Week 1 Flashcards
What does ADPIE stand for in the nursing process?
Assessment, Diagnosis, Planning, Implementation, Evaluation
What is the definition of nursing according to ANA (1995)?
The protection, promotion and optimization of health and abilities, prevention of illness and injury, alleviation of suffering.
What are the two main areas of health assessment?
- Ward
- Special Area
What types of wards are included in health assessment?
- General Ward
- Medicine Ward
- OB Ward
- Surgery Ward
- Pediatric Ward
- Orthopedic Ward
- Psych Ward
What types of ICUs are mentioned?
- Neonatal ICU
- Pediatric ICU
- Medical ICU
- Neurologic ICU
What are objective data in nursing?
Data obtained by observations of the nurse
What are subjective data in nursing?
Verbal data stated by the patient
What is the primary purpose of the nursing process?
To provide individualized, holistic, effective and efficient nursing care
What are the phases of the nursing process?
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
Fill in the blank: The framework for health assessment includes history of present health concern, personal health history, family history, and _______.
Lifestyle and Health practices
What are the four basic types of health assessment?
- Initial comprehensive assessment
- Ongoing/Partial Assessment
- Focused or Problem Oriented Assessment
- Emergency Assessment
What is a focused or problem-oriented assessment?
Targets a specific health concern, examining only areas related to the identified problem
What is the definition of a nursing diagnosis?
Clinical judgement concerning a human response to health conditions.
What are the four types of NANDA nursing diagnoses?
- Problem Focused
- Risk
- Health Promotion
- Syndrome
What does the PES format stand for in nursing diagnosis?
Problem, Etiology, Signs and Symptoms
What is the first step of the nursing process?
Assessment
True or False: Assessment is a continuous process in nursing.
True
What are the sources of data in nursing assessment?
- Client
- Support people
- Client records
- Health care professionals
- Literature
What are the two types of data collected during health assessments?
- Subjective data
- Objective data
What are the two aspects of observing in data collection?
- Noticing the data
- Selecting, organizing and interpreting the data
What is the role of the nurse in health assessment?
To perform a focused assessment and develop a comprehensive plan of care.
What is the ‘GOSH’ acronym related to the nursing process?
- Goal oriented
- Organized
- Systematic
- Humanistic care
What is the purpose of the evaluation phase in the nursing process?
To determine if the patient’s condition improved or worsened
What are the two types of goals in nursing planning?
- Long Term Goals
- Short Term Goals
What types of interventions can nurses perform?
- Independent
- Dependent
- Collaborative
What is an example of objective data collection?
Vital signs measurement
What is the significance of validation in data collection?
To ensure data accuracy before proceeding with nursing diagnosis and care planning
Fill in the blank: The nursing process is synonymous with the _______ that directs the nurse and the client.
PROBLEM SOLVING APPROACH
