introduction to the nursing process Flashcards
which nursing skill is essential to utilize throughout the nursing process?
- analysis
- observation
- critical thinking
- time management
critical thinking
place the steps of the nursing process in the order in which each should occur
- analysis
- implementation
- evaluation
- assessment
- planning
- assessment
- analysis
- planning
- implementation
- evaluation
match the nursing process characteristic to its description
- organized
- analytical
- collaborative
- outcome-oriented
the nursing process incorporates the interprofessional team
collaborative
match the nursing process characteristic to its description
- organized
- analytical
- collaborative
- outcome-oriented
nurses evaluate patient results to determine effectiveness
outcome-oriented
match the nursing process characteristic to its description
- organized
- analytical
- collaborative
- outcome-oriented
nurses use critical thinking for each step of the nursing process
analytical
match the nursing process characteristic to its description
- organized
- analytical
- collaborative
- outcome-oriented
the nursing process helps ensure the patient care is well planned
organized
which component determines whether an assessment is primary or secondary?
- source of data
- types of data
- categories of data
- objectivity of the data
source of data
match the category of data with its description
- primary
- secondary
- objective
- subjective
obtained directly from patient
primary
match the category of data with its description
- primary
- secondary
- objective
- subjective
blood pressure reading and weight
objective
match the category of data with its description
- primary
- secondary
- objective
- subjective
direct quotes describing patient feelings
subjective
match the category of data with its description
- primary
- secondary
- objective
- subjective
obtained from other health care professionals or medical records
secondary
which examples reflect subjective data?
- signs
- feelings
- symptoms
- perceptions
- laboratory findings
- health history
- feelings
- symptoms
- perceptions
- health history
which nursing concept is defined as an actual or potential problem or response to a problem?
- plan
- outcome
- diagnosis
- assessment
diagnosis
which aspects do nurses make judgments about when determining initial nursing diagnoses?
- vulnerabilities
- patient problems
- health promotion
- risk for problems
- evaluative measures
- vulnerabilities
- patient problems
- health promotion
- risk for problems
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
forming diagnostic conclusions
which term describes how the nursing process changes over time in response to patients individual needs?
- dynamic
- analytical
- organized
- adaptable
dynamic
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
involve the expertise of health care team members
match the type of nursing intervention to the example
- interdependent
- independent
- dependent
patient positioning
independent
match the type of nursing intervention to the example
- interdependent
- independent
- dependent
foley catheter insertion
dependent
match the type of nursing intervention to the example
- interdependent
- independent
- dependent
respiratory therapy consult
interdependent
which function describes the primary purpose for documenting nursing interventions?
- implement policy
- prove task completion
- facilitate communication
- ensure proper record-keeping
facilitate communication
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
- documenting medications administered
- collaborating to schedule occupational therapy
- working with a social worker to set up home care
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
- reassess the patient
- review and revise the existing plan of care
- organize resources and care delivery
- anticipate and prevent complications
- implement nursing interventions
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
the patients achievement of short and long term goals
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
- recognizing errors
- comparing achieved effect with goals
- examining results according to clinical findings
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?
- 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?
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.
- It is organized.
- It is outcome-oriented.
- It allows nurses to apply knowledge.
- It requires nurses to think analytically.
- It incorporates an interprofessional team.
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
American Nurses Association
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?
- 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?
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
assessment
Which type of data do the patient’s family members, friends, or other nurses provide?
- primary
- objective
- secondary
- comprehensive
secondary
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
holistic
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
Clustering patient data to identify patient problems
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
communicates patient problems
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
- provides a standardized nursing language
- identifies common labels for nursing diagnoses
- provides point-of-care documentation for clinical activity
During which step of the nursing process would the nurse prioritize nursing diagnoses?
- planning
- analysis
- evaluation
- assessment
planning
During which step of the nursing process would the nurse establish long-term goals with the patient?
- planning
- analysis
- evaluation
- implementation
planning
Which part of the nursing process involves the nurse setting short-term goals for the patient?
- planning
- diagnosis
- evaluation
- assessment
planning
Which step of the nursing process involves carrying out nursing actions designed to meet a patient’s unique needs?
- planning
- analysis
- evaluation
- implementation
implementation
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
Giving an injection
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.
- Be accountable for safe practice.
- Perform the steps of intervention accurately.
- Understand why an intervention is planned.
Which step of the nursing process considers the effectiveness of nursing care?
- planning
- analysis
- evaluation
- implementation
evaluation
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
evaluation
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?
- 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?
