nursing process

Question 1

organized and delivery of nursing care has to be

Answer 1

Dynamic

Continuous process

Question 2

Use crintical thinking to:

Answer 2

make judgements and take actions based on reason

assists with responding to patient needs

Question 3

as a nurse you need to be able to

Answer 3

identify

diagnose

treat human responses to health and wellness

Question 4

nursing process promotes;

Answer 4

individualized nursing care

Question 5

nursing process differentiates nursing practice

Answer 5

from other health care professionals

patients can be active participants

Question 6

nursing process 5 components

Answer 6

assess
diagnose
plan
implement
evaluate

Question 7

assess to

Answer 7

gather information about the clients condition

Question 8

diagnose to

Answer 8

identify the clients problems

Question 9

plan to

Answer 9

set goals of care and desired outcomes and identify appropriate nursing actions

Question 10

implement to

Answer 10

perform the nursing actions identified in planning

Question 11

evaluate to

Answer 11

determine if goals met and outcomes are achieved

Question 12

critical thinking approach to assessment

Answer 12

involves collecting information from the patient and from secondary sources like family members, along with interpreting and validating the information to form a complete database

Question 13

two stages of assessment

Answer 13

collection and verification of data

analysis of data

Question 14

four components of assessment

Answer 14

knowledge

standards

attitudes

experience

Question 15

knowledge of assessment

Answer 15

underlying disease process

normal growth and development

normal physiology and pychology

health promotion

assessment skills

communication skills

Question 16

standards of assessment

Answer 16

ANA scope and standards of nursing process

specialty standards of practice

intellectual standards of measurement

Question 17

attitude of assessment

Answer 17

perseverance

fairness

integrity

confidence

creativity

Question 18

experience of assessment

Answer 18

pervious patient care experience

validation of assessment findings

observation of assessment techniques

Question 19

Types of assessments

Answer 19

patient-centered interview during a nursing health history

physical exam

periodic assessments made during rounding or administering care

Question 20

sources of data

Answer 20

patient

family and significant others

health care team

medical records

scientific literature

Question 21

patient data types

Answer 21

interview

observation

physical examination
(the best source of information)

Question 22

in order to obtain info from family you need to:

Answer 22

obtain patients agreement first

Question 23

types of data

Answer 23

subjective

objective

Question 24

subjective data

Answer 24

feelings,

perceptions,

self-report (verbal descriptions)

only patient can provide this information

Question 25

objective data

Answer 25

observations or measurements

ex size of rash, vital signs

based on an accepted standard

Question 26

data obtained through

Answer 26

physical exam, results of diagnostic and lab tests

Question 27

patient centered interview

Answer 27

motivational interviewing

effective communication

interview preparation

Question 28

phases of an interview

Answer 28

orientation and setting an agenda

working phase

termination

Question 29

interview techniques

Answer 29

use open-ended questions

use direct close-ended questions

back channeling

probing

Question 30

open ended questions

Answer 30

describe situation in more than 1 or 2 words

strengthens relationships because you’re showing interest

Question 31

back channeling ex

Answer 31

uh huh… go on

Question 32

probing ex

Answer 32

what else?

Question 33

cultural considerations

Answer 33

to conduct an accurate and complete assessment, you to to consider a patients cultural background

when cultural differences exist between you and a patient, respect the unfamiliar and be sensitive to a patients uniqueness

if you are unsure about what a patient is saying, ask for clarification to prevent making the wrong diagnostic conclusion

Question 34

components of health history

Answer 34

biographical information

reason for seeking health care

health history

psychosocial history

patient expectations

present illness or health concern

family history

spiritual health

review of systems

Question 35

observing patients level of function includes

Answer 35

the physical

developmental

psychological

social aspects of everyday living

Question 36

diagnostic and lab data

Answer 36

results provide further explanation of alterations or problems identified during the health history and physical examination or problems identified during the health history and physical exam

Question 37

interpreting and validating assessment date to

Answer 37

ensure collection of complete database

leads to second step of nursing process

Question 38

interpreting assessment data and making nursing judgement

Answer 38

data validation

analysis and interpretation

Question 39

data validation to

Answer 39

ensure accuracy

this is what i have noticed

Question 40

analysis and interpretation

Answer 40

data clustering

Question 41

data clustering

Answer 41

signs and symptoms that are grouped together

systems approach or functional health pattern approach to correctly classify and organize data

focuses on identification of the correct problem

certain cues

Question 42

data documentation

Answer 42

use clear, concise appropriate terminology

becomes baseline for care

Question 43

concept mapping

Answer 43

visual representation that allows you to graphically show the connections among a patients many health problems