Chapter 8: Critical Thinking; Summary of the Nursing Process Flashcards
1
Q
Assessment (Purpose)
A
To gather, verify, and communicate data about a patient so a database is established
2
Q
Nursing Diagnosis (Purpose)
A
To identify a patient’s health care needs in the form of nursing diagnosis
3
Q
Planning (Purpose)
A
Working with a patient, his or her family, and health care team members to set priorities of care, identify patient-centered goals and expected outcome, and prescribe an individualized approach to care
4
Q
Implementation (Purpose)
A
To carry out nursing interventions necessary for accomplishing the plan of care
5
Q
Evaluation (Purpose)
A
To determine extent to which interventions helped achieve goals of care
6
Q
Assessment (Steps)
A
- Collect nursing health history
- Perform physical examination
- Collect laboratory data
- Validate or confirm that data are correct
- Cluster data by common themes or problem areas
- Document data
7
Q
Nursing Diagnosis (Steps)
A
- Analyze and interpret data
- Identify patient problems
- Form nursing diagnosis
- Document nursing diagnoses
8
Q
Planning (Steps)
A
- Identify patient goals mutually set with patient
- Establish excepted outcomes
- Select nursing interventions
- Document a nursing plan of care
- Collaborate with other health care providers
9
Q
Implementation (Steps)
A
- Perform nursing interventions
- Reassess patient
- Review and modify existing care plan
10
Q
Evaluation (Steps)
A
- Compare patient response with expected outcomes
- Analyze reasons for results and conclusions
- Modify care plan
