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BSN 206 > introduction to the nursing process > Flashcards

introduction to the nursing process Flashcards

1
Q

which nursing skill is essential to utilize throughout the nursing process?

  • analysis
  • observation
  • critical thinking
  • time management
A

critical thinking

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2
Q

place the steps of the nursing process in the order in which each should occur

  • analysis
  • implementation
  • evaluation
  • assessment
  • planning
A
  • assessment
  • analysis
  • planning
  • implementation
  • evaluation
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3
Q

match the nursing process characteristic to its description
- organized
- analytical
- collaborative
- outcome-oriented

the nursing process incorporates the interprofessional team

A

collaborative

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4
Q

match the nursing process characteristic to its description
- organized
- analytical
- collaborative
- outcome-oriented

nurses evaluate patient results to determine effectiveness

A

outcome-oriented

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5
Q

match the nursing process characteristic to its description
- organized
- analytical
- collaborative
- outcome-oriented

nurses use critical thinking for each step of the nursing process

A

analytical

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6
Q

match the nursing process characteristic to its description
- organized
- analytical
- collaborative
- outcome-oriented

the nursing process helps ensure the patient care is well planned

A

organized

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7
Q

which component determines whether an assessment is primary or secondary?

  • source of data
  • types of data
  • categories of data
  • objectivity of the data
A

source of data

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8
Q

match the category of data with its description

  • primary
  • secondary
  • objective
  • subjective

obtained directly from patient

A

primary

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9
Q

match the category of data with its description

  • primary
  • secondary
  • objective
  • subjective

blood pressure reading and weight

A

objective

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10
Q

match the category of data with its description

  • primary
  • secondary
  • objective
  • subjective

direct quotes describing patient feelings

A

subjective

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11
Q

match the category of data with its description

  • primary
  • secondary
  • objective
  • subjective

obtained from other health care professionals or medical records

A

secondary

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12
Q

which examples reflect subjective data?

  • signs
  • feelings
  • symptoms
  • perceptions
  • laboratory findings
  • health history
A
  • feelings
  • symptoms
  • perceptions
  • health history
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13
Q

which nursing concept is defined as an actual or potential problem or response to a problem?

  • plan
  • outcome
  • diagnosis
  • assessment
A

diagnosis

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14
Q

which aspects do nurses make judgments about when determining initial nursing diagnoses?

  • vulnerabilities
  • patient problems
  • health promotion
  • risk for problems
  • evaluative measures
A
  • vulnerabilities
  • patient problems
  • health promotion
  • risk for problems
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15
Q

which action reflects a primary task in the analysis step of the nursing process?

  • initiating nursing actions
  • forming diagnostic conclusions
  • identifying realistic patient goals
  • examining the effectiveness of interventions
A

forming diagnostic conclusions

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16
Q

which term describes how the nursing process changes over time in response to patients individual needs?

  • dynamic
  • analytical
  • organized
  • adaptable
A

dynamic

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17
Q

which statement defines collaborative interventions?

  • involve independent nursing interventions
  • establish the effectiveness of nursing actions
  • require a prescription from the health care provider
  • involve the expertise of health care team members
A

involve the expertise of health care team members

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18
Q

match the type of nursing intervention to the example

  • interdependent
  • independent
  • dependent

patient positioning

A

independent

19
Q

match the type of nursing intervention to the example

  • interdependent
  • independent
  • dependent

foley catheter insertion

A

dependent

20
Q

match the type of nursing intervention to the example

  • interdependent
  • independent
  • dependent

respiratory therapy consult

A

interdependent

21
Q

which function describes the primary purpose for documenting nursing interventions?

  • implement policy
  • prove task completion
  • facilitate communication
  • ensure proper record-keeping
A

facilitate communication

22
Q

which interventions reflect indirect nursing care?

  • giving an injection
  • helping a patient ambulate in the hall
  • documenting medications administered
  • collaborating to schedule occupational therapy
  • working with a social worker to set up home care
A
  • documenting medications administered
  • collaborating to schedule occupational therapy
  • working with a social worker to set up home care
23
Q

during the implementation step of the nursing process, a nurse reviews and revises a patients plan of care. place the steps of review and revision in the order in which each should occur

  • review and revise the existing plan of care
  • implement nursing interventions
  • reassess the patient
  • organize resources and care delivery
  • anticipate and prevent complications
A
  • reassess the patient
  • review and revise the existing plan of care
  • organize resources and care delivery
  • anticipate and prevent complications
  • implement nursing interventions
24
Q

which aspect would the nurse consider as a component of the evaluation step of the nursing process?

  • the patient being discharged from the hospital
  • the patients achievement of short and long term goals
  • the nurses completion of interventions in the plan of care
  • the nurses view on the patients desire to perform interventions
A

the patients achievement of short and long term goals

25
Q

which critical thinking functions must the nurse perform to effectively evaluate patient goals during the final step of the nursing process?

  • recognizing errors
  • gathering patient cues
  • documenting patient progress
  • comparing achieved effect with goals
  • examining results according to clinical findings
A
  • recognizing errors
  • comparing achieved effect with goals
  • examining results according to clinical findings
26
Q

which questions would the nurse ask when revising the plan of care because of unmet patient goals?

