Nursing Process Flashcards
What are the 3 skills required for nursing practice?
Interpersonal skills
Psychomotor (technical) skills
Cognitive skill
What are the 3 levels of critical thinking?
Level 1: Basic
Level 2: Complex
Level 3: Commitment
What are the components of critical thinking?
Specific knowledge base
Experience
Competencies
Attitudes
Standards
What techniques are used to develop critical thinking skills?
Case-based learning
Reflective writing
Concept mapping
What is critical thinking?
The use of knowledge and reasoning to make accurate clinical judgments and decisions
What are the 5 steps of the nursing process?
Assessment
Nursing diagnosis
Planning
implementation
Evaluation
What is the nursing assessment?
Collection of data to determine a client’s current and past health status and functional status and determine the client’s coping patterns
What are the steps of a nursing assessment?
Collection and verification of data
Analysis of data
What is the purpose of a nursing assessment?
To establish a database about the client’s health status including their perceived needs and health problems that will inform the nurse’s clinical decision-making
Name the methods of data collection
Interview
Health history
Physical exam
Diagnostic and lab data
What is the last component of a nursing assessment?
Documentation
What is a nursing diagnosis?
A clinical judgment about the client’s response to an actual or potential health problem
What is NANDA International’s mission?
To facilitate the development, refinement, dissemination and use of standardized diagnostic terminology
What is the purpose of NANDA-I?
Precise definitions and a common language
Clear communication
Distinguishes the nurse’s role
What are the 4 types of nursing diagnoses?
Actual
Risk
Health-promotion
Wellness
What are the components of an actual nursing diagnosis?
Diagnosis label
Related factors
Defining characteristics
What are the components of a risk nursing diagnosis?
Diagnosis label
Related factors
What component is part of a health promotion/wellness nursing diagnosis?
Diagnosis label
What is concept mapping?
Visual representation that allows nurses to graphically illustrate the connections between a client’s health problems
How are health priorities classified?
High
Intermediate
Low
What are the 3 phases of nursing care planning?
Initial
Ongoing
Discharge
What are the 3 types of nursing interventions?
Independent nursing interventions
Dependent nursing interventions
Collaborative interventions
What are the 6 factors to consider for the selection of nursing interventions?
Nursing diagnosis
Expected outcomes
Evidence base for intervention
Feasibility to the client
Acceptability to the client
Nurse’s competency
Who developed the Nursing Intervention Classification (NIC)?
The Iowa Intervention Project
What is the Nursing Intervention Classification (NIC)?
Defines interventions as any treatment based on clinical judgment and knowledge, that a nurse performs to enhance the condition of a client
Provides standardization
Improves communication
What are the 4 steps of implementing nursing care?
Reassess the client
Review and revisit the existing nursing care plan
Organize resources and care delivery
Anticipate and prevent complications
What is included in direct care?
ADLs
IADLs
Physical care
Life-saving measures
Counselling
Teaching
Anticipate and control adverse reactions
Preventive measures
What is included in Indirect care?
Communicating nursing interventions
Documentation
Medical order transcription
Infection control
Computer data entry
Delegating, supervising and evaluating the work of other staff members
What are the 5 elements included in the evaluation of nursing care?
Identify evaluation criteria and standards
Collect evaluative data
Interpret and summarize findings
Document findings and clinical judgments
Terminate, continue, or revise the care plan
What is a collaborative problem?
An actual or potential complication that nurses monitor to detect a change in client status
