

patient is at risk for developing the problem, "risk for or is at risk for". Clinical judgement that a client is more vulnerable to develop the problem than others in the same or similar situation

Answer 36

RISK Nursing Diagnosis

Question 37

CLINICAL JUDGEMENT about an individual, group or community in transition from a specific level of wellness to a higher level of wellness. patient functioning effectively but desires higher level of wellness

Answer 37

WELLNESS DIAGNOSES

Question 38

describe a suspected problem for which current and available data are insufficient to validate the problem

Answer 38

POSSIBLE NURSING DIAGNOSIS

Question 39

component of nursing diagnosis

Answer 39

- problem statement - etiology - defining characteristics

Question 40

describe the client health problem or response for which nursing therapy is given clearly and concisely in a few words (impaired, decreased, ineffective are some of the words used)

Answer 40

PROBLEM STATEMENT

Question 41

this component identifies one or more probably causes of health problem. It help the nurse to give individualized patient care (uses words like "related to"

Answer 41

ETIOLOGY (Related Factors & Risk Factors)

Question 42

these are the clusters of signs and symptoms that indicate the presence of a particular diagnostic label (manifested by...)

Answer 42

DEFINING CHARACTERISTICS

Question 43

____ is a category of nursing behavior in which client centered goals and expected outcomes are established and nursing interventions are selected to achieve the goals and outcomes of care

Answer 43

PLANNING

Question 44

what are the phases of planning?

Answer 44

- initial - ongoing - discharge

Question 45

____ is the ordering of nursing diagnosis and patient problem using determinations of urgency and or importance

Answer 45

PRIORITY SETTING

Question 46

what are the classification of priorities

Answer 46

high, intermediate, low

Question 47

it reflects a patients highest possible level of wellness and independence in function, it can be short term or long term

Answer 47

GOAL

Question 48

is a measurable change in a patients status that is expected to occur in response to nursing care

Answer 48

EXPECTED OUTCOME

Question 49

What does MACROS stand for in goals

Answer 49

``` M- measurable and observable A-achievable and tie limited C- client centered R- realistic O- outcome written S- short ```

Question 50

actions initiated by nurse that do not require direction or an order

Answer 50

NURSE INITATED INTERVENTION

Question 51

actions implemented in a collaborative manner

Answer 51

COLLABORATIVE INTERVENTION

Question 52

actions that require an order

Answer 52

PHYSICIAN INITIATED INTERVENTION

Question 53

the judgement of the effectiveness of nursing care to meet client goals; in this phase nurse compare the client behavioral responses with predetermined client goals and outcome

Answer 53

EVALUATION

Question 54

hand over information about nursing care of clients to nurses

Answer 54

NURSING HANDOVER

Question 55

appreciation that is sometimes offered by clients

Answer 55

PATIENT SATISFACTION

Question 56

reflect on own experiences both socially with other friends

Answer 56

REFLECTION

Question 57

evaluates the care given against the set goals

Answer 57

REVIEWING THE PLAN

Question 58

formal guideline for directing nursing staff to provide client care

Answer 58

NURSING CARE PLAN