The Nursing process

Question 1

Phases of the Nursing process

Answer 1

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

Question 2

Systematic and continuous collection, organization, validation,interpretation and documentation data.

Answer 2

ASSESSMENT

Question 3

What are the types of Assessment?

Answer 3

1. Initial
2. Problem-focused
3. Emergency
4. Time-lapsed

Question 4

During admission/ to establish a database

Answer 4

Initial

Question 5

Ongoing process/ to monitor and/or identify a specific,new, or overlooked problems

Answer 5

Problem-focused

Question 6

Emergency or crisis situations / to identify life-threatening problems

Answer 6

Emergency

Question 7

Several months after initial assessment / to compare a client’s status over a period of time

Answer 7

Time-lapsed

Question 8

Activities during assessment

Answer 8

• Data collection
• validaton of data
• organization of data
• documentation of data

Question 9

Types of Data

Answer 9

Subjective (covert,symptoms)

Objective (overt,signs)

Question 10

Felt and experienced by the patient

Answer 10

Subjective (covert,symptoms)

Question 11

Detected by an observer

Answer 11

Objective (overt,signs)

Question 12

Sources of data

Answer 12

1. Primary- client

2. Secondary- family members, friends,health professionals, records

Question 13

Methods of data collection

Answer 13

1. Observation
2. Interview
3. Physical examination

Question 14

Data are validated whether complete and accurate

Answer 14

Data verification

Question 15

Nurse organizes and clusters the information together in orfer to identify areas of strenght and weaknesses.

Answer 15

Data organization

Question 16

Assessment Models

Answer 16

1. Gordon’s 11 functional health
2. Orem’s self-care Model
3. Roy’s adaptation Model
4. Body system’s model -neuman

Question 17

Translation of the information into nursing diagnosis

Answer 17

Data interpretation

Question 18

Basis for determining the quality of care and should include appropriate data to support identified problems

Answer 18

Data documentation

Question 19

Interpretation of assessment data and identification of the client’s strengths and problems

Answer 19

Diagnosis

Question 20

Science and art of identifying problems or conditions

Answer 20

Diagnosis

Question 21

Is a clinical judgement about individual,family or community responsea to actual or potential health problema/life processes

Answer 21

Nursing diagnosis

Question 22

Standardized name, and problem statement

Answer 22

Diagnostic label

Question 23

Relationship between a problem and its related or risk factors

Answer 23

Etiology

Question 24

Types of nursing diagnosis

Answer 24

1. Actual diagnosis
2. Risk bursing diagnosis/ potential problem
3. Possible nursing diagnosis
4. Wellness Diagnosis