Ch. 10 The Nursing Process

Question 1

What are books about the nursing process?

Answer 1

NANDA - North American Nursing Diagnosis Association

NIC - Nursing Interventions Classification

NOC - Nursing Outcomes Classification

Question 2

What are the 6 Standards?

Answer 2

1. Assessment
   - -establish nursing contract
   - -obtain info from family and patient
   - -validate data w/ patient
   - -organize data
2. Diagnosis
3. Outcome Identification
4. Planning
5. Implementation
6. Evaluation

Question 3

Standard 1: Assessment: Establish Nursing Contract

Answer 3

Who are you, what can be expected from you, what you’d like from patient, goal of interaction…

“Need to collect info from you so I understand better what you’re going through so I can plan the nursing care” - nurse to patient

Question 4

Standard 1: Assessment: Obtain info from patient and family

Answer 4

Physically assess patient

Frequently get info from patient and family

Question 5

Standard 1: Assessment: Validate data w/ patient

Answer 5

Find out if what you believe they’re telling you is what they are

Basically repeat info back to them to make sure what they’re telling you is correct

Question 6

Standard 1: Assessment: Organize data

Answer 6

Look at biological and social issues

Physical functioning

Medications they’re taking

Cultural impacts

Question 7

Standard 2: Diagnosis

Answer 7

Analyze data and validate w/ client

Identify nursing diagnosis and validate w/ client

Question 8

Standard 3: Outcome Identification

Answer 8

Specifying expected outcomes and validating them w/ client

Question 9

Standard 4: Planning

Answer 9

Prioritize goals

Generate alternatives

Identify nursing activities

Validate plan w/ patient

Question 10

Standard 5: Implementation

Answer 10

Implement nursing activities w/ assistance from client

Coordinate w/ other team members

Continue to collect data about the implementation and its success

Question 11

Standard 6: Evaluation

Answer 11

Evaluating the outcomes of nursing care in consultation w/ the client

Modify nursing process as needed

Participate in quality improvement activities