Key Highlights from Nursing Process Lecture Flashcards
List the different type of reasoning
Socrative
Inductive
Deductive
Describe socrative reasoning
Examines multiple points of view/ examines assumptions and looks for inconsistencies
Describe indcutive reasoning
Generalizations formed from a set of facts or observations
Describe deductive reasoning
General premise to the specific conclusion
Normal electrolytes
Na - 135 - 145
K - 3.5 - 5.0
Cl - 95 -108
Ca - 8.5 - 10.5
Mg - 1.5 - 2.5
Ph - 2.5 - 4.5
Describe objective data
Measurable data (i.e. vital signs, lab values, information on medical chart)
Describe subjective date
Anything the pt tells you or the information given to you by their family members or caregivers. This is THEIR story and only they can tell it.
In the cognative domain of learning, what are the four types of styles:
Problem solving
Decision making
Creativity
Critical thinking
Which parts of the nursing process overlap each other?
Assess and Evaluation
Which four parts of the nursing process belong to the pt?
Assess
Diagnosis
Plan
Evaluation
What part of the nursing process belong to the nurse?
Intervention
What are the two types of interpersonal skills?
Verbal
Nonverbal
Describe verbal interpersonal skills
Speaking
Describe nonverbal interpersonal skills
Touch
facial expressions
gestures
When should the initial assessment take place?
Should be completed in 24 hours
What is included in the initial assessment?
Complete health hx
Physical examination
All NANDA dx do this
Promote taxonomy of nursing
In a NANDA two part label, it does not have __________.
Signs / symptoms
What are the three types of planning?
Initial
Ongoing (done by all nurses who work with pt)
Discharge
What are the four types of nursing care plans?
Informal
Formal
Standardized (formal - actions for group of clients with common needs)
Non standardized
What are the types of nursing interventions?
Independent
Dependent
What is initial planning?
Client contact - continues until pt leave
Hands on exam
Describe independent nursing interventions:
Actions that the nurse can do without being told or ordered (teaching ensuring the pt is in a safe environment, monitoring the pt)
Describe dependent nursing interventions
Responsibilities that have been ordered or authorized by the attending physician (medication administration)
How are nursing care plans evaluated?
Met
Partially met
Not met
When gathering subjective data, you can legally get information from these people regarding the patient:
Parents
Care givers
(both secondary sources of data)
What are the four types of assessments?
Initial
Problem focused
Emergency
Time lapsed
Describe what a problem focused assessment is
Ongoing process with nursing care to determine a status of a specific problem identified in an earlier assessment. (ex: hourly assessment of I&O for pt in ICU)
Describe what an emergency assessment is
Any physiologic or psychologic crisis (ex: rapid assessment of Pts airway, breathing, and circulation during cardiac arrest)
Describe a time-lapsed assessment
Occurs several months after initial assessment (compares current status to baseline data previously obtained)
Using a direct interview method, which type of questions are asked?
Close ended questions (yes or no// begin with: when, where, who, does/did, is-are-was)
Using the non-directive interview method, which type of questions are asked?
Open ended (broad topics// begin with: what, how, would you describe)
In the physiological level of Maslow’s Hierarchy of needs, what are the priorities?
Oxygen
Food
Water
Shelter
Maintaining body temperature
Sleep
Excretion
