Nursing Process Flashcards
Five steps of the nursing process
Assessment Diagnosis/analysis Planning Implementation Evaluation
Parts of assessment?
Physical, developmental, cognitive, spiritual, psychosocial. Data collection.
Subjective vs objective data?
Subjective is what the patient states, feelings and perceptions. Objective is the things that are observable and measured by the examiner.
Diagnosis/analysis?
Identifying health problems, analyzing and interpreting data, identify broad problem area.
Match client symptoms to defining characteristics.
Actual nursing diagnosis?
Clinically validated. Sufficient assessment data has been collected to validate this problem.
Risk nursing diagnosis?
Problems that may develop in a vulnerable client. Data exists to support the vulnerability of a client.
Types of nursing problems
Health promotion, used when a patient is ready to express health behavior. Maybe be applied to individual, family, group.
Wellness, clinical judgement regarding a transition from a specific level of wellness to a higher level of wellness.
Writing a nursing problem statement?
Actual or potential problem.
Diagnosis: actual is problem plus the related factors plus symptoms. Potential is the problem plus risk factors.
Maslow’s Hierarchy
Physiological Safety and Security Love and Belonging Self-esteem Self-actualization
SMART goals for planning?
Specific, measurable, attainable, relevant, time bound
Independent nursing interventions?
Activities that nurses are licensed to perform based on their knowledge and skills.
Elevate extremity, teaching side effects, repositioning, etc
Dependent nursing interventions?
Activities carried out under the provider’s ordered or supervision, or according to specified routines
Inserting an IV catheter, indwelling catheter, changing a dressing, starting an IV, meds
Evaluate goals?
Met, not met, partially met
