1.0 Review of Nursing and Nursing Process

Question 1

Nursing Process

Answer 1

• Cost efficient and part of the standards of care

- Promotes professionalism and enhances quality of clinical decision making

Question 2

Assessment

Answer 2

• Establish database
• Observation, interview, and physical examination
  (Subjective and objective data)
  Subjective Data - Symptoms
  Objective Data - Signs
• Make sure data is clear, concise and consistent

Question 3

Diagnosis

Answer 3

• Nurses cannot make medical diagnosis
• Nurses can use NANDA diagnoses
  Example of Diagnosis
• Impaired physical mobility RELATED TO acute pain AS MANIFESTED BY guarding and complaints of 6/10 pain to incision site during exercise
• Analyze data from assessment to make a nursing diagnosis. This includes analyzing data, problem identification, and nursing diagnosis label (NANDA)

Question 4

Planning

Answer 4

• Establish priorities according to importance and time
• Highest priority is life threatening conditions
• Patient should be continually assessed because priorities are always changing
• Nursing Care Plan (NOC) and interventions (NIC) are developed during this stage
• Establish SMART Goals

Question 5

Planning (cont)

Answer 5

• Develop Interventions
  Example
• Encourage client to deep breathe every hour
• Change abdominal dressing b.i.d
  Consider nursing diagnosis, goals of outcomes, evidence based, feasibility, acceptability to client and resources available to client when picking interventions

Question 6

Marlow’s Hierarchy of Needs

Answer 6

Priority starting from most important
Physiological Needs - Life threatening issues that deal with physiological needs like breathing, circulation, nutrition, hydration, physical comfort.
Safety and Security - Environmental hazards, fear.
Love and Belonging - Feeling loved and apart of something. (Isolation, lost of a loved one)
Self Esteem - Inability to preform normal activities
Personal Goals

Question 7

Implementation

Answer 7

• Carry out the plan of care
  Direct care - Interactions with the client (physical care and teaching)
  Indirect care - Delegating, supervising, evaluating work of others.
• Collaborative effort between nurses and physicians

Question 8

Evaluation

Answer 8

Are interventions effective or helpful in meeting desired outcomes

• Evaluate intervention
• Identify if goals/outcomes were met
• Document findings/judgements
• Terminate or revise plan if needed.

Question 9

Promoting Health

Answer 9

• Promoting health involves being a role model
• Teach healthy lifestyles and behaviors
• Improve social determinants of health

Question 10

Preventing Illness

Answer 10

“Interventions”

• Prevent injuries/disease before they happen by health education and immunizations.
• Preform screening tests and exercise regimes
• Soften impact of ongoing illness such as chronic disease management or rehabilitation centers

Question 11

Restoring Health

Answer 11

• The main job of nursing is to return a patient to higher health status after a patient has fallen ill
• This is accomplished through tests, procedures, medications, in hospitals and clinics
• “Healing”

Question 12

Facilitating Coping with Illness and Death

Answer 12

• Maximize persons strength when coping with illness or death