Nursing Process

Question 1

Its purpose is to:
1. To identify client’s health status
• Actual health problem
• Potential health problems or needs

2. To establish plans to meet identified needs
3. To deliver specific nursing care and improve the quality of care

Answer 1

Nursing process

Question 2

What are the characteristics of nursing care?

Answer 2

• Cyclical and Dynamic
• Client-centered
• Focused on problem-solving
• Decision making
• Interpersonal and collaborative
• Universally applicable

Question 3

What are the components of the nursing process?

Answer 3

ADPIE

• Assessment
• Diagnosis
• Planning
• Implementation
• Evaluation

Question 4

The process, which results to a diagnostic statement or nursing diagnosis. It is the clinical act of identifying
problems.

Answer 4

DIAGNOSIS

Question 5

• Collecting data, comparing data, and relating nursing activities to outcomes
• Drawing conclusions about problem status
• Continuing, modifying or terminating the NCP (Nursing Care Plan)

Answer 5

EVALUATION

Question 6

Deliberative, systematic phase of nursing process that involves decision making and problem solving

Answer 6

PLANNING

Question 7

a systematic and continuous collection, organization, validation and documentation of data about
the client health status

Answer 7

ASSESSMENT

Question 8

Doing and documenting the activities that are specific nursing actions needed to carry out the interventions (or
nursing orders)

Answer 8

IMPLEMENTATION

Question 9

What are the sources of data during assessment?

Answer 9

• Client (primary)
• support people (secondary)
• family members, friends, and caregivers
• medical records
• laboratory record
• health care professionals

Question 10

what are the data collecting methods?

Answer 10

Observing and interviewing

Question 11

What are the 3 stages of interview?

Answer 11

Opening, body, and closing.

Question 12

What are the 4 types of assessment?

Answer 12

Initial Assessment
Problem-focused Assessment
Emergency Assessment
Time-lapsed assessment

Question 13

is a statement of client’s potential or actual alteration of health status. It uses the critical thinking skills of analysis and synthesis

Answer 13

Nursing Diagnosis

Question 14

What are the 5 types of nursing diagnosis?

Answer 14

Actual diagnosis
Risk nursing diagnosis
Wellness diagnosis
Possible nursing diagnosis
Syndrome diagnosis

Question 15

What are the 3 types of Planning?

Answer 15

Initial Planning
On-going Planning
Discharge Planning

Question 16

What are the characteristics of the Planning Process?

Answer 16

CSMART - Client-centered, specific, measurable, attainable, realistic, and time bound