Assessing Health Problems + Nursing Processes

Question 1

What are the 5 parts of the Nursing Process? (ADPIE)

Answer 1

Assessment
Diagnosis
Planning
Implementation
Evaluation

Question 2

Why is the nursing process important?

Answer 2

Provides a clear structure, for you to demonstrate developing clinical reasoning

Question 3

What are the 3 assessment components?

Answer 3

Collect (data)
Validate
Communicate

Question 4

What are 5 types of assessment?

Answer 4

Primary
Triage
Comprehensive
Focused
Functional

Question 5

What does the DRSABCD acronym mean for Primary Assessment?

Answer 5

Dangers
Responsive
Send for. help
Airway
Breathing
Circulation
Disability

Question 6

What is Triage Assessment?

Answer 6

Identifies chief complaint
Rapid assessment of clinical urgency

Question 7

What acronyms are used for Focused Assessment?

Answer 7

OLDCART

Provoking Factors
Quality
Region/Radiation
Severity
Time

Question 8

What are some limitations of Focused Assessment?

Answer 8

Cognitive Bias
Limited sensitivity of diagnostic tests
Communication Challenges

Question 9

What is Comprehensive Assessment?

Answer 9

Admission Purpose
Understanding expectations
Health History

Question 10

What is Functional Assessment?

Answer 10

Ongoing assessment of people’s activities of daily living, particularly in community & rehabilitation settings.
Assisting with showers, toileting, mobilising giving meals offers a chance to observe and assess the patient.

Question 11

What are the stages of Comprehensive planning?

Answer 11

Initial Planning
Ongoing Planning
Discharge Planning

Question 12

What are the 5 aspects of Maslows Hierarchy of Human Needs from bottom to top?

Answer 12

Question 13

What is a Current Health Problem?

Answer 13

A change in health
status that is adversely affecting the
individual.

Question 14

What is a Potential Health Problem?

Answer 14

When there is a potential for decline in health status that needs further monitoring to prevent

Question 15

What is the 3 step approach to writing a nursing diagnosis?

Answer 15

What is the issue or concern?
What does it relate to?
Symptoms or what is it evidenced by?

Question 16

What does SMART Goals stand for?

Answer 16

Specific
Measurable
Achievable
Realistic
Time-bound

Question 17

What is a nursing intervention?

Answer 17

What can you as a nurse can do for a patient

Question 18

What is a medical initiated intervention?

Answer 18

An intervention initiated by doctors in response to a medical diagnosis but carried out by a nurse in response to an order.

Question 19

What are some common problems related to person-centred care?

Answer 19

• Failure to involve patient and whanau in planning process
• Insufficent data collection
• Goals stated were too broad
• Inaccurately identified problems

Question 20

What are 5 Implementation goals?

Answer 20

• restore health
• promote health
• prevent illness
• prevent harm
• facilitate coping

Question 21

What are 4 professional standards?

Answer 21

Protocols
Policies
Scope
Code of Conduct

Question 22

What are 4 nursing skills for effective implementation?

Answer 22

Interpersonal
Cognitive
Technical

Question 23

What are 6 interpersonal implementation skills?

Answer 23

Rapport
Coaching
Reassurance
Education
Delegation
Teamwork

Question 24

What are 4 cognitive implementation skills?

Answer 24

Prioritisation
Continuous Assessment
Critical Thinking
Responding to unexpected outcomes

Question 25

What are 3 technical implementation skills?

Answer 25

Equipment and technology utilisation
Psychomotor tasks
Risk reduction & environmental awareness

Question 26

What are the 4 evaluation measures?

Answer 26

Physiological
Cognitive (increase in persons knowledge)
Psychomotor (achievements of new skills)
Affective (changes in beliefs/values)