Concept 3 - Leslie notes

Question 1

What is the Definition of “the nursing process?

Answer 1

a systematic method of critical thinking.

Question 2

What are the two main purposes of the nursing process?

Answer 2

develop individualized plans of care, provide organized, effective patient care

Question 3

What are the three types of nursing diagnoses?

Answer 3

actual, risk, health promotion

Question 4

What things embody an actual nursing diagnosis?

Answer 4

? A problem already exists ? Identified by signs and symptoms ? Has three parts: problem, etiology & symptoms

Question 5

What are the 3 parts to an actual nursing diagnosis?

Answer 5

problem, etiology, symptoms

Question 6

How do you write an actual nursing diagnosis?

Answer 6

The NANDA nursing diagnostic label, “related to” the etiology, “as evidenced by” the signs and symptoms Example: Sleep Deprivation related to frequent sleep interruption as evidenced by patient complaint of diarrhea 10 times through the night and feeling fatigued

Question 7

What things embody a risk nursing diagnosis?

Answer 7

? A potential problem ? Assessment findings suggest this patient is at risk ? Has 2 parts (No signs and symptoms)

Question 8

What are the two parts of a risk nursing diagnosis?

Answer 8

1: NANDA diagnostic label #2: factors indicating vulnerability (risk factors)

Question 9

How do you write a risk nursing diagnosis?

Answer 9

NANDA diagnostic label “with the risk factor of” the risk factor Example: Risk for Injury with the risk factor of impaired cognitive awareness

Question 10

What are the two parts of the health promotion nursing diagnosis

Answer 10

The NANDA diagnostic label, the defining characteristics

Question 11

How do you write a health promotion nursing diagnosis?

Answer 11

Readiness for enhanced, NANDA diagnostic label, “as evidenced by” defining characteristics, Example: Readiness for Enhanced Self-Health Management as evidenced by expressed desire to manage illness more effectively

Question 12

Implementation

Answer 12

? The implementation step of the nursing process focuses on initiation of appropriate interventions designed to meet the unique needs of each patient. ? Interventions can be Independent, Dependent or Collaborative

Question 13

What is NANDA?

Answer 13

a professional nursing organization that provides standardized language to identify patient problems and plan customized care. They create the standardized nursing diagnoses.

Question 14

What are Objective Data?

Answer 14

data that you can measure with exams, test results, x-rays, etc., Also signs that the patient is having for a particular problem. Ex: blood pressure

Question 15

What is an Assessment?

Answer 15

Gathered patient care data through observation, interviews, and physical assessment. (Taking a history and doing an exam on the patient.)

Question 16

What is Planning?

Answer 16

Prioritize the nursing diagnoses and identify short- and long-term goals that are patient focused and SMART

Question 17

What is SMART?

Answer 17

Specific, Measurable, Applicable to patient, Realistic, Timely

Question 18

What is Evaluation?

Answer 18

Determine whether the patient’s goals are met, examine the effectiveness of interventions, and decide whether the plan of care should be discontinued, continued, or revised.

Question 19

What is Subjective Data?

Answer 19

data that the patient gives to the nurse such as how they feel, their symptoms, their level of pain, etc.