  • were the original goals realistic?
  • what unanticipated events occurred?
  • were the original goals collaborative?
  • what steps in the process can be handled differently?
  • what barriers did the patient encounter that prevented goal attainment?
A
  • were the original goals realistic?
  • what unanticipated events occurred?
  • what steps in the process can be handled differently?
  • what barriers did the patient encounter that prevented goal attainment?
27
Q

Which characteristics of the nursing process allow the nurse to effectively apply critical thinking to patient care?

  • It is organized.
  • It is outcome-oriented.
  • It necessitates observation skills.
  • It allows nurses to apply knowledge.
  • It requires nurses to think analytically.
  • It incorporates an interprofessional team.
A
  • It is organized.
  • It is outcome-oriented.
  • It allows nurses to apply knowledge.
  • It requires nurses to think analytically.
  • It incorporates an interprofessional team.
28
Q

Which organization defines standards of nursing practice and states that the nursing process forms the foundation for clinical decision making?

  • American Academy of Nursing
  • National Student Nurses Association
  • National League for Nursing
  • American Nurses Association
A

American Nurses Association

29
Q

Which questions are critical for the nurse to ask during each step in the nursing process?

  • Were patient goals met?
  • Can interventions be universally applied?
  • Is collected data thorough and accurate?
  • Could interventions affect the patient negatively?
  • Are all underlying factors addressed in the plan of care?
A
  • Can interventions be universally applied?
  • Is collected data thorough and accurate?
  • Could interventions affect the patient negatively?
  • Are all underlying factors addressed in the plan of care?
30
Q

Which step of the nursing process does the nurse use when obtaining the following patient information: blood pressure of 180/75, pulse of 90, and a complaint of chest pain?

  • analysis
  • evaluation
  • assessment
  • implementation
A

assessment

31
Q

Which type of data do the patient’s family members, friends, or other nurses provide?

  • primary
  • objective
  • secondary
  • comprehensive
A

secondary

32
Q

Which type of patient assessment takes into account all factors, such as the patient’s physical, psychological, emotional, environmental, cultural, and spiritual health?

  • general
  • holistic
  • focused
  • universal
A

holistic

33
Q

Which nursing action occurs during the analysis step of the nursing process?

  • Initiating nursing interventions and treatments
  • identifying realistic goals that are patient-focused
  • Clustering patient data to identify patient problems
  • Gathering patient data through a variety of sources
A

Clustering patient data to identify patient problems

34
Q

Which phrase describes the primary purpose of nursing analysis and diagnosis?

  • resolves patient confusion
  • communicates patient problems
  • articulates the nursing scope of practice
  • describes the medical context of the patient problem
A

communicates patient problems

35
Q

Which phrases describe the role of the International Classification for Nursing Practice (ICNP) in the nursing process?

  • provides a standardized nursing language
  • outlines categories for patient information
  • categorizes priorities based on importance
  • identifies common labels for nursing diagnoses
  • provides point-of-care documentation for clinical activity
A
  • provides a standardized nursing language
  • identifies common labels for nursing diagnoses
  • provides point-of-care documentation for clinical activity
36
Q

During which step of the nursing process would the nurse prioritize nursing diagnoses?

  • planning
  • analysis
  • evaluation
  • assessment
A

planning

37
Q

During which step of the nursing process would the nurse establish long-term goals with the patient?

  • planning
  • analysis
  • evaluation
  • implementation
A

planning

38
Q

Which part of the nursing process involves the nurse setting short-term goals for the patient?

  • planning
  • diagnosis
  • evaluation
  • assessment
A

planning

39
Q

Which step of the nursing process involves carrying out nursing actions designed to meet a patient’s unique needs?

  • planning
  • analysis
  • evaluation
  • implementation
A

implementation

40
Q

Which intervention reflects direct nursing care?

  • Working with a social worker to set up home care
  • Documenting nursing interventions
  • Asking the health care provider to prescribe a special diet
  • Giving an injection
A

Giving an injection

41
Q

Which statements reflect the nurse’s role during the implementation step of the nursing process?

  • Be accountable for safe practice.
  • Consult with the health care provider.
  • Collaborate with support services.
  • Perform the steps of intervention accurately.
  • Understand why an intervention is planned.
A
  • Be accountable for safe practice.
  • Perform the steps of intervention accurately.
  • Understand why an intervention is planned.
42
Q

Which step of the nursing process considers the effectiveness of nursing care?

  • planning
  • analysis
  • evaluation
  • implementation
A

evaluation

43
Q

Which step of the nursing process includes a decision point on whether to discontinue, continue, or revise the plan of care?

  • planning
  • evaluation
  • assessment
  • implementation
A

evaluation

44
Q

Which questions would the nurse ask to evaluate the effectiveness of nursing interventions?

  • Should the plan of care be discontinued?
  • Which nursing diagnosis covers this cluster of signs and symptoms?
  • Have new assessment data been identified that should be considered?
  • Did the patient meet the goals established during the implementation phase?
  • Does the plan of care need to be modified in response to patient changes?
A
  • Should the plan of care be discontinued?
  • Have new assessment data been identified that should be considered?
  • Does the plan of care need to be modified in response to patient changes?

BSN 206 (3 decks)

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