CH 6: Nursing Process and Critical Thinking (Christensen) -G Flashcards
Name all 6 phases of nursing Process
ADOI PIE - Assessment, Diagnosis, Outcome Identification, Planning, Implementation, Evaluation
This is a systematic method by which, nurses plan and provide care for patients
a. Thinking Process
b. Admission Process
c. Nursing Process
d. Taking Care of Business
C. Nursing Process
This is a systemic, dynamic process of INFORMATION GATHERING to identify patient’s health condition
a. Nursing Process
b. Thinking Process
c. Assessment
d. Implementation
C. Assessment
This is a word, phrase, or symptom that indicates the nature of something perceived.
a. Reality
b. Actuality
c. Cue
d. Haluccinatory
C. Cue
This type of data is WHAT PATIENT SAYS. Other terms for this data are symptoms and subjective cues.
a. Subjective Data
b. Perceived Data
c. Objective Data
d. Observed Data
A. Subjective Data
This type of data is what YOU can OBSERVE and MEASURE, for example, a rash, lesion or puffy eyes. This data is also known as signs
a. Perceived Data
b. Objective Data
c. Observed Data
d. Wandering Data
B. Objective Data
Who is the primary source of data?
a. the Doctor
b. the Patient
c. the Mistress
d. the Significant Other
B. the Patient
As a nurse you will learn that there are two basic methods in collecting data. The first one is when you conduct an interview. During the interview, you can’t help but noticed that you gathered information about FACTS and EVENTS about your patient and these information produced a what they call, this KIND of data.
a. Perceived Data
b. Subjective Data
c. Objective Data
d. Biographic Data
D. Biographic Data
A range of motion is this second method of data collection.
a. performance of physical examination
b. flexibility
c. establishment of base circulation
d. when nothing is wrong method
A. performance of physical examination
This is what you establish next when you have successfully obtained the history and completed the physical examination accurately.
a. Correct diagnosis
b. Medical Charting
c. Database
d. Graphical Correlation
C. Database
The American Nurses Association defines this as, “a clinical judgement about the client’s response to actual or potential health conditions or needs. This provides the basis for determination of a plan of care to achieve expected outcomes.”
a. Possible Outcome
b. Risk
c. Actuality
d. Diagnosis
D. Diagnosis
This is what you have that requires diagnostic, therapeutic, or educational actions.
a. You have a Problem
b. You are experiencing Malaise
c. You’ve got Confusion
d. You have Hypothesis
A. You have a problem
This is a diagnosis, done by a nurse, that is a clinical judgment about individual, family, or community responses to actual and potential health/life processes and provides the basis for selection of nursing intervention to achieve outcomes for which the nurse is accountable.
*HINT: The answer is within…
Nursing Diagnosis
Four Elements of Nursing Diagnosis
Nursing Diagnosis Title or Label
Definition of title or Label
Contributing, Etiologic, or Related Factors
Defining Characteristics
True or False:
Lists of nursing diagnoses are often presented in alphabetical order. Constipation, fatigue, hopelessness, powerlessness and pain are example of nursing diagnostic label.
True
