The Nursing Process Flashcards
The nursing process is the
method nurses use to plan and deliver nursing care
The 5 steps of the nursing process
○Assessment ○Nursing diagnosis ○Planning ○Implementation ○Evaluation
Assessment involves
collecting information about the person.
Objective data (signs) are
seen, heard, felt, or smelled.
Subjective data (symptoms) are
things a person tells you about that you cannot observe through your senses
The RN uses assessment information to
make a nursing diagnosis.
A nursing diagnosis describes
a health problem that can be treated by nursing measures.
The implementation step is
performing or carrying out nursing measures (interventions) in the care plan
Use your assignment sheet to
organize your work and set priorities
Evaluation involves
measuring if the goals in the planning step were met.
Mrs. Shumway’s nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include what?
Daily am weight measurement
The plan that starts on the resident’s admission and assists when the resident goes home is called
The discharge plan
Holism is
a concept that considers the whole person.
The whole person has
physical, social, psychological, and spiritual parts.
Abraham Maslow theory
Basic needs must be met for a person to survive and function.
According to Maslow, which basic needs must be met first?
Physical needs
Basic needs: lowest level to highest level
■Physical needs ■Safety and security needs ■Love and belonging needs ■Self-esteem needs ■Self-actualization needs
Culture
The characteristics of a group of people passed from one generation to the next
Religion relates to
spiritual beliefs, needs, and practices
The care plan includes the person’s
cultural and religious practices.
Optimal level of function is
The person’s highest potential for mental and physical performance.
Comatose means
being unable to respond to stimuli.
The person who is comatose cannot
respond to others.
Nurse aides can provide a client with a sense of security by:
Explaining all routines and procedures
Experiencing one’s potential is:
Self-actualization
A patient has a diagnosis of psoriasis. Her nurse aide should
Treat her the same way as any other patient with a non-infectious disease
A nurse aide is assigned to a stroke patient with a diagnosis of aphasia. The nurse aide knows that
The resident cannot talk
The loss of the ability to express oneself is known as
Aphasia
Verbal communication uses:
Written or spoken words
