The Nursing Process

Question 1

steps in the nursing process

Answer 1

A - Assessment
D - Diagnosis
P - Planning
I - Implementation
E - Evaluation

Question 2

assessment

Answer 2

collect and analysis data - find actual and potential problems

Question 3

diagnosis

Answer 3

uses the North American Nursing Diagnosis Association International format (NANADA - I). it is not a medical diagnosis. Nursing diagnosis enhances individual care VS medical which identifies biological alteration

Question 4

planning

Answer 4

“the nurse will…” - set goals for outcomes or results.

Question 5

planning asks what questions?

Answer 5

1) what does the client need to obtain optimal health and wellness
2) what role can the family play in supportive care?

Question 6

What are the goals of planning?

Answer 6

short term - what can we work on now?

long term - what can we work on long term? as in weeks, months, discharge)

Question 7

Implementation

Answer 7

putting plans in motion - also called Nursing Intervention - patient/family always involved in plan - evidence based NOT what we “think” we should do - COMMUNICATION IS ESSENTIAL

Question 8

evaluation

Answer 8

was the plan successful?
no? reassess and start process again
yes? we document achievement

Question 9

how long does the nurse do these steps in nursing process?

Answer 9

until goals are met, revised, or discharged home. discharging requires a new plan

Question 10

outcomes of the process?

Answer 10

need to be goal oriented and specific and should resolve or work towards resolving the problem

Question 11

when do you chart the outcomes?

Answer 11

when out comes are not met, me 100%, % if not met, in progress