FON THEORY REVIEW Flashcards
1
Q
- Systematic, rational method of planning and providing individual
nursing care - problem identification & solving (GORDON)
- determine client’s health status (YURA & WALSH)
A
NURSING PROCESS
2
Q
- PURPOSE
A
help nurse manage each pt’s nursing care
intelligently, judicially, and scientifically
3
Q
● intelligently (4 ways of knowing):
A
ersonal, empirical,
practical, ethical
4
Q
- first introduce Nursing Process
A
- Lydia Hall
5
Q
- assessing client’s behavioral system
A
Dorothy Johnson
6
Q
concepts identification of needed help
A
- Ernestine Weidenbach
7
Q
5-steps nursing process
A
- Ida Jean Orlando
8
Q
use of the 6th Carative Factor
A
Jean Watson
9
Q
- N.P CHARACTERISTICS
A
- Interpersonal process
- Cyclic & dynamic
- Client centeredness
- Use of critical thinking
- Universal applicability
- Focus on problem solving
- Goal oriented
10
Q
A.N.A (2010)
A
Assessment
Ndx
Outcome identification
Planning Implementation Evaluation
11
Q
- systematic and continuous COVD
A
ASSESSMENT
12
Q
Purpose of Assessment
A
To establish baseline data
13
Q
Initial -
A
after admission
14
Q
Problem-focused -
A
Ongoing process
15
Q
physiological or psychological crisis of the
client.
A
Emergency
16
Q
compare the client’s current status to baseline
data previously obtained
A
Time-lapse
17
Q
what is COVD
A
- Collection of data
- Organize data
➔ Gordon’s 11 FHP
➔ R.A.M
➔ Orem’s universal requisite - Validate data
- Document data
18
Q
parag. form
A
Narrative notes
19
Q
“fill in the blanks”
A
Open ended notes
20
Q
- A clinical judgment
A
. DIAGNOSIS
21
Q
DIAGNOSIS PURPOSE
A
identify client strengths and health problems
22
Q
1953
A
- virginia fry & louise mcmanus
23
Q
1973 -
A
- 1st development of ndx
24
Q
1977
A
1st canadian conference
25
1992
- NANDA acceptance
26
1987
international nursing conference
27
2002 -
- NANDA-I
28
define, refine and promote a
taxonomy of nursing diagnostic terminology for general use of
professional
nurses
PURPOSE OF NANDA-INT
29
A
➔ Compare data against standard
➔ Custer data
➔ Identify gaps
ANALYZE THE DATA
30
I
Identify Health problems
31
F
. Formulate diagnostic statement
32
client problem that is present at the time of diagnosis;
Actual -
33
3 parts (PES);
client’s signs and symptoms
34
client’s preparedness to improve their
health condition: 1 part (problem)
Health Promotion
35
k - no subjective and objective data; 2 parts (PE)
. Risk
36
- cluster of ndx that have similar interventions; 2
parts (PE)
Syndrome
37
diagnostic label
- PROBLEM
38
- incomplete
. Deficient -
39
- made worse, weakened, damaged
Impaired-
40
lesser in size/degree
. Decreased
41
- not producing the desired effect
Ineffective-
42
probable causes/related factors; gives direction
- Etiology
43
- defining characteristics
Signs and Symptoms
44
specific pathophysiological response
- MEDICAL DX
45
nursing judgment to human responses to actual
or potential health problem
NURSING DX
46
deliberate process of identifying nursing
interventions
PLANNING
47
types of planning
1. Initial
2. Ongoing
3. Discharge
48
- Activities:
1. Prioritize problems
➔ Life-threatening
➔ Health threatening
➔ developmental
49
general statement
GOAL
50
specific
OUTCOME
51
“the client will”
Subject -
52
action to perform
Verb
53
explaining
Modifier (measurement
54
evaluation of performance
. Criterion
55
Verbs to use:
apply, assemble, describe, administer,
enumerate, etc.
56
4. Write nursing interventions on care plans
- Verb, modifier, criterion
57
written/computerized
- FORMAL
58
- in mind
- INFORMAL
59
formal plan that specifies the nursing care for
a group of clients with common needs.
STANDARDIZED
60
unique needs of a specific client- needs that
are not addressed by the standardized plan
2. INDIVIDUALIZED
61
- PARTS OF NCP:
1. ASSESSMENT
2. DIAGNOSIS
3. NDX RATIONALE - reason for that problem
4. PLAN - objective
5. INTERVENTION
62
nurses are licensed to initiate
Dependent -
63
- under the orders
➔ Independent
64
Diet, Rehab, etc
Collaborative -
65
- reason to nursing intervention
RATIONALE
66
- conclusion & decision
. EVALUATION
67
the action phase
4. IMPLEMENTATION
68
- include problem solving
Cognitive
69
- communication
Interpersonal -
70
manual
Technical
71
- Process of Implementing - RDIS
1. Reassessing the client
2. Determining the nurse’s need for assistance
3. Implement the NI
4. Supervise the delegated care
72
Document the
e interventions performed
73
Collecting data related to the desired outcome.
EVALUATION
74
t- the client response is the same as the desired
outcome.
a. Goal was met
75
the goal was incompletely attained.
Goal was partially met
76
the goal was incompletely attained.
Goal was partially met
77
the client's response did not meet the
desired outcome
Goal was not me
78
Comparing the data with the desired outcome
Conclusion and
supporting data
79
. Relating nursing activities
TO OUTCOME
80
4. Drawing conclusions about
problem status
81
. Deciding on the
next action
82
- partially met
Continue the plan
83
- goal is not met
Modify the plan of car
84
- goal is met
c. Terminate the plan
85
- goal is met
c. Terminate the plan
