Chapter 1: The Nursing Process and Drug Therapy

Question 1

Nursing process

Answer 1

A well-established, research-supported framework for professional nursing practice.

Question 2

What are the 5 parts of the nursing process?

Answer 2

Assessment, nursing diagnosis, planning, implementation, evaluation

Question 3

Assessment

Answer 3

Data is collected reviewed and analyzed from patient, family, group and/or community resources. Allows you to form nursing diagnosis.

Question 4

Data collected from assessments can be divided into

Answer 4

Subjective and objective data

Question 5

Subjective Data

Answer 5

Includes info shared through the spoken word by any reliable source, such as the patient, spouse, family member, significant other and/or caregiver

Question 6

How do you formulate a nursing diagnosis?

Answer 6

Three step process:

1. Part one: the human response of the patient to illness, injury or significant change.
2. Part two: has defining characteristics & identifies the factors related to the response with more than one factor often named
3. Part three: a listing of clues, cues, evidence, signs, symptoms or other data that support the nurse’s claim that this diagnosis is accurate.

Question 7

What are the nursing responsibilities when dealing with drug therapy?

Answer 7

..

Question 8

Purpose of Planning (Outcome Identification)

Answer 8

• Prioritize and identify outcomes.
• Offers time to: obtain special equipment of interventions, review possible procedures or techniques to be used, gather additional information.
• Leads to safe care.

Question 9

Patient Outcomes are …

Answer 9

• objective, measurable, and realistic
• Behavior based
• Discussed with patient or caregiver

Question 10

Implementation

Answer 10

• any treatment based on clinical judgement and knowledge (actual task is carried out)
• can be independent, collaborative or based on the prescriber’s orders

Question 11

Outcomes need to reflect

Answer 11

Each nursing diagnosis and serve as a guide to the implementation phase of the nursing process

Question 12

The implementation phase is guided by

Answer 12

assessment, nursing diagnoses and outcomes

Question 13

Evaluation occurs

Answer 13

After nursing care plan has been implement and should be at each phase of the nursing process.

Question 14

Evaluation includes

Answer 14

1. Monitoring fulfillment of outcomes and response to drugs.

2. Documentation

Question 15

Nine Rights of Medication Administration

Answer 15

1. Right drug
2. Right dose
3. Right time
4. Right route and form
5. Right patient
6. Right documentation
7. Right reason
8. Right response
9. Right of patient to refuse