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NCM136/RLE106 > Nursing Process - 1 > Flashcards

Nursing Process - 1 Flashcards

1
Q

the process of intentional higher-level thinking to define a client’s problem, examine the evidence-based practice of caring for the client, and make choices in the delivery of care

A

Critical Thinking

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2
Q

is the application of critical thinking to the clinical situation

A

Clinical reasoning

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3
Q

Use of Critical Thinking Skills:

A

Nurses use knowledge from other subjects and fields
Nurses deal with change in stressful environments
Nurses make important decisions
Critical thinking guides nurses in the process of solving problems of patients and the decision-making process with creativity to enhance the effect

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4
Q

Approaches to problem-solving:

A
  1. Trial And Error
  2. Intuition
    3. Use of scientific basis
  3. Use of the nursing process
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5
Q

In —, a number of approaches are tried until a solution is found.

The use of this method in nursing care can be dangerous because the client might suffer harm if an approach is inappropriate.

However, nurses often use this in the home setting due to logistics, equipment, and client lifestyle.

A
  1. Trial And Error
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6
Q

is a problem-solving approach that relies on a nurse’s inner sense.

It is a legitimate aspect of a nursing judgment in the implementation of care (Wilkinson, 2012).

Clinical judgment in nursing is a decision-making process to ascertain the right nursing action to be implemented at the appropriate time in the client’s care.

A

2. Intuition

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7
Q

Involves asking questions from resource persons, reading about information and evidence, and figuring out conclusions.

All of these actions are the basis for this method.

A

3. Use of scientific basis

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8
Q

CRITICAL THINKING ATTITUDES

A
  • Independence
  • Fair-mindedness - Insight
  • Intellectual humility
  • Intellectual courage to challenge status quo/rituals -Integrity
  • Perseverance
  • Confidence
  • Curiosity
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9
Q

It is the systematic and continuous collection, validation, and communication of client data as compared to what is standard/norm.

It includes the client’s perceived needs, health problems, related experiences, health practices, values, and lifestyles.

It is a critical thinking process that professional nurses use to apply the best available evidence to caregiving and promoting human functions and responses to health and illness (ANA,2010)

A

Nursing Process

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10
Q

Purposes of the nursing process:

A
  • To identify a client’s health status and actual or potential healthcare problems or needs.
  • To establish plans to meet the identified needs.
  • To deliver specific nursing interventions to meet those needs.
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11
Q

Characteristics of Nursing

  1. According to Kozier
A

Cyclic and dynamic
Client-centered
Universally applicable
Focus on problem-solving
Presence of Interpersonal Collaboration
Use of critical thinking

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12
Q

Characteristics of Nursing

  1. According to Udan
A

Goal-oriented
Organized
Systematic`
Humanistic plan of care
Efficient and Effective Nursing Care

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13
Q

Characteristics of Nursing

  1. According to Kozier

Each phase provides input for the next phase

A

Cyclic and dynamic:

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14
Q

Characteristics of Nursing

  1. According to Kozier

It is an organized plan of care based on the client’s problems and needs

A

Client-centered

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15
Q

Characteristics of Nursing

  1. According to Kozier

It is used as a framework for nursing care.

A

Universally applicable

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16
Q

Characteristics of Nursing

  1. According to Kozier

Communicate with client, family, nursing/medical team, community, etc.

A

Presence of Interpersonal Collaboration

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17
Q

Characteristics of Nursing

  1. According to Kozier

Important in formulating the plan of care for clients.

A

Use of critical thinking

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18
Q

Steps of the Nursing Process

A

ADPIE

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19
Q

is the systematic and continuous collection, organization, validation, and documentation of data (information).

  1. Nursing Health History taking
  2. Physical Assessment
  3. Physician history and physical assessment
  4. Laboratory Results & other diagnostic test results
A

ASSESSMENT

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20
Q

Types of assessment

A
  1. Initial nursing assessment
    2. Problem-focused assessment
    3. Emergency assessment:
  2. Time-lapsed reassessment
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21
Q

Types of assessment

Performed within a specified time after admission.
To establish a complete database for problem identification.

