Brainscape's Knowledge GenomeTM

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


See full index

fundamentals in nursing practice > NURSING PROCESS INTRO & ASSESSMENT > Flashcards

NURSING PROCESS INTRO & ASSESSMENT Flashcards

You may prefer our related Brainscape-certified flashcards:
Family Nurse Practitioner (FNP) flashcards NCLEX-PN® flashcards
1
Q
  • systematic and client centered method that provides a structure in the delivery of nursing care
  • goal oriented method that provides a framework for nursing practice
A

nursing process

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q
  • patients as central figure
  • gathering and analyzing data to identify health issues / concerns
A

nursing process

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

what are the phases or nursing process?

A

ADPIE assessment, diagnosis, planning, implementation, evaluation

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

systematic continuous collection, organization, validation and documentation of data

A

assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q
  • establish a complete database for problem identification, reference and future comparison
  • within a specified time after admission
A

initial / comprehensive assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
  • determine the status of a specific problem
  • ongoing process
A

problem-focused assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
  • to identify life-threatening and overlooked problems
  • during any physiologic or psychologic crisis
A

emergency assessment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q
  • compare the client’s status to baseline data
  • several months after initial assessment
A

time-lapsed assessment

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

4 major activities done during assessment

A

COVD collecting, organizing, validating, documenting

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

gives subjective information on how a health condition came about

A

nursing health history

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

true or false: the chief complaint must be recorded as direct quotes from the client

A

true

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

how can the family history be presented as?

A

genogram / family tree

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

infancy

A

trust vs mistrust

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

early childhood

A

autonomy vs shame and doubt

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

preschool

A

initiative vs guilt

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

school age

A

industry vs inferiority

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

adolescence

A

identity vs role confusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

young adulthood

A

intimacy vs isolation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

middle adulthood

A

generativity vs stagnation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

maturity

A

ego integrity bs despair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

person’s description of his current health

A

health perception - health management

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

person’s nourishment

A

nutritional - metabolic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q
  • person’s excretory pattern
  • disease of digestive, urinary system, or skin
A

elimination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q
  • person’s description of his weekly pattern of activities, leisure, exercise, and recreation
  • any disease that affects his cardio-respiratory and/or musculoskeletal systems
A

activity - exercise

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

person’s description of the person’s sleep-wake cycle

A

sleep - rest

26
Q
  • person’s ability to express himself clearly and logically
  • person’s education
A

cognitive - perceptual pattern

27
Q
  • if person is comfortable with his appearance
  • description of the person’s feeling state
A

self-perception / self-concept

28
Q

person’s description of his various roles in life

A

role - relationship

29
Q

person’s satisfaction with his situation related to sexuality

A

sexuality - reproductive

30
Q

person’s means/actions of coping with problems

A

coping - stress tolerance

31
Q
  • principals that the person learn as a child which are still important to him
  • person’s identification with any cultural, ethnic, religious, regional, or other groups
A

value - belief

32
Q

the patient’s subjective response to a series of body system-related questions

A

review of systems

33
Q
  • also referred to as symptoms or covert data
  • can be described or verified only by the individual
A

subjective data

34
Q
  • also referred to as signs or overt data
  • can be measured or tested against an accepted standard
A

objective data

35
Q

best source of data

A

primary / client

36
Q

refers to all sources other than the client

A

secondary source

37
Q
  • a conscious and deliberate skill in gathering data using
    the senses
  • involves noticing data then selecting, organizing, and interpreting data
A

observing

38
Q

planned communication or a purposeful conversation

A

interviewing

39
Q
  • highly structured
  • nurse establishes the purpose and controls the interview
A

directive interview

40
Q
  • a rapport-building interview
  • the client controls the purpose, subject matter, and pacing
A

nondirective interview

41
Q
  • used during direct interviews
  • generally restrictive; requires a yes, no, or short factual responses
  • often used when information is needed quickly
A

closed questions

42
Q
  • associated with non-directive interviews
  • invites longer responses from the clients
  • provides the client with freedom to share information
A

open-ended questions

43
Q
  • open-ended, used in non-directive interviews
  • can be answered by the client without direction or pressure
A

neutral questions

44
Q
  • closed questions and are used in directive interviews
  • directs the client’s answers
  • gives the client less opportunity to decide if responses are true or not
A

leading questions

45
Q
  • complete health assessment
  • orderly and systematic
A

examining

46
Q

4 basic skills of examining

A

IPPA inspection palpation percussion auscultation

47
Q

approaches of examining

A

cephalocaudal, body system approach

48
Q
  • assessment of the patient’s general appearance
  • uses the sense of sight, hearing and smell
A

inspection

49
Q

uses the sense of touch; “therapeutic touch”

A

palpation

50
Q
  • the skin is depressed for about 1-2 cm using the finger pads
  • used to assess texture, tenderness, temp., moisture, elasticity
A
  • light palpation
51
Q
  • can be done with 1 or 2 hands, skin is depressed for about 4-5 cm
  • this is used when trying to feel for the internal organs
A

deep palpation

52
Q

involves the striking of a body surface, usually with a tip of the finger to elicit a sound or vibration

A

percussion

53
Q
  • uses pads of 2, 3, or 4 fingers or with a pad of the middle finger
  • commonly used when percussing adult sinuses
A

direct percussion

54
Q
  • the nurse strikes an object (another finger) held against a body area
  • uses pleximeter (finger placed on the skin), plexor (striking finger)
A

indirect percussion

55
Q

involves the process of listening to sounds produced within the body and could either be direct or indirect

A

ausculation

56
Q

use of unaided ear

A

direct ausculation

57
Q

use of stethoscope

A

indirect auscultation

58
Q

constitutes another source of objective data, which is important in assessing many health problems and conditions

A

using laboratory results

59
Q

enumerate the hierarchy of needs from the lowest to highest level

A

physiological, safety, love and belonging, esteem, self-actualization

60
Q

This model describes the client’s need for adequate nutrition, normal elimination, and adequate rest to promote normal human functioning and development

A

orem’s self care model

61
Q
  • the act of double-checking or verifying data to confirm that it is accurate and factual
  • differentiate between cues and inference
A

validation

62
Q
  • should include all data collected about the client’s health status
  • recorded in a factual manner and not interpreted by the nurse
A

documentation

fundamentals in nursing practice (38 decks)

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