Nursing Process Pt. 2

Question 1

What the nurse directly observes about the patient’s health status

Answer 1

Objective Data

Question 2

What are the personal senses used in collecting objective data?

Answer 2

-Seeing
-Hearing
-Smelling
-Touching

Question 3

Examples of objective data concerning medical administration:

Answer 3

-Physical health assessment
-Laboratory & diagnostic test results
-Data from physician’s notes
-Measurement of vital signs
-The patient’s body language

Question 4

Another name for vital signs

Answer 4

Cardinal signs

Question 5

Made based on analysis of the assessment data

Answer 5

Patient problem

Question 6

What does the patient problem determine?

Answer 6

The type of care the patient will receive

Question 7

The nurse formulates the patient problem, which guides the development of the plan of care to provide ____ ____ care.

Answer 7

patient-centered quality care

Question 8

Common patient problems related to drug therapy include the following:

Answer 8

-Abdominal pain
-Confusion
-Decreased adherance
-Need for health teaching
-Cognitive decline
-Nonadherance

Question 9

Use of patient problem is beneficial to the patient because its focus is on the ______ ______ ______ as related to actual problems delivered from the ______ _____ and not the actual disease process.

Answer 9

individual patient’s care; patient’s illness

Question 10

Goals are patient-centered, describe a specific activity, and include time frame for achievement and reevaluation.

Answer 10

Planning

Question 11

Planning includes the ____ _____ ____ ______ used to assist the patient in meeting medication goals.

Answer 11

development of nursing interventions

Question 12

Effective goal setting has the following qualities:

Answer 12

-The expected change is realistic, measurable, and includes reasonable deadlines.
-The goal:
>is acceptable to both the patient and nurse.
>is dependent on the patient’s decision making ability.
>is shared with other healthcare providers, including family/caregiver.
>identifies components for evaluation.

Question 13

In implementation of nursing interventions, one important nursing responsibilities in most practice are ____ __ _____ and _____ __ ____ _______.

Answer 13

administration of drugs and assessment of drug effectiveness

Question 14

The nurse continues to use ongoing assessment data to evaluate the successful attainment of the patient’s objectives and goals.

Answer 14

Evaluation

Question 15

In evaluation, if the objectives and goals are not met, the nurse will ________.

Answer 15

revise the objectives, goals, and interventions to ensure success

Question 16

If the nurse objectives, goals, and interventions are met, the nurse will ________.

Answer 16

document the successful attainment in the nursing care plan