FUNDA: NURSING PROCESS - LEADERSHIP Flashcards

1
Q

method of planning
and providing individualized nursing care.

A

NURSING PROCESS

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2
Q

8 characteristics of the nursing process

A
  1. Cyclic and Dynamic Nature
  2. Client Centeredness
  3. Focus on Problem Solving
  4. Decision Making
  5. Interpersonal and Collaborative Style
  6. Universal Applicability
  7. Use Of Critical Thinking
  8. Use Of Clinical Reasoning
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3
Q

year and people who coined nursing process

A

1955; Lydia Hall & Dorothy Johnson

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4
Q

first people to use the nursing process and year

A

Orlando (1961) & Ernestein Weidenbach
(1963)

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5
Q

nursing process was formally
introduced as a tool for nursing practice.

A

1967

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6
Q

______ & ______ identified 4 steps in the process:
implementation was added

A

Yura & Walsh

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7
Q

first to introduce term nursing diagnosis

A

Fry

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8
Q

In _____, ______ & ______ met with the NANDA-I. Nursing diagnosis was added as a separate & distinct step in nursing process.

A

Gebbie and Lavin (1974)

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9
Q

Year that ANA included outcome identification in the planning phase of the process.

A

1991

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10
Q

phases of the nursing process

A

assessment, diagnosis, planning, implementation, evaluation

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11
Q

Is the systematic & continuous collection,
organization, validation and documentation of
data or information

A

assessment

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12
Q

Is carried out during all phases of the nursing
process.

A

assessment

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13
Q

type of assessment: performed within a specified time after admission to healthcare facility & done to establish a complete database for problem identification, reference & future comparison.

A

initial assessment

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14
Q

approaches to initial assess.

A

head to toe, body systems, combination

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15
Q

assessment: performed to determine status of a specific problem identified in an earlier assessment

A

problem-focused assess.

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16
Q

performed during physiologic or psychologic
crisis of the client & to identify life-threatening problems, new or overlooked problems

A

emergency assess.

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17
Q

done several months after initial assessment to compare the client’s status to baseline data previously obtained.

A

Time-lapsed reassessment

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18
Q

assessment involves?

A

collecting, organizing, validating, interpreting, documenting data

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19
Q

referred to as baseline information of the client

A

database

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19
Q

referred to as baseline information of the client

A

database

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20
Q

referred to as baseline information of the client

A

database

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21
Q

2 sources of data

A

primary and secondary

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21
Q

2 sources of data

A

primary and secondary

22
Q

types of data

A

subjective and objective

23
aka signs or overt data
objective data
24
aka symptoms or covert data
subjective data
25
data collected through interview
subjective
26
data collected through interview
subjective
26
data collected through interview
subjective
27
methods of collecting data
interview, observation, PE
28
3 frameworks used to organize data
1. Gordon’s 11 Functional Health Pattern Framework 2. Orem’s Self-care Model 3. Roy’s Adaptation Model
29
“Double-checking” or verifying data to confirm that it is accurate and factual
validating data
30
Assessment data must be recorded and reported.
documenting data
31
Assessment data must be recorded and reported.
nursing diagnosis phase
32
refers to the reasoning process
diagnosing
33
statement or conclusion regarding the nature of a phenomenon
diagnosis
34
standardized NANDA names for the diagnoses
diagnostic labels
35
causal relationship between the problem & its related or risk factors
etiology
36
is a clinical judgment by the physician that determines a specific disease, condition or pathological state.
medical diagnosis
37
is a clinical judgment about individual, family, or community responses to actual or potential health problems/life processes.
nursing diagnosis
38
what is NANDA?
North American Nursing Diagnosis Association (NANDA),
39
purpose of NANDA
to define, refine, and promote a taxonomy of nursing diagnostic terminology of general use to professional nurses
40
types of nursing diagnosis
actual, risk, wellness
41
a client problem at the time of assessment
actual diagnosis
42
problem does not exist but the presence of risk factors indicates that a problem is likely to develop if unattended.
risk diagnosis
43
human responses to levels of wellness in an individual, family or community that have a readiness for enhancement.
wellness diagnosis
44
process of designing an action plan through which lifestyle behaviors can be prevented, reduced or eliminated.
planning phase
45
End product of the planning phase is the ____
NURSING CARE PLAN.
46
objectives should be:
specific, measurable, attainable, realistic, time-bounded
47
an action performed by the nurse that helps the client achieve the results specified by the goals and expected outcomes.
nursing intervention
48
consists of doing and documenting the activities that are the specific nursing actions needed to carry out the interventions.
implementation phase
49
skills inv. in implementation phase
cognitive, interpersonal, technical skills
50
defined as a planned, ongoing, purposeful activity in which clients & healthcare
evaluation phase
51
takes place at the end of the learning process to ascertain if the objectives have been achieved and competencies developed.
summative evaluation
52
provides information about learning needs of clients and where additional instruction is needed.
formative evaluation
53
Effective communication among health professionals is vital to the quality of client care. Health personnel communicates through discussion, reporting, and recording.
documentation