Brainscape's Knowledge GenomeTM

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


See full index

NURS 300 Fundamental- Exam 1 > Nursing Process- Ch. 11-17 > Flashcards

Nursing Process- Ch. 11-17 Flashcards

1
Q

What is the acronym for the nursing process?

A

ADPIE

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

What are the 5 steps of the nursing process?

A

Assessment, Diagnosis, Planning, Implementation, Evaluation

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

What is done during the assessment step?

A

Collect and organize data

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

What is done during the diagnosis step?

A

Analyze data, identify nursing diagnoses and collaborative problems

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

What is done during the planning step?

A

Prioritize problems, identify measurable outcomes/goals, select nursing interventions, document the plan of care. BE SURE TO ALWAYS INCLUDE THE PATIENT IN THE PLAN.

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

What is done during the implementation step?

A

Carry out the nursing orders, document the nursing care and patient responses

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

What is done during the evaluation step?

A

Monitor client outcomes; resolve/con’t/revise the current plan for care

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

When you cluster data and organize info into similar categories, what does this do?

A

Facilitates ID of the patient’s problem

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

Assessment is a systematic process of ____, verifying, and ____ data about a patient.

A

collecting, analyzing

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

Why is documentation so critical?

A

It is a method of communication and other healthcare members like respiratory will see it, and it represents you.

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

The nursing process ensures that nurses are ____ centered rather than ____ centered

A

patient, task

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

What are sources of data?

A

Patient, family, medical record, social worker, literature resources

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are some methods of data collection during the assessment process?

A

Interview, Nursing Health History, Physical exam

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

What is important to remember about the interview?

A

It is your first impression to the patient.

It is an organized conversation where you obtain the patient’s health history and info about current illness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is included in the health history?

A

Bio info, reason for seeking health care, pt expectations, allergies, meds, family history, psychosocial, lifestyle patterns, review of systems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the 2 types of data?

A

Subjective from pt, and objective which is observed and can be verified by another person.

17
Q

In what ways can you inspect someone?

A

visual, hearing and smelling

18
Q

What is palpation?

A

Touch

19
Q

What is percussion?

A

sound produced by striking one object against another

20
Q

What is auscultation?

A

Listening w/ a stethoscope

21
Q

What kind of data are part of the physical assessment?

A

diagnostic and laboratory data. Diagnostic is palpation, percussion, and auscultation.

22
Q

What is the difference b/w a medical and nursing diagnosis?

A

Medical identifies diseases. Nursing focuses on unhealthy responses to health and illness. A medical diagnosis remains the same for as long as the disease is present, whereas a nursing diagnosis may change from day to day as the patient’s responses change.

23
Q

What needs to happen in order to make a nursing diagnosis?

A

Data interpretation and analysis.Most experienced nurses begin the work of interpreting and analyzing data while they are still collecting (assessing) it.

24
Q

What are the 5 different types of nursing diagnoses?

A

Actual, Risk, Possible (need more data), wellness and syndrome

25
Q

What should be included in the diagnosis stmt?

A

Problem (NANDA), etiology, defining characteristics (S&S)
ex. bathing/hygiene self-care deficit related to/ fear of falling in the tub and obesity/ as manifested by strong body and urine odor, unclean hair: “i’m afraid I’ll fall in the tub and break something.” (5’4”, 170 lb)

26
Q

When you prioritize problems, what must you remember?

A

You have to meet their most basic needs first–water, oxygen, food…ABC (airway, breathing, circulation)

27
Q

During the planning process, you have to identify the ____ and determine the expected ______ as well as what?

A

GOAL, OUTCOME

As well as the time frame to achieve the goal.

28
Q

Who is involved in the planning of goals?

A

The nurse AND PATIENT.

29
Q

List 4 requirements of expected outcomes.

A

they should be patient focused, measurable, time limited, realistic.

Goal should be supported by S&S displayed by patient

30
Q

T or F: Nursing interventions are based on rationale.

A

FALSE, it is scientific; evidence-based

31
Q

Types of nursing interventions

A

monitor health status, anticipate and prevent complications, resolve, prevent, manage a problem, facilitate independence or assist w/ self-care and ADLs, promote well-being.

They can by MD initiated, or collaborative w/ other health care team

32
Q

Evaluating the outcomes of intervention, require what skills?

A

CRITICAL THINKING. Was it the correct nursing diagnosis? Correct time frame?

NURS 300 Fundamental- Exam 1 (11 decks)

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