Class 1: Nursing Process and Critical Thinking

Question 1

Nursing Process

Answer 1

• ensures consistency among staff.
• allows nurse to individualize care plans for each client
• identify actual and potential problems.
• having a consistent process set in place so that all routes of nursing are the same.

Question 2

Critical Thinking

Answer 2

• examine facts
• using an enquiring mind
• forming idea
• thinking randomly
• forming own beliefs
• open-mindedness and flexibility
• imagination and creativity

Question 3

Nursing Process Acronym

Answer 3

ADPIE

Question 4

What is the first step of the nursing process? Explain.

Answer 4

Assessment.

• An organized, systematic gathering of data about the client.
• Uses observation, the interview and physical examination. -Ask people how they feel (people have different tolerances).

Question 5

What is the second step of the nursing process? Explain.

Answer 5

Diagnosis. Nursing and Medical.

Question 6

What is the third step of the nursing process? Explain.

Answer 6

Planning.

• establishing priorities
• setting goals or expected outcomes
• planning nursing actions
• writing the nursing care plan

Question 7

what is the fourth step of the nursing process? Explain.

Answer 7

Implementation.

• Nursing behaviours and/or actions necessary for achieving the goals carried out.
• Includes: continuing data collection, prioritization, performing nursing interventions and documentation.

Question 8

what is the fifth step of the nursing process? explain.

Answer 8

Evaluation.

• evaluate the clients status.
• determine the clients progress toward achievement of the stated goals/expected outcomes.
• judge the effectiveness of the nursing orders, strategies and care plans.

Question 9

Primary information

Answer 9

patient

Question 10

secondary information

Answer 10

• family or significant others
• medical records
• nursing and other health care professionals
• literature

Question 11

ADL

Answer 11

Activities of daily living. Eating, going to the bathroom, dressing.

Question 12

IADL

Answer 12

Instrumental activities of daily living. buying groceries, clean the house, take the bus, do your own banking.

Question 13

Subjective Data

Answer 13

The clients perception about their health problems, opinions and feelings. Only client can provide. observing patient and asking questions (cognitive status)

Question 14

objective data

Answer 14

Observations or measurements made by nurse. Data is factual, unbiased and impartial. vitals, blood work, listening to breathing, ECG.

Question 15

methods of data collection

Answer 15

• interviewing
• observation
• physical examination
• lab + diagnostic tests

Question 16

Tx

Answer 16

Treatment

Question 17

Rx

Answer 17

Prescription

Question 18

Dx

Answer 18

Diagnosis

Question 19

nursing diagnosis

Answer 19

statement about clients actual and potential health concerns that can be managed through independent nursing interventions. It is concerned with the person and how the disease affects their functioning.

Question 20

medical diagnosis

Answer 20

physician scope. is concerned with the disease process.
example: anxiety related to situational crisis as evidence by increased blood pressure, pulse, and respirations, restlessness, expression of helplessness and concentration.

Question 21

goals/desired outcome

Answer 21

• a statement that would demonstrate reduction, resolutions, or preventions of the problem identified in the nursing diagnosis.
• tell the client and nurse what is to be accomplished and when.
• provide criteria for evaluation of the effectiveness of the plan of care.
• SMART

Question 22

nursing theory

Answer 22

organize knowledge about nurses to enable nurses to use it in a professional and accountable manner

Question 23

theory

Answer 23

a purposeful set of assumptions or propositions that identify the relationships between concepts. Useful because they provide a systematic view for explaining, predicting and prescribing care.

Question 24

SMART

Answer 24

specific, measurable, achievable, realistic, timely.