Overview of Nursing Process

Question 1

“The very elements of nursing are all but
unknown”
- FLORENCE NIGHTINGALE 1859

Answer 1

HEALTH ASSESSMENT

Question 2

the diagnosis and treatment of

human responses to health and illness

Answer 2

Nursing

Question 3

5 steps of the Nursing Process (ADPIE)

Answer 3

1. ASSESSMENT
2. DIAGNOSIS
3. PLANNING
4. INTERVENTION
5. EVALUATION

Question 4

Systematic collection of data
The most important step
Sets the tone for the rest of the process,
and the rest of the process flows from it
Identifies your patient’s strengths and
limitations and is performed not just
once, but continuously throughout the
nursing process.

Answer 4

Assessment

Question 5

Clinical judgment concerning a human
response to health conditions / life
processes, or vulnerability for that
response by an individual, family or
community that the nurse is licensed and
competent to treat

Answer 5

Diagnosis

Question 6

identifies an
occurring health problem for your
patient.

Answer 6

actual nursing diagnosis

Question 7

identifies a
high-risk health problem that most likely
will occur unless
preventive measures are
take

Answer 7

potential nursing diagnosis

Question 8

is one that

needs further data to support it

Answer 8

possible nursing diagnosis

Question 9

Desired outcomes
Appropriate interventions
Involves setting goals and outcomes

Answer 9

Planning

Question 10

objective behavior or response that
you expect a patient to achieve over a longer
period, usually over several days, weeks or
months

Answer 10

Long Term Goals

Question 11

objective behavior or response that
you expect the patient to achieve in short
time usually few hours or less than a week

Answer 11

Short Term Goals

Question 12

Planning should be SMART

Answer 12

✓ Specific
✓ Measurable
✓ Attainable
✓ Realistic
✓ Time-bound

Question 13

Defined as any treatment based on
clinical judgment and knowledge that a
nurse performs to enhance patient
outcomes

Answer 13

Intervention

Question 14

Action that the nurse initiates without

supervision or direction from others

Answer 14

Independent

Question 15

Actions that require an order from a

health care provider

Answer 15

Dependent

Question 16

Interdependent interventions

Therapies that require the combined

Answer 16

Collaborative

Question 17

Final step of the nursing process
Crucial to determine if the patient’s
condition improved or worsen after
application of the first four steps of
nursing process

Answer 17

Evaluation

Question 18

is
the deliberate and systematic collection
of data to determine a client’s current
and past health status and functional
status and to determine the client’s
present and coping patterns.

Answer 18

Assessment

Question 19

Involves collection of subjective data
about the client’s perception of his or
her health of all body parts or systems,
past health history, family history, and
lifestyle and health practices (which
includes information related to the
client’s overall function) as well as
objective data gathered during a step by-step physical examination.

Answer 19

Initial Comprehensive Assessment

Question 20

Consists of data collection that occurs
after the comprehensive database is
established. This consists of a mini overview of the client’s body systems
and holistic health patterns as a followup on health status.

Answer 20

Ongoing or Partial Assessment

Question 21

It is
performed when a comprehensive
database exists for a client who comes
to the health care agency with a specific
health concern

Answer 21

Focused or Problem-Oriented Assessment

Question 22

a very
rapid assessment performed in lifethreatening situations. In such
situations (choking, cardiac arrest,
drowning), an immediate assessment is
needed to provide prompt treatment.a very
rapid assessment performed in lifethreatening situations. In such
situations (choking, cardiac arrest,
drowning), an immediate assessment is
needed to provide prompt treatment.

Answer 22

Emergency Assessment

Question 23

performs a focused assessment, and
then incorporates assessment findings
with a multidisciplinary team to
develop a comprehensive plan of care

Answer 23

Acute Care Nurse

Question 24

need enhanced assessment skills to
safely assess critically ill clients who are
outside the structured intensive care
environment (Coombs & Moorse, 2002).

Answer 24

Critical Care Outreach Nurses

Question 25

assess and screen clients to determine

the need for physician referrals.

Answer 25

Ambulatory Care Nurses

Question 26

make independent nursing diagnoses
and referrals for collaborative problems
as needed.

Answer 26

Home Health Nurses

Question 27

assess the needs of communities,
school nurses monitor the growth and
health of children, and hospice nurses
assess the needs of the terminally ill
clients and their families.

Answer 27

Public Health Nurses