Nursing Process Flashcards

1
Q

________ is best described as: expectations for nurses that contribute to public protection; Inform nurses of their accountabilities and the public of what to expect from nurses.

An example would be Ethics standards

________’s address specific practice related issues, help nurses understand responsibilities and how to make safe and ethical decisions in their practices

An example would be consent guidelines

A

Practice standards

Practice guidelines

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2
Q

Which act protects the title of nurses and makes it illegal to practice nursing without being registered?

A

The nursing act 1991

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3
Q

What are the 7 requirements for entry to practice (nursing act/ CNO)

A

Meet nursing education criteria

Provide evidence of nursing practice

Pass the nclex

Pass the jurisprudence exam

Demonstrate you are proficient in either English or French

Provide proof of citizenship/ permanent residency/ etc

Complete a declaration of registration requirements

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4
Q

The RHPA, 1991 lists 14 controlled acts

The nursing act outlines 5 of those 14 controlled acts and nurses are authorized to perform them. What are the 5 controlled acts?

A
  • Preforming a prescribed procedure below the dermis or mucous membrane;
  • Administrating a substance by injection or inhalation

-Putting an instrument, hand, or finger:
Into basically anywhere

  • Dispensing a drug
  • Treating by means of psychotherapy technique
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5
Q

What are the 7 professional standards of the CNO ?

A

Accountability

Ethics

Knowledge

Knowledge application

Leadership

Relationships

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6
Q

What are the 5 steps of the nursing process

A
  1. Assessment
  2. Nursing diagnosis
  3. Planning
  4. Implementation
  5. Evaluation
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7
Q

Explain the 4 types of assessments

Initial

Focused

Time- lapsed

Emergency

A

Initial- first meeting of patient. exp: triage at emerge

Focused- details about presenting concern to validate
info/ data. Exp zoning in on chief complaint

Time lapsed- ongoing, revaluation, improve/worse/same?

Emergency- circulation, airway, breathing

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8
Q

Step 1 nursing process assessment:

During your assessment you will be looking for subjective and objective data, what are some examples of subjective/objective data and some examples of how you could collect data for your assessment

A

Subjective-> verbal “I have pain in my chest”

Objective -> bp,heart rate, temp, etc

Ways to collect: interview, form completion, diagnostic/lab results, the client, family, health care team, medical records

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9
Q

the purpose of the___________ is to proritize, plan and Implement patient care.

A

Nursing diagnosis

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10
Q

The language used for a nursing diagnosis is standardized by ________

A

NANDA

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11
Q

What are the 3 components of a nursing diagnosis?

A

1.The problem-> the focus (exp lungs)
& the qualifier (exp impaired)

  1. The etiology (cause/risk)
  2. The defining characteristics (subjective/objective data)
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12
Q

The 3rd step of the nursing process is planning, describe the 3 types of planning: initial, ongoing, discharge

A

Initial- immediate

Ongoing- countinous, may be while admitted, expect to change based on reassement

Discharge- help with discharge planning, from your care, a hospital, etc

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13
Q

The 4th step in the nursing process is outcomes/planning, when making a goal it is important to make it a SMART goal. Define SMART

A

Specific to the client

goal is Measurable

Attainable/achievable

the goal is Relevant/realistic

the goal is TIME-limited

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14
Q

the 5th and 6th steps are:

Define them

A

Implementation

Evaluation

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15
Q

What is the purpose of the last step of the nursing proceess?

A

Collect data related to outcomes
Share how interventions relate to patient goals
Draw conclusions about status of clients problems

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16
Q

What is the greatest influence on the subjective information the client provides during an assessment interview?

A) The trust the client has with the nurse
B) the clients life experience
C) the assessment question being asked
D) how the nurse presents the question to the client

A

B) the clients life experience

subjective knowing constantly changes with each new expierence.

17
Q

Whats the difference between “health” and “wellness”

A

Health-> more objective
-> a state of complete physical, mental, and social well- being and not merely the absense of disease of infirmity

Wellness-> more subjective,

             - > living in optimal state of health (WHO)
	    - > realization of fullest potential of an indivdual
18
Q

Whats the difference between “illness” & “disease”?

A

Disease- the physiological deviation from normal -> objective/measurable (also subjective)

Illness-> the experience of living wih a disease
->subjective