MODULE 4 - Nursing Process

Question 1

What are the 6 steps of the nursing process?

Answer 1

Assessment, Nursing diagnosis, outcome identification, planning, implementation, evaluation, (documentation considered 7th)

Question 2

Describe the mental status assessment process

Answer 2

purpose is to evaluate an individual’s current cognitive, affective (emotional), and behavioural functioning.

• Key assessment tool used by members of the mental health team for ongoing assessment of the client and to establish treatment effectiveness, as well as certain aspects of recovery
• Also key assessment tool used to communicate assessment data across the interpersonal team

Question 3

Discuss the different techniques of data collection

Answer 3

Nurses Primary source for data collection is the patient -may be times when it is necessary to supplement or rely completely on another for assessment information
- Several med conditions and physical illnesses may mimic psychiatric illnesses. so physical cause of symptoms must be ruled out.
o Review of systems
o Laboratory data
o MSE
o Psychosocial assessment
o Spiritual or religious assessment
o Cultural and social assessment

Question 4

Describe Biopsychosocial Nursing Assessment

Answer 4

• Key elements of this assessment are strongly related to the probability that the patient will experience successful outcomes in the community
  (The biopsychosocial model is a system that can guide the nursing assessment and interventions in a holistic manner, viewing clients comprehensively, including their biology, social environment and skills, and psychological characteristics)

Question 5

Describe what nursing diagnosis and patient outcomes entail

Answer 5

Nursing diagnosis is the basis for selecting therapeutic outcomes and interventions
- it has three structural components:
o Problem (unmet need)
o Etiology (probable cause)
o Supporting data (signs and symptoms)
Outcome criteria are the hoped-for outcomes that reflect the maximal level of patient health that can realistically be achieved through nursing interventions
o The expected outcomes provide direction for continuity of care