Nursing Process Flashcards
What is the purpose of care planning in nursing?
To identify a patient’s problems and select interventions that will help solve or minimize those problems
Care plans are the written records of the care planning process.
What distinguishes care planning from care plans?
Care planning is the action, while care plans are a record of action.
What is the core tenet of the nursing process?
It looks first at the patient and then reflects on the care required.
What are the steps involved in the nursing process?
Assessment, nursing diagnosis, planning, implementation, evaluation
The process is cyclical with interrelated, interdependent, and recurrent steps.
What skills are essential for nursing assessment?
Observation and interviewing.
What two aspects does observation in nursing include?
Noticing the data and selecting, organizing, and interpreting the data.
What is nursing diagnosis?
A clinical judgment about individual, family, or community responses to actual or potential health problems/life processes.
What does nursing diagnosis provide for nursing interventions?
The basis for selection of nursing interventions to achieve outcomes for which the nurse is accountable.
What are the goals of nursing diagnosis?
- Identify client strengths
- Identify health problems that can be prevented or resolved
- Develop a list of nursing and collaborative problems
What are the three phases of nursing planning?
- Initial
- Ongoing
- Discharge
What are the four critical elements of planning in nursing?
- Establishing priorities
- Setting goals and developing expected outcomes
- Planning nursing interventions
- Documenting
What is a goal in the context of nursing planning?
A broad or globally written statement describing the intended change in the client’s behavior, response, or outcome.
What is an expected outcome in nursing?
A detailed, specific statement that describes the methods through which the goal will be achieved.
What does the implementation phase of the nursing process involve?
Doing and documenting the activities that are the specific nursing actions needed to carry out the interventions.
What is evaluated during the evaluation phase of the nursing process?
The effectiveness of nursing care to meet client goals based on the client’s behavioral responses.
What are the characteristics of the nursing process?
- Cyclic and dynamic nature
- Client centeredness
- Focus on problem-solving and decision-making
- Interpersonal and collaborative style
- Universal applicability
- Use of critical thinking
What is critical thinking in nursing?
A process in which information is gathered, sifted, synthesized, and evaluated to understand a subject or issue.
Fill in the blank: The acronym used to recap the nursing process is _______.
ANPIE
During which step of the nursing process does the nurse identify a patient’s responses to health problems?
Assessing
A nurse revises a client’s care plan during which step of the nursing process?
Planning
What nursing diagnosis takes highest priority for a patient who received general anesthesia?
Risk for aspiration R/T anesthesia
The primary purpose of an admission assessment is to identify _______.
Important data
What is an appropriate nursing diagnosis for a patient with excessively dry skin and thirst?
Potential for impaired skin integrity R/T dehydration
What is the most important nursing intervention for correcting skin dryness?
Encourage the patient to increase fluid intake, use nonirritating soap, and apply lotion to involved areas.
Once a nurse assesses a client’s condition, what is developed next?
A plan for nursing care.
Planning in nursing involves establishing _______.
Client-centered goals and expected outcomes.
For clients to participate in goal setting, they should be _______.
Alert and have some degree of independence.
As goals and interventions are developed, the nurse must be aware of _______.
Accepted standards of practice from nursing and other disciplines.
What are the six Cs Nirsing?
Commitment, competence, Care communication, compassion, courage
What are the four Ps in nursing
Pain, position, personal need, possessions
