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FUNDA > FUNDA LAB NCP (1) > Flashcards

FUNDA LAB NCP (1) Flashcards

1
Q

The nursing process is modified as

A

scientific method

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2
Q

Nursing practice was first described as a five-stage nursing process by ____ it should not be focused with NURSING THEORIES OR HEALTH INFORMATICS

A

ida jean orlando (1958)

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3
Q

is a systematic problem-solving approach used to identify, prevent and treat actual or potential health problems and promote wellness

A

nursing process

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4
Q
  • to identify a client’s health status and actual or potential health care problems or needs
  • to establish plants to met the identified needs
  • to deliver specific nursing interventions to meet those needs
A

purposes of nursing process

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5
Q

Developed the Nursing Process as we know it today is based upon the “Deliberative Nursing Process Theory”.

A

ida jean orlando pelletier

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6
Q

Nurses use the standard nursing process in Orlando’s Nursing Process Discipline Theory to _________

A

produce positive outcomes or patient improvement.

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7
Q

____ Is a critical thinking process that professional nurses use to apply the best available evidence to caregiving and promotion human functions and responses to health and illness

A

Nursing process (ANA 2010)

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8
Q

characteristics of nursing process

A

cyclic
dynamic nature
client centeredness
focus on problem solving and decision making
interpersonal and collaboration style
universal applicability
use of critical thinking and clinical reasoning

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9
Q

-is a unique approach or the nursing process that requires CARE RESPECTFUL of and responsive to the individual patient’s needs, preferences, values. The nurse functions as PATIENT ADVOCATE by keeping the patient’s right to practice informed decision making and maintaining ______ engagement in the health care settimg

A

patient-centered

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10
Q

the nursing process provides the basis for the therapeutic process in which the nurse and patient RESPECT EACH OTHER as an individual, both of them learning and growing due to the interaction, It involves the INTERACTION BETWEEN the nurse and the patient with a common goal

A

interpersonal

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11
Q

the nursing process functions effectively in nursing and inter-professional teams, promoting open communication, mutual respect and SHARED decision making to achieve quality patient care

A

collaborative

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12
Q

the nursing process is a ________ process in which EACH PHASE INTERACTS with and is influenced by the other phases

A

dynamic and cyclical

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13
Q

the use of the nursing process requires _______ which is a vital skill required for nurses in IDENTIFYING CLIENT PROBLEMS AND IMPLEMENTING INTERVENTIONS to promote effective care outcomes

A

critical thinking

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14
Q

is the systematic and continuous collection, organization, validation and documentation of data (information)

A

assessment

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15
Q

performed within SPECIFIED time after admission. to establish a complete database for problem identification (ex: nursing admission assessment)

A

initial nursing assessment

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16
Q

to determine the status of a SPECIFIC PROBLEM identified in an earlier assessment (ex: hourly checking of vs)

A

problem-focused assessment

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17
Q

during EMERGENCY SITUATION to identify any LIFE THREATENING situation (rapid assess of indiv airway and breathing status)

A

emergency assessment

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18
Q

several month after initial assessment. to COMPARE the client’s current health status with the data PREVIOUSLY obtained

A

time-lapsed reassessment

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19
Q

The nurse completes a holistic nursing assessment of the needs of the individuals/family/community, regardless of the reason for the encounter. The nurse collects SUBJECTIVE AND OBJECTIVE DATA using a nursing framework such as MARJORY GORDON’s functional health patterns

A

true

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20
Q

is the process of gathering information about a client’s health status. it includes the health history, physical examination, results of laboratory and diagnostic test and material contributed by other health personnel

A

data collection/collection of data

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21
Q

also referred to as symptoms or covert data, are clear only to the person affected and can be described only by that person (ex; itching, pain, feelings)

A

subjective data

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22
Q

also referred to as signs or overt data, are detectable by an observer or can be measured or tested against an accepted standard. they can be seen, heard,smelled. ex: a discoloration of a skin or a bp reading

A

objective data

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23
Q

it is the direct source of information.

