Chapter 7: Nursing Process

Question 1

Standard 1: Assessment

Answer 1

Age considerations
Assessment of children
Assessment of adolescents
Assessment of older adults
Language barriers

Question 2

Examples of data you would gather

Answer 2

Review of systems
Laboratory data
MSE
Psychosocial assessment

Spiritual/religious assessment
Cultural and social assessment
Validating the assessment
Using rating scales

Question 3

Standard 2: Diagnosis

Answer 3

Three components
Problem (unmet need)
Etiology (probable cause)
Supporting data (signs and symptoms)

Question 4

Standard 3: Outcomes Identification

Answer 4

Outcome criteria—Outcomes that reflect the maximal level of patient health that can realistically be achieved through nursing interventions
NOC
Method to evaluate the effect of nursing interventions. Each outcome has an associated group of indicators used to determine patient status in relation to the outcome.

Question 5

Standard 4: Planning

Answer 5

Principles to consider when planning care
Safe
Compatible and appropriate
Realistic and individualized
Evidence-based

EBP for nurses
Combination of clinical skill and use of clinically relevant research in the delivery of effective patient-centered care
NIC
Research-based, standardized listing of interventions reflective of current clinical practices the nurse can use to plan care; an evidence-based approach

Question 6

Standard 5: Implementation

Answer 6

Basic interventions
Coordination of care
Health teaching and health promotion
Milieu therapy
Pharmacological, biological, and integrative therapies

Advanced practice interventions
Prescriptive authority and treatment
Psychotherapy
Consultation

Question 7

Standard 6: Evaluation

Answer 7

Systematic
Ongoing
Criteria-based

NOC
Ongoing
Criteria-based