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Health Assessment Lecture > Nursing Process > Flashcards

Nursing Process Flashcards

1
Q

What are the six steps of the Nursing Process?

A
  1. Assessment
  2. Nursing Diagnosis
  3. Outcome Identification
  4. Planning
  5. Implementation
  6. Evaluation
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2
Q

What is Nursing According to American Nurses Association?

A
  • 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
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3
Q

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

A

NCP

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4
Q

It is the step where you process, collect, validate, and clustering of data

A

Assessment

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5
Q

Most important step in the Nursing Process

A

Assessment

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6
Q

sets the tone and flow for the rest of the nursing process

A

Assessment

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7
Q

Continously Identifies patient’s strength and limitations

A

Assessment

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8
Q

What are the 2 Cognitive skills needed in assessment?

A
  • Critikal Thinking
  • Clinical Decision Making
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9
Q

What are the 4 Problem solving skills needed in Assessment

A
  • 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)
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10
Q

What are Psychomotor skills?

A
  • needed to perform 4 techniques of physical assessment (Inspection, Palpation, Percussion, Auscultation)
  • mastered through experience
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11
Q

What are the 4 techniques of physical assessment

A

Inspection, Palpation, Percussion, Auscultation

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12
Q

What are the two Psychomotor Skills?

A
  • Affective/ Interpersonal Skills
  • Ethical Skills
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13
Q

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

A

Affective/Interpersonal Skills

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14
Q

Identify the Psychomotor skill
- Being responsible and accountable
- You are an advocate of your patient
- Respect for patient’s rights and ensure
patient confidentiality

A

Ethical Skills

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15
Q

What are the four basic types of Health Assessment

A
  1. Initial Comprehensive assessment
  2. Ongoing or Partial Assessment
  3. Focused Asessment
  4. Emergency Assessment
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16
Q

What type of assessment involves collecting subjective data of client perception with or without other members of the health care team

A

Initial Comprehensive Assessment

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17
Q

It is the type of assessment done the moment client enters the hospital

A

Initial Comprehensive Assessment

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18
Q

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.

A

Ongoing or Partial Assessment

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19
Q

It is the type of assessment done when a client has comprehensive database. It assesses particular problem and focuses on it

A

Focused or Problem Oriented Assessment

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20
Q

What do we Assess in Focused Assessment

A

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

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21
Q

It is a very rapid type of assessment. Prioritize assessment of Air way, breathing, and circulation of patient or patient’s life sustaining functions.

A

Emergency Assessment

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22
Q

This type of assessments Major and only concern: determine the status
of client’s life-sustaining physical functions

A

Emergency Assessment

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23
Q

What life sustaining functions are being prioritized in Emergency Assessment

A

A - irway
B - Breathing
C- irculation

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24
Q

This assessment Diagnose and treat disease. Focuses on the physiological and psychological
responses

A

MEDICAL ASSESSMENT

25
Q

What are the 2 types of data?

A

Subjective Data and Objective Data

26
Q

A type of data that is collected from the perspective of patient, family, or physician of patient.

A

Subjective Data

27
Q

Type of Data collected from the five senses.

A

Objective Data

28
Q

What are the 2 sources of Data

A

Primary and Secondary Data

29
Q

It is data you get from the patient.

A

Primary

30
Q

Data you get from anything other than the patient

A

Secondary

31
Q

What are the 3 methods of data collection?
What are the 4 methods of Documentation?

A
  1. Interview
  2. Observation
  3. Physical Assessment
  4. SOAPIE Method
  5. DAR method
  6. PIE method
  7. narrative method
32
Q

What method of data collection is done through structured communication to collect subjective data.

A

Interview

33
Q

It is a method of data collection that requires interpersonal skill, empathetic attitude, neutral nonjudgemental position, and must demonstrate acceptance when it is being done. UWU

A

Interview

34
Q

It is a method of data collection uses the 5 senses.

A

Observation

35
Q

This method of data collection looks at both the patient and his or her environment to detect any abnormality.

A

Observation

36
Q

This method of data collection provides objective data and assesses the patient’s health

A

Physical Assessment

37
Q

This step in the nursing process identifies and prioritizes actual or potential health problems.

A

Nursing Diagnosis

38
Q

Nursing Diagnosis Prioritizes…..of patient?

A

A - irway
B - reathing
C - irculation
D - isability
E - xposure

39
Q

What is DAR and PIE and SOAPIE in word form?

A
  1. D - ata, A - ction, R - esponse
  2. P - roblem, I - ntervention, E - valuation
  3. S - ubjective Data, O - bjective Data, A - ssessment, P - lan, I - nterventions , E - valuation
40
Q

What are the 5 types of nursing diagnosis?

A
  1. Actual
  2. Potential
  3. Possible
  4. Collaborative
  5. Wellness
41
Q

A type of nursing diagonosis with occurring or at the present health problems.

A

Actual

42
Q

Type of Nursing Diagnosis with high risk health problem that will likely happen unless intervention occurs

A

Potential

43
Q

Type of Nursing Diagnosis with a problem that requires further data to support its validity.

A

Possible

44
Q

Type of Diagnosis that requires both medical and nursing intervention

A

Collaborative

45
Q

This type of nursing diagnosis focuses on promoting or enhancing patient’s level of wellness or patient’s behavior

A

Wellness

46
Q

It is the 2nd step of Nursing Process UWU

A

Nursing Diagnosis

47
Q

It is the step in the Nursing Process that sets the goals and outcomes. It identifies interventions needed. it Must be communicated to all people involved to maintain continuity.

A

Plan

48
Q

Characteristics of a plan in the nursing process

A

S - pecific
M - easurable
A - ttainable
R - elevant
T - ime bound

49
Q

This step is the execution of your plan

A

Implementation

50
Q

This step carries out the goals and outcomes identified

A

Implementation

51
Q

Implementation step has 2 types

A
  1. Independent 2. Dependent
52
Q

A type of implementation that soley relies on the nurses action without the permission of a physician.

A

Independant

53
Q

A type of implementation that requires the permission of the physician

A

Dependent

54
Q

This step evaluates the effectiveness of intervention implemented and assesses patients response. THis step is crucial for the nurse to either see that the plan worked or must reasses.

A

Evaluation

55
Q

Last step of Nursing Process

A

Evaluation

56
Q

4th step of nursing process

A

implementation

57
Q

1st step of nursing diagnosis

A

Assessment

58
Q

What is the third step of nursing process?

A

Plan

Health Assessment Lecture (1 decks)

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