The Nursing Process Flashcards
The Nursing Process:
What is it?
An orderly systemic method of identifying what a patient needs and how we will help
The Nursing Process:
What are the 5 steps of the nursing process?
- Assessment
- Nursing diagnosis
- Planning
- Implementation
- Evaluation
The Nursing Process:
What is the first step in the nursing process?
Assessment
The Nursing Process:
Assessment
Obtaining information
The Nursing Process:
What are the two types of data to collect for assessment?
- Objective Data
- Subjective Data
The Nursing Process:
Objective Data
What you can see or measure
(quantifiable, “the numbers”)
Ex: Height, weight, lab tests, vital signs, lung sounds, etc.
The Nursing Process:
Height, weight, lab tests, vital signs, lung sounds
Objective data
The Nursing Process:
Subjective Data
What the patient/family has to tell you
(“touchy-feely”)
Ex: How the patient feels-pains, nausea, tired,etc.
About their medications…take a drug history
The Nursing Process:
How the patient feels (pain, nausea, tired, etc)
Subjective Data
The Nursing Process:
What’s included in a drug history?
Drug History:
- Prescription drugs
- Over-the-counter medications (OTCs)
- Herbal preparations
- Vitamins
- Home remedies
- Alcohol/ tobaccp hx.
- Caffeine intake
- Street Dx. (marijuana, cocaine, etc.)
- Does the patient have side effects?
- What happens when they take medications? (i.e. side effects)
- Does the patient have side effects?
The Nursing Process:
Nursing Diagnosis
Analyze the data gathered- make a conclusion
The Nursing Process:
T/F
Nursing diagnosis have special wording
True
The Nursing Process:
Most nursing diagnoses r/t pharmacology would center around:
- ____(1)_____ the patient about meds (d/t knowledge deficient)
- Helping the __(2)____ work better
- Preventing or treating ____(3)_____ or ____(4)______
- Teaching
- drug
- side effects
- complications.
The Nursing Process:
Planning
Identification of a goal to be met; planning what interventions will be done
The Nursing Process:
What is the first step of the nursing process?
Assessment
The Nursing Process:
What is the second step of the nursing process?
Nursing diagnosis
The Nursing Process:
What is the third step of the nursing process?
Planning
The Nursing Process:
What is the fourth step of the nursing process?
Implementation/Interventions
The Nursing Process:
The planning step in the nursing process must be what 3 things?
- Objective
- Measurable
- Realistic
The Nursing Process:
What is the fifth step of the nursing processs?
Evaluation
The Nursing Process:
Describe the correct wording layout for the planning step of the nursing assessment.
Correct
“The patient will….”
Incorrect
“The nurse will..”
The Nursing Process:
Implementation/ Interventions
The doing phase
The Nursing Process:
What are the three types of interventions pertaining to the following?
- What does the patient know about his/her medications?
- Give the medication
- Watch for a complication or side effects
- Teaching/ Educating
- Action
- Further assessment
The Nursing Process:
Evaluation
How did it (ex. the medication) work out?
