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
Q

aka signs or overt data

A

objective data

24
Q

aka symptoms or covert data

A

subjective data

25
Q

data collected through interview

A

subjective

26
Q

data collected through interview

A

subjective

26
Q

data collected through interview

A

subjective

27
Q

methods of collecting data

A

interview, observation, PE

28
Q

3 frameworks used to organize data

A
  1. Gordon’s 11 Functional Health Pattern Framework
  2. Orem’s Self-care Model
  3. Roy’s Adaptation Model
29
Q

“Double-checking” or verifying data to confirm that
it is accurate and factual

A

validating data

30
Q

Assessment data must be recorded and reported.

A

documenting data

31
Q

Assessment data must be recorded and
reported.

A

nursing diagnosis phase

32
Q

refers to the reasoning process

A

diagnosing

33
Q

statement or conclusion regarding the
nature of a phenomenon

A

diagnosis

34
Q

standardized NANDA names for the
diagnoses

A

diagnostic labels

35
Q

causal relationship between the problem &
its related or risk factors

A

etiology

36
Q

is a clinical judgment by the physician that
determines a specific disease, condition or
pathological state.

A

medical diagnosis

37
Q

is a clinical judgment about individual,
family, or community responses to actual
or potential health problems/life processes.

A

nursing diagnosis

38
Q

what is NANDA?

A

North American Nursing Diagnosis
Association (NANDA),

39
Q

purpose of NANDA

A

to define, refine, and promote a taxonomy of
nursing diagnostic terminology of general
use to professional nurses

40
Q

types of nursing diagnosis

A

actual, risk, wellness

41
Q

a client problem at the time of assessment

A

actual diagnosis

42
Q

problem does not exist but the presence of
risk factors indicates that a problem is
likely to develop if unattended.

A

risk diagnosis

43
Q

human responses to levels of wellness in
an individual, family or community that
have a readiness for enhancement.

A

wellness diagnosis

44
Q

process of designing an action plan through
which lifestyle behaviors can be prevented,
reduced or eliminated.

A

planning phase

45
Q

End product of the planning phase is the ____

A

NURSING CARE PLAN.

46
Q

objectives should be:

A

specific, measurable, attainable, realistic, time-bounded

47
Q

an action performed
by the nurse that helps the client achieve the
results specified by the goals and expected
outcomes.

A

nursing intervention

48
Q

consists of doing and
documenting the activities that are the specific
nursing actions needed to carry out the
interventions.

A

implementation phase

49
Q

skills inv. in implementation phase

A

cognitive, interpersonal, technical skills

50
Q

defined as a planned, ongoing, purposeful
activity in which clients & healthcare

A

evaluation phase

51
Q

takes place at the end of the learning process
to ascertain if the objectives have been
achieved and competencies developed.

A

summative evaluation

52
Q

provides information about learning needs of
clients and where additional instruction is
needed.

A

formative evaluation

53
Q

Effective communication among health
professionals is vital to the quality of client
care. Health personnel communicates through
discussion, reporting, and recording.

A

documentation