Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Stuff > Nursing Process > Flashcards

Nursing Process Flashcards

1
Q

What is the Nursing Process?

A

science of nursing based on a framework

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the Nursing standards?

A
  1. Assessment
  2. Diagnosis
  3. Outcome identification
  4. Planning
  5. Implementation
  6. Evaluation
  7. Quality of practice
  8. Education
  9. Professional practice evaluation
  10. collegiality
  11. collaboration
  12. Ethics
  13. Research
  14. Resource utilization
  15. Leadership
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the focus of the nursing process?

A

To identify potential risk, expected outcomes and provide a systematic and organized plan of care for the preoperative pt

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Characteristics of the nursing process?

A
  1. Standard
  2. Integrative
  3. Systemic
  4. Dynamic
  5. Interpersonal
  6. Goal and outcome oriented
  7. Universal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Standard

A

standard of practice by which all nurses are expected to perform competently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Intergrative

A

Incorporates an holistic, caring perspective, research and evidence based perspective to integrate the science and art of nursing to meet the pt. needs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Systemic

A

Suggest orderly sequence of activities and problem solving activities
Progresses towards identified expected outcomes
scientific and evidence based

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Dynamic

A

An integration of single action that occur at the same or similar time
flexible- can be modified to pt needs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Interpersonal

A

Pt. centered
outcome focused
Not tasked centered

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Goal and outcome oriented

A

Matched with corresponding diagnosis and intervention
Most important to pt care establish
promotes continuity of care and provides direction on how to proceed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Universal

A

provides working frame for all nursing activities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Assessment

A
  1. collection data
  2. pt history and physical
  3. medical record review
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

diagnosis-purpose

A

analyze assessment data to determine pt diagnosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

*preoperative diagnosis?

A
  1. anxiety ( unfamiliar environments, impending surgery)
  2. Fear ( potential outcome)
  3. Grieving ( loss of body parts)
  4. Risk for imbalanced fluid volume ( NPO status, preexisting condition)
  5. imbalanced nutrition less than body requirement
  6. Risk for aspiration ( NPO status, preexisting condition)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

*intraoperative diagnosis?

A
  1. Risk for impaired skin
  2. risk for peripheral neurovascualar dysfunction
  3. Risk for infection ( break in aseptic technique)
  4. Risk for preoperative positioning injury
  5. Decreased cardiac ( anesthetic medication, decreased mobility, venous pooling)
  6. Ineffective breathing mechanism (anesthetic medication)
  7. Hypothermia (cool room, cool prep, exposure for surgery, open body cavity)
  8. Risk for imbalance fluid ( loss of body fluid, preoperative NPO status)
  9. Risk for injury ( incorrect counts, equipment malfunction, burns, improper use of ESU, pooling of prep solution, falls)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q
  • Postoperative diagnosis?
A
  1. Impaired spontaneous ventilation (tongue blocking airway, retained secretions, surgical procedure)
  2. Risk for bleeding ( blood and fluid loss)
  3. Risk for deficit fluid volume ( inadequate volume)
  4. Impaired gas exchange( excess and deficient in oxygenation)
  5. Acute pain (surgical incision)
  6. Hypothermia ( core temp < 36 C)
17
Q

Identification of outcome

A

RN identifies expected outcomes for individualized plan of care
eg. pt is free from signs and symptoms of injury related to positioning

18
Q

Planning

A

establish goals and outcomes
eg. select interventions to assess baseline skin condition, appropriate positioning aid, plan for post operative skin assessment

19
Q

Implementation

A

To carry out a plan of care
eg. assess skin condition pre and post op
pad and position patient to maintain appropriate body alignment and promote skin integrity

20
Q

Evaluation

A

Identify if expected outcomes were met

eg. evaluate for physical injury to skin and tissue

21
Q

Assessment key words on exam?

A
  1. Collects
  2. Identifies
  3. Confirms
  4. Verifies
22
Q

Diagnosis key words on exam?

A
  1. Risk for
  2. Statement such as Fear
  3. Objective statement such as hypothermia
23
Q

Identification of outcome key words on exam?

A

Pt will be free from

24
Q

Plan of care key words on exam?

A

focus is the planning

25
Q

Implementation as key words on exam?

A

Actions or interventions to be taken by the RN

  1. performs
  2. provides
  3. implements
26
Q

Evaluation key words on exam?

A
  1. Evaluate

2. Ensures

Stuff (25 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions