Nursing process

Question 0

Assessment

Answer 0

Collection, verification, and analysis of data

Question 1

Activities of daily living (ADL’s)

Answer 1

Activities usually performed in the course of a normal day (ambulation, eating, dressing, bathing, and grooming)

Question 2

Patient centered goal

Answer 2

Reflects a patients highest possible level of wellness and independence in function

Question 3

Counseling

Answer 3

Direct care method that helps a patient in the problem-solving process to recognize and manage stress and facilitate interpersonal relationships

Question 4

Data base

Answer 4

The patients perceived needs, health problems, and responses

Question 5

Data clustering

Answer 5

Set of signs and symptoms gathered during the assessment that you grouped together in a logical way

Question 6

Data collection

Answer 6

information comes from: the patient through interview, observations and physical examination. Family members or significant others’ reports and responses to interviews. Other members of the healthcare team. Medical record information. Scientific literature.

Question 7

Defining characteristics

Answer 7

Clinical criteria that are observable and verifiable

Question 8

Delegation

Answer 8

Non invasive tasks (ADL’s and vitals). Nurses who assigns the tasks are responsible for ensuring that each task is appropriately assigned and completed according to standards of care. The person that was given the task must be competent.

Question 9

Dependent interventions

Answer 9

Actions that require an order from the physician or another healthcare provider

Question 10

Etiology

Answer 10

The cause of the nursing diagnosis within the domain of nursing practice

Question 11

Expected outcomes

Answer 11

A measurable criterion to evaluate goal achievement

Question 12

Implementation

Answer 12

Begins after the nurse develops a nursing plan, based on clear and relevant nursing diagnoses; designed to achieve the goals and expected outcomes, needed to support or improve the patients health status.

Question 13

Independent interventions

Answer 13

Actions that a nurse initiates, does not require an order from another healthcare professional

Question 14

Interdependent interventions

Answer 14

Therapies that require the combined knowledge, skill, and expertise of multiple care professionals

Question 15

Health Interview

Answer 15

Characteristics: organized convo. Confidential, and focused and systematic.

Question 16

Medical record

Answer 16

Use of current and past medical records to retrieve info that might be helpful

Question 17

Medical diagnosis

Answer 17

Illness that reflect alteration of the structure or function of organs or systems

Question 18

Nursing diagnosis

Answer 18

Addresses human responses to actual or potential problems or processes

Question 19

Nursing process

Answer 19

A systematic process;The process of problem-solving method of planning and providing individualized care for patients and clients.. Ongoing and something that is done continuously

Question 20

Standing order

Answer 20

Preprinted document containing orders for the conduct of routine therapies, monitoring guidelines, and/or diagnostic procedures for specific patients is identified clinical problems

Question 21

Benefits of nursing process

Answer 21

Unifying concept; provides a framework 
Communication (in a common language)
Individual focus 
Patient is an active participant 
Cost effective

Question 22

Steps of the nursing process

Answer 22

Assessment 
problem identification (nursing diagnosis)
planning 
implementation 
evaluation

Question 23

Sources of data

Answer 23

Primary and secondary

Question 24

Primary source

Answer 24

Info from the patient

Question 25

Secondary source

Answer 25

Lab reports, medical record, family etc

Question 26

Types of data

Answer 26

Subjective and objective data

Question 27

Subjective data

Answer 27

Patient verbal descriptions of their health problems; only patients provide subjective data

Question 28

Objective data

Answer 28

Proof, use of senses; observations or measurements on the patient’s health status

Question 29

Phases of a health interview

Answer 29

Preparatory
Introductory
Working
Termination

Question 30

Preparatory phase of a health interview

Answer 30

Get everything that is needed

Question 31

Introductory phase of the health interview

Answer 31

Introduce self, and state purpose

Question 32

Working phase of the health interview

Answer 32

Gather information needed.. Ask the appropriate questions

Question 33

Termination phase of the health interview

Answer 33

Let patient know the interview is about to end, summarize what the patient has told you

Question 34

Problem identification/ nursing diagnosis

Answer 34

Statement of an actual or potential health problem; it is derived from the health assessment data

Question 35

Nursing diagnosis equation

Answer 35

NANDA problem statement + etiology or R/T + S/SX or AEB
(R/T: related to)
(S/SX: signs/symptoms)
(AEB: as evidence by)

Question 36

Short term outcome

Answer 36

Objective behavior that you expect the patient will achieve in a short time

Question 37

Long term outcome

Answer 37

Objective behavior that is expected over a long period

Question 38

Cue

Answer 38

Information that was obtained through the use of senses

Question 39

Inference

Answer 39

Your judgment or interpretation of cues

Question 40

Outcomes must be:

Answer 40

Realistic
Observable
Measurable

Question 41

High-priority

Answer 41

If untreated, result in harm to the patient or others, example:risk for directed violence, impaired gas exchange, decreased cardiac output

Question 42

Intermediate priority

Answer 42

Involved non-emergent, non-life threatening needs of patients examples: impaired mobility

Question 43

Low priority

Answer 43

Not always directly related to specific illness or prognosis but affects patients future well-being

Question 44

Dependent nursing interventions

Answer 44

actions that require an order from a physician or another healthcare provider

Question 45

Three levels of critical thinking

Answer 45

Basic, complex, commitment

Question 46

Basic level of critical thinking

Answer 46

Learners trust that experts have the right answers for every problem

Question 47

Complex level of critical thinking

Answer 47

Begin to separate themselves from experts; they analyze and examine choices more independently

Question 48

Commitment

Answer 48

A person anticipates when to make choices without assistance from others and accepts accountability

Question 49

Concept map

Answer 49

The visual representation that allows you to graphically show the connections between patients many health problems