week 3 nursing process

Question 1

what is the definition of the nursing process

Answer 1

framework to guide thinking

-critical thinking, decision making, diagnostic reasoning, problem solving, clinical judgment

Question 2

what kind of process is the nursing process

Answer 2

cyclic

Question 3

what is a nursing care plan

Answer 3

Identifies client problems in need of nursing care
Predicts outcomes sensitive to nursing care
Lists intervention that will result in expected outcomes

Question 4

what is the purpose of the nursing care plan

Answer 4

communicate planned care to health care team

Ensure continuity of care

Question 5

what is the definition of assessment

Answer 5

the process of gathering information about a client’s health status to identify concerns and needs than can be treated or managed by nursing care.

Question 6

what does assessment require and must use

Answer 6

critical thinking

reasoning, analyzing and translation

Question 7

what is the purpose of the assessment

Answer 7

consider the situation

Question 8

what are the type of assessment

Answer 8

initial
focused
emergency
onling

Question 9

how to collect data through assessment

Answer 9

active listening
active processing
observing
translating

Question 10

what is active listening g

Answer 10

listen to client and help clarify and elaborate. Listen to meaning behind what is being said

Question 11

what is active processing

Answer 11

analyze and interpret info (How does this info fit with what I know about a disease?)

Question 12

what is translating in assessment

Answer 12

translate what client says into meaningful, succinct statement
Group data into meaningful patterns (ex, restless, rapid resp., cyanotic)

Question 13

what is the reasoning of collecting data

Answer 13

actively process info to make mental connections of the data to diseases, health patterns

Question 14

what is validating of collecting data

Answer 14

confirming accuracy of info using another source

Question 15

what are functional health patterns in assessment

Answer 15

refers to the positive and negative behaviors a person uses to interact with the environment and maintain health.

Question 16

health maintenance patter is

Answer 16

clients personal view of health and behaviors associated with the quest to be healthy

Question 17

what is the nutritional metabolic pattern

Answer 17

dietary habits in relations to metabolic need

Question 18

what is the elimination pattern

Answer 18

bowel and bladder habits

Question 19

what is the activity exercise pattern

Answer 19

ability to be active and level of activity person chooses. persons physical capability for self care

Question 20

what is the sleep-rest pattern

Answer 20

pattern of sleep and rest

Question 21

what is the cognitive perceptual pattern

Answer 21

senstation, perception, and cognition.

memory, language, vision, hearing, orientation, senses

Question 22

what is self perception- self concept pattern

Answer 22

how person views self.

Question 23

role relationship pattern

Answer 23

relationships with others,

Question 24

sexuality -reproductive pattern

Answer 24

present from both to death. expression of sexuality varies

Question 25

what is coping-stress tolerance pattern

Answer 25

stress is a part of everyones life | management of stress

Question 26

what is value belief pattern

Answer 26

philosophical position that guides a persons choices in life

Question 27

what is so important with assessment

Answer 27

document

Question 28

what are the componenet of the NANDA-1 nursing DX

Answer 28

``` label defintion defining characterisitics related factors risk factors ```

Question 29

what are the types of nursing diagnosis

Answer 29

actual risk for wellnesss collaborative

Question 30

what is an actual diagnosis

Answer 30

current problem Can identify S/S (defining characteristics) Ask: Are there S/S that indicate a problem exists?

Question 31

what is a risk for diagnosis

Answer 31

problem that may develop | plan of care to PREVENT problem

Question 32

what is a wellness diagnosis

Answer 32

a desire by person, family, community to move to higher stat of being

Question 33

what is a collaborative diagnosis

Answer 33

interventions from different healthcare team members may

Question 34

how many parts are in the actual nursing diagnosis

Answer 34

3

Question 35

what does P stand for

Answer 35

problem followed by the words related to

Question 36

what does E stand for

Answer 36

etiology followed by the words as manifested by

Question 37

what does S stand for

Answer 37

sign and symptoms

Question 38

how many parts is a risk for diagnosis

Answer 38

2

Question 39

what parts are in the risk diagnosis

Answer 39

P | E

Question 40

what are some sources of diagnostic effort

Answer 40

errors in collecting data cue clustering interpretation under or over diagnosing

Question 41

what is ongoing planning

Answer 41

as clients condition changes need to modify plan

Question 42

what is a discharge plan

Answer 42

prepatation for moving from one level of care to another

Question 43

what is collaborative planning

Answer 43

planning with other healthcare professionals

Question 44

what is MART

Answer 44

measurable achievable realistic time frame

Question 45

what is NIC

Answer 45

nursing intervention classificaiton system