Nursing Process Flashcards
what are the 5 steps of the nursing process?
Assessment, Diagnoses, Plan, Implementation and Evaluation (ADPIE)
What does assessment consist of?
systematic data collection, determining patient current and past status and critical thinking
what are the types of data?
Objective (patient’s blood pressure) and Subjective data (how are you feeling?)
what are the sources of data?
Primary (from patient directly), Secondary (from family members or peers) and Tertiary (evidence-based information, nurse’s own experience)
what is an interview?
an organized conversation with the client, it is a way of exploring and building therapeutic relationships.
what does physical examination consist of?
observation of client’s behaviour, diagnostic and laboratory data, interpreting assessment data and making nursing judgement
what are the steps in data analysis?
recognize patterns or trends by cues, compare with normal standards and make a reasoned decision.
mention some considerations in assessment
cultural assessment (conduct any assessment with cultural safety and humility), indigenous health assessment
what is nursing diagnosis?
means of translating nursing observations and assessment into standard conclusions in a common nomenclature.
what are the types of diagnosis?
Nursing diagnosis, Medical diagnosis and Collaborative problem
what are the types of nursing diagnosis?
Actual nursing diagnosis, Risk nursing diagnosis, Health promotion nursing diagnosis and Wellness nursing diagnoses
why do we use nursing diagnosis?
provides direction for the care plan and selection of nursing interventions, provides a precise definition of the client’s needs, gives all members of health care team a common language to use
what does planning consist of?
Nurse sets client-centered goals and expected outcomes, plans nursing interventions and prioritizes interventions.
what are the 3 classification of priorities?
high-priority nursing diagnoses, intermediate-priority nursing diagnoses and low-priority nursing diagnoses.
what are the 3 phases of nursing care?
initial, ongoing and discharge
