L1 Nursing Process

Question 1

Five steps of nursing process

Answer 1

1. Assesment
2. Diagnosis
3. Planning
4. Intervention
5. Evaluation

Question 2

Tips:

1. Nursing process (5 steps)
2. Assesment- data type
3. Nursing diagnosis PES format
4. Smart goal & expected outcome
5. Types of nursing diagnosis

Question 3

Assesment

Answer 3

Involve collecting, organising, validating, documenting

Primary source vs secondary source

Question 4

Diagnosis

Answer 4

Analyse the data collected in Assesment phase

Put them into problem, potential problems & strength of client

Question 5

PES format

Answer 5

Problem, Etiology, s/s

E.g. impaired physical mobility (problem) related to decreased muscle control (etiology退一級) as evidenced by inability to control lower limbs extremitis (defining characteristics)

Question 6

Assesment: data type

Answer 6

Subjective (feelings, symptoms
v
objective ( observable e.g. Vital sign）

Question 7

Smart goals

Answer 7

Specific

Measurable

Attainable

Realistic

Time-bound

Question 8

Types of nursing diagnosis

Answer 8

1. Actual nursing diagnosis
   Current health problem with s/s
2. Risk nursing diagnosis
   Possible developing health problem
3. Wellness diagnosis
   The potential of enhancement of client’s wellness
4. Syndrome diagnosis
   Clinical diagnosis for a specific cluster that happen similar diagnosis tgt

Question 9

Preop medication history