Nursing Process

Question 1

What are the 5 steps of the nursing process?

Answer 1

ADPIE

Assessing
Diagnosing
Planning
Implementing
Evaluating

Question 2

Assessing

Answer 2

collecting, organizing, validating, and documenting DATA

Question 3

purpose of assessing?

Answer 3

establish a database about the client’s response to health concerns/illness & ability to manage health needs

Question 4

examples of activities done during the assessing phase?

Answer 4

• nursing health history
• physical assessment
• review client records
• consult health professionals
• consult support persons

~update, organize, validate, communicate/document data as needed!

Question 5

Diagnosing

Answer 5

Analyzing and synthesizing data

Question 6

purpose of diagnosing

Answer 6

identify client strength and health problems that can be prevented or resolved by collaborative and independent nursing interventions

to develop a list of nursing and collaborative problems

Question 7

examples of activities done during the diagnosing phase?

Answer 7

~interpret and analyze data

• compare data against standard
• cluster or group data (generate tentative hypothesis)
• identify gaps and inconsistencies

~formulate nursing dx
document nursing dx

Question 8

Planning

Answer 8

• determining how to prevent, reduce, or resolve the identified priority client problems
• how to support client strengths
• how to implement nursing interventions in an organized, individualized, and goal- directed manner

Question 9

purpose of planning

Answer 9

to develop an individualized care plan that specifies client goals/desired outcomes, and related nursing interventions

Question 10

examples of activities done during the planning phase

Answer 10

set AND write priorities and goals/outcomes (collaborate w/client)

select nursing strategies/interventions

write nursing interventions and care plan

Question 11

Implementing

Answer 11

carrying out or delegating and documenting the planned nursing interventions

Question 12

purpose of implementing

Answer 12

to assist the client to meet desired goals/outcomes promote wellness
prevent illness and disease
restore health
facilitate coping with altered functioning

Question 13

examples of activities done during implementing

Answer 13

• Reassess client to update database
• perform planned interventions
• document care and client response
• give verbal reports as necessary

Question 14

Evaluating

Answer 14

measuring the degree to which goals/outcomes have been achieved and identifying factors that positively or negatively influence goal achievement

Question 15

purpose of evaluating

Answer 15

to determine whether to continue, modify, or terminate the plan of care

Question 16

examples of activities done during evaluating

Answer 16

• judge whether goals/outcomes have been achieved
• relate nursing action to client goal/outcomes
• review and modify care plan
• or terminate nursing care
  document!

Question 17

Assessing

Answer 17

collect, organize, validate, document data

Question 18

diagnosing

Answer 18

analyze data
identify health problems, risks, and strengths
formulate diagnostic statements

Question 19

planning

Answer 19

prioritize problems/diagnoses
formulate goals/desired outcomes
select nursing interventions
write nursing interventions

Question 20

implementing

Answer 20

reassess the client
determine the nurse's need for assistance
implement the nursing interventions
supervise delegated care
document nursing activities

Question 21

evaluating

Answer 21

collect data related to outcomes
compare data with outcomes
relate nursing actions to client goals/outcomes
draw conclusions about problem status
continue, modify, or terminate the client’s care plan