A

primary

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24
Q

it is the indirct source of information. all sources other than the client are considered ______ like family members, health prof, records, lab, diagnostic

A

secondary data

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25
Q

it is gathering data by using the senses. vision smell and hearing are used

A

observation

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26
Q

an _____ is planned communication or s conversation with a purpose

A

interview

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27
Q

the physical _____ is a systematic data collection method to detect health problems. to conduct it, the nurses uses techniques of inspection, palpation, percussion and auscultation

A

examination

28
Q

the nurses uses a format that organizes the assessment data systematically. this is often referred to as nursing health history or nursing assessment form

A

organization of data

29
Q

the information gathered during the assessment is “double-checked” or verified to confirm that is is accurate or complete

A

validation data

30
Q

to complete the assessment , the nurse records client data. accurate documentation is essential and should include all data collected about the health status

A

documentation data

31
Q
  • analyze data
  • identify health problems, risks, and strength
  • formulate diagnosis statements
A

diagnosing

32
Q

“a clinical judgement concerning a human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community”

A

NANDA

33
Q

is the second phase of the nursing process, in this phase, nurses use critical thinking skills to interpret assessment data to identify client problems

A

diagnosis

34
Q

MEANING OF NANDA

A

north american nursing diagnosis association

35
Q

This phase in the nursing process is one of the most important. We must consider all external factors of the patient (environmental, socioeconomic, and physiological etc.) when developing a diagnosis, which can be challenging at times.

A

nursing diagnosis

36
Q

it is a client problem that is present at the time of the nursing asses

A

actual diagnosis

37
Q

relates to client’s preparedness to improve their health condition

A

health promotion diagnosis

38
Q

is a clinical judgement that a problem does not exist, but pt the presence of risk factors indicates that a problem may develop if adequate care is not given

A

risk nursing diagnosis

39
Q

3 components of NANDA

A

problem statement, etiology, defining characteristics

40
Q

component of a nursing diagnosis identified causes of the health problem

A

etiology

41
Q

component of a nursing diagnosis identifies causes of the health problem

A

etiology

42
Q

describes the client’s health problems

A

problem statement

43
Q

are the cluster of signs and symptoms that indicate the presence of health problem

A

defining characteristics

44
Q
  • prioritize problems/diagnoses
  • formulate goals/desired outcomes
  • select nursing interventions
  • write nursing interventions
A

planning

45
Q
  • it involves decision making and problem solving
  • it is the process of formulating client goals and designing the nursing interventions required to prevent, reduce or eliminate the client’s health problems
A

planning

46
Q

planning which is done after the initial assessments

A

initial planning

47
Q

it is a continuous planning

A

ongoing planning

48
Q

planning for needs after discharge

A

discharge planning

49
Q

nurses frequently use ________ of needs when setting priorities

A

maslow’s hierarchy

50
Q

what are the 5 maslow’s hierarchy starting from lower to upper

A

physiological needs
safety needs
belongingness and love needs
esteem needs
self actualization

51
Q

it can be achieved in a reasonable amount of tike (few hours to de days)ex:8hrs

A

short term

52
Q

this may take weeks/months to be achieved

A

long term

53
Q

a ______ is any treatment, that a nurse performs to improve patient’s health

A

nursing interventions

54
Q

the process of implementation includes

A

implementing the nursing interventions and documenting nursing activities

55
Q

Any intervention that the nurse can independently provide without obtaining a prescription is considered an _______ An example of an _______ nursing intervention is when the nurses monitor the patient’s 24-hour intake/output record for trends because of a risk for imbalanced fluid volume.

A

independent nursing interventions

56
Q

require a prescription before they can be performed. Prescriptions are orders, interventions, remedies, or treatments ordered or directed by an authorized primary health care provider. A primary health care provider is a member of the health care team (usually a physician, advanced practice nurse, or physician’s assistant) who is licensed and authorized to formulate prescriptions on behalf of the client. For example, administering medication

A

dependent nursing interventions

57
Q

“The nurse will reposition the patient with dependent edema frequently, as appropriate.”

A

independent nursing interventions

58
Q

are actions that the nurse carries out in collaboration with other health team members, such as physicians, social workers, respiratory therapists, physical therapists, and occupational therapists. These actions are developed in consultation with other health care professionals and incorporate their professional viewpoint.

A

collaborative nursing interventions

59
Q

“The nurse will administer scheduled diuretics as prescribed.”

A

dependent nursing interventions

60
Q

“The nurse will administer scheduled diuretics as prescribed.”

A

collaborative nursing interventions

61
Q

is a written or computers information about the client’s care

A

nursing care plan

62
Q

action performed to client (inserting foley catheter)

A

direct care interventions

63
Q

actions performed away from client ( looking at lab results)

A

indirect care interventions

64
Q
  • putting your plan into action
  • set priorities after report
  • assess and reassess /revise or review
  • perf interventions
  • chart client response
  • give report to next shift
  • organize resources and care delivery
A

implementation

65
Q

is a planned, ongoing, purposeful activity in which the nurse determines
(a) the client’s progress toward achievement of goals/outcomes and (b) the effectiveness of the ncp

A

evaluation

FUNDA (14 decks)

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