Nursing Process Flashcards
What are the six steps of the Nursing Process?
- Assessment
- Nursing Diagnosis
- Outcome Identification
- Planning
- Implementation
- Evaluation
What is Nursing According to American Nurses Association?
- Protection, Promotion, and Optimization of health and ablilities
- prevention of illness and injury
- allevation of suffering through diagnosis and treatment of human responses
- advocacy for the patient
What is being described?
- Collects data in a systematic and ongoing
process
- Involves the patient, family, other health care
providers, and environment, as appropriate,
in holistic data collection
- Prioritizes data collection activities based on
the patient’s immediate condition, or anticipated needs of the patient or situation
- Uses appropriate evidence-based
assessment techniques and instruments
in collecting pertinent data
- Uses analytical models and problem-solving
tools
- Synthesizes available data, information, and
knowledge relevant to the situation to identify
patterns and variances
- Documents relevant data in a retrievable
format
NCP
It is the step where you process, collect, validate, and clustering of data
Assessment
Most important step in the Nursing Process
Assessment
sets the tone and flow for the rest of the nursing process
Assessment
Continously Identifies patient’s strength and limitations
Assessment
What are the 2 Cognitive skills needed in assessment?
- Critikal Thinking
- Clinical Decision Making
What are the 4 Problem solving skills needed in Assessment
- Reflexive thinking (automatic response to a situation)
- Hit or miss thinking (trail and error for out of the book situations)
- Critical Thinking (identify problem, collect supporting data, form hypothesis, plan solution, implement, and evaluate effectiveness of plan
- Intuition (exp based problem solving)
What are Psychomotor skills?
- needed to perform 4 techniques of physical assessment (Inspection, Palpation, Percussion, Auscultation)
- mastered through experience
What are the 4 techniques of physical assessment
Inspection, Palpation, Percussion, Auscultation
What are the two Psychomotor Skills?
- Affective/ Interpersonal Skills
- Ethical Skills
Identify the Psychomotor skill
- Needed to practice the “art” of nursing
- Essential in developing caring, therapeutic
nurse-patient relationship
- Includes both verbal and nonverbal
communication skills
- Establish trust and mutual respect before
beginning assessemnt
Affective/Interpersonal Skills
Identify the Psychomotor skill
- Being responsible and accountable
- You are an advocate of your patient
- Respect for patient’s rights and ensure
patient confidentiality
Ethical Skills
What are the four basic types of Health Assessment
- Initial Comprehensive assessment
- Ongoing or Partial Assessment
- Focused Asessment
- Emergency Assessment
What type of assessment involves collecting subjective data of client perception with or without other members of the health care team
Initial Comprehensive Assessment
It is the type of assessment done the moment client enters the hospital
Initial Comprehensive Assessment
The type of assessment don after establishing comprehensive data base. It provides a mini overview of client’s body systems. A Breif assessment of client’s body systems and health patterns. It is ussually performed when the nurse encounters the client.
Ongoing or Partial Assessment
It is the type of assessment done when a client has comprehensive database. It assesses particular problem and focuses on it
Focused or Problem Oriented Assessment
What do we Assess in Focused Assessment
C - haracter of Patient
O - Onset
L - Location of Problem
D - uration or how long has it been occurring
S - ymptoms or signs
P - attern
A - ggravating Factors
It is a very rapid type of assessment. Prioritize assessment of Air way, breathing, and circulation of patient or patient’s life sustaining functions.
Emergency Assessment
This type of assessments Major and only concern: determine the status
of client’s life-sustaining physical functions
Emergency Assessment
What life sustaining functions are being prioritized in Emergency Assessment
A - irway
B - Breathing
C- irculation
This assessment Diagnose and treat disease. Focuses on the physiological and psychological
responses
MEDICAL ASSESSMENT
