Nursing Process Flashcards
What is the purpose of the assessment phase in ADPIE?
Collect and analyze patient data (subjective and objective).
What are examples of subjective data in nursing assessment?
Patient-reported symptoms, pain level, nausea.
What are examples of objective data in nursing assessment?
Vital signs, lab results, physical exam findings.
What happens during the diagnosis phase?
Identify actual or potential health problems based on assessment.
What is the difference between a nursing diagnosis and a medical diagnosis?
A nursing diagnosis focuses on patient responses to health conditions, while a medical diagnosis identifies a disease.
What is the goal of the planning phase?
Set patient-centered, measurable goals and interventions.
What does SMART stand for in goal setting?
Specific, Measurable, Achievable, Relevant, Time-bound.
What happens during the implementation phase?
The nurse carries out interventions to achieve patient goals.
What are two types of nursing interventions?
Independent (nurse-led) and dependent (requiring provider orders).
The nurse should provide the most invasive procedure first.
T/F
False
What is the purpose of the evaluation phase?
Determine if goals were met and adjust care as needed.
What should the nurse do if a goal is not met?
Modify the care plan and reassess the patient’s needs.
What tactic should the nurse use during the reassessment phase?
Teach back/ show back.
(test knowledge and ability)
What is the nurse looking for in the assessment phase?
Cues
Subjective data
Objective data
Health history
Cues
(really, all of these are correct, but cues encompasses all of these factors)
What should the nurse do during the diagnosis phase?
Take action
Tell the patient their diagnosis
Analyze and prioritize
Implement nursing knowledge
Analyze and prioritize
What should the nurse be striving for during the planning phase?
Diagnosis
Outcomes
Solutions
Cues
Solutions
What should the nurse evaluate?
Cues
Solutions
Health history
Outcomes
Outcomes