A
  1. Initial nursing assessment
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22
Q

Types of assessment

During emergency situation identify any life-threatening situations.
Rapid assessment of an individual

A

3. Emergency assessment:

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22
Q

Types of assessment

To determine the status of a specific problem identified in an earlier assessment.

A

2. Problem-focused assessment

23
Q

Types of assessment

Several months after the initial assessment. To compare the client’s current health status with the data previously obtained.

A
  1. Time-lapsed reassessment
24
Q

Steps of assessment

A

Steps of assessment

  1. Collection of data
    2. Organizing data
  2. Validating data
    4. Documenting data
25
Q

Steps of assessment

It is the process of gathering information on a client’s health status

It includes the health history, physical examination, results of laboratory and diagnostic tests, and material contributed by other health personnel.

A
  1. Collection of data
26
Q

Types of Data

also referred to as symptoms or covert data, are clear only to the person affected and can be described only by that person.

A
  1. Subjective data
27
Q

Types of Data

A
  1. Subjective data
  2. Objective data
28
Q

Types of Data

also referred to as signs or overt data, are detectable by an observer or can be measured or tested against an accepted standard. They can be seen, heard, felt, or smelled, and they are obtained by observation or physical examination.

A
  1. Objective data
29
Q

Sources of Data

A

Primary
Secondary

30
Q

Sources of Data

It is the direct source of information.
The client is the primary source of data.

A

Primary

31
Q

Sources of Data

All sources other than the client’s Family members, health professionals, records and reports, laboratory and diagnostic results

A

Secondary

32
Q

Methods of Data Collection

A

Observation
Interview
Examination

33
Q


It is gathering data by using the senses. Vision, Smell, and Hearing are used

A

Observation

34
Q

It is a planned communication or a conversation with a purpose.

A

Interview

35
Q

is highly structured and directly asks questions. And the nurse controls the interview.

A

The directive interview

36
Q

or rapport-building interview and the nurse allows the client to control the interview.

A

A non-directive interview

37
Q

Types of interview questions:

A
  • Closed questions (Are you having pain now?)
  • Open-ended question (what brought you to the hospital?)
  • Neutral questions (how do you feel about that?)
  • Leading questions (you are stressed about surgery tomorrow aren’t you?)
38
Q

Planning the interview and setting:

A
  • Time
  • Place
  • Seating arrangement
  • Distance
  • Language
39
Q

An interview has three major stages:

A
  1. The opening or introduction
  2. The body or development
  3. The closing
40
Q

Examination
should be conducted systematically:

A

Focused

41
Q

head-to-toe assessment

A

Cephalocaudal approach

42
Q

examine all the body system

A

Body System approach

43
Q

examine only particular area affected



A

Review of System approach

44
Q

Components of a Nursing Health History:

A

Biographic data

Reason for visit/Chief complaint

History of present Illness

Past Health History

Family History

Review of systems

Lifestyle

Social data

Psychological data

Patterns of healthcare

45
Q

Components of a Nursing Health History:

A

Biographic data

Reason for visit/Chief complaint

History of present Illness

Past Health History

Family History

Review of systems

Lifestyle

Social data

Psychological data

Patterns of healthcare

46
Q

name, address, age, sex, marital status, occupation, religion.

A

Biographic data

47
Q

the primary reason why the client seeks consultation or hospitalization.

A

Reason for visit/Chief complaint

48
Q

includes usual health status, chronological story, family history, and disability assessment.

A

History of present Illness

49
Q

includes all previous immunizations, and experiences with illness.

A

Past Health History

50
Q

reveals risk factors for certain disease diseases (Diabetes, hypertension, cancer, mental illness).

A

Family History

51
Q

review of all health problems by body systems

A

Review of systems

52
Q

includes personal habits, diets, sleep or rest patterns, activities of daily living, recreation, or hobbies.

A

Lifestyle

53
Q

include family relationships, ethnic and educational background, economic status, home and neighborhood conditions.

A

Social data

54
Q

information about the client’s emotional state.

A

Psychological data

55
Q

includes all healthcare resources: hospitals, clinics, health centers, and family doctors.

A

Patterns of healthcare

56
Q

The nurse uses a format that organizes the assessment data systematically. This is often referred to as a nursing health history or nursing assessment form.

A

2. Organizing data

NCM136/RLE106 (27 decks)

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