the nursing process

Question 1

what is the nursing process

Answer 1

a systematic method that directs the nurse and client as they determine the need for care, plan and implement the care and evaluate the results; it aims to make the client independent again as quick as possible

Question 2

ADPIE

Answer 2

assessment
diagnosis
planning
intervention
evaluation

Question 3

planning

Answer 3

• set of objectives recording the expectations of the nurse and patient
• objectives are set for each diagnosis

Question 4

intervention

Answer 4

what will actually be done to help the client

interventions are performed to achieve the objective

Question 5

evaluation

Answer 5

assessing the effectiveness of intervention

Question 6

subjective data

Answer 6

perception based gained through client

Question 7

objective data

Answer 7

observations obtained through assessment

Question 8

primary assessments

Answer 8

• physical appearance and hygiene
• body structure
• body movement
• emotional/mental status

Question 9

assessment for life threatening concerns

Answer 9

a- airway patent
b- breathing normally
c- pulse? BP? Urine output
d- disability: level of consciousness/ behaviour
e- exposure (temp, obvious injury or infection)

Question 10

pain assessment

Answer 10

p- provoking/palliative: what makes it better or worse
q- quality: what does it feel like
r- region and radiation: where is it? spreading?
s- severity: rate out of 10
T- time of onset/duration: when did it start, how long has it lasted?
u- patients understanding of pain: what do they think it might be, what have they tried?