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Nursing 101 exam 1 > week 3 nursing process > Flashcards

week 3 nursing process Flashcards

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1
Q

what is the definition of the nursing process

A

framework to guide thinking

-critical thinking, decision making, diagnostic reasoning, problem solving, clinical judgment

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2
Q

what kind of process is the nursing process

A

cyclic

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3
Q

what is a nursing care plan

A

Identifies client problems in need of nursing care
Predicts outcomes sensitive to nursing care
Lists intervention that will result in expected outcomes

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4
Q

what is the purpose of the nursing care plan

A

communicate planned care to health care team

Ensure continuity of care

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5
Q

what is the definition of assessment

A

the process of gathering information about a client’s health status to identify concerns and needs than can be treated or managed by nursing care.

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6
Q

what does assessment require and must use

A

critical thinking

reasoning, analyzing and translation

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7
Q

what is the purpose of the assessment

A

consider the situation

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8
Q

what are the type of assessment

A

initial
focused
emergency
onling

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9
Q

how to collect data through assessment

A

active listening
active processing
observing
translating

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10
Q

what is active listening g

A

listen to client and help clarify and elaborate. Listen to meaning behind what is being said

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11
Q

what is active processing

A

analyze and interpret info (How does this info fit with what I know about a disease?)

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12
Q

what is translating in assessment

A

translate what client says into meaningful, succinct statement
Group data into meaningful patterns (ex, restless, rapid resp., cyanotic)

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13
Q

what is the reasoning of collecting data

A

actively process info to make mental connections of the data to diseases, health patterns

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14
Q

what is validating of collecting data

A

confirming accuracy of info using another source

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15
Q

what are functional health patterns in assessment

A

refers to the positive and negative behaviors a person uses to interact with the environment and maintain health.

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16
Q

health maintenance patter is

A

clients personal view of health and behaviors associated with the quest to be healthy

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17
Q

what is the nutritional metabolic pattern

A

dietary habits in relations to metabolic need

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18
Q

what is the elimination pattern

A

bowel and bladder habits

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19
Q

what is the activity exercise pattern

A

ability to be active and level of activity person chooses. persons physical capability for self care

20
Q

what is the sleep-rest pattern

A

pattern of sleep and rest

21
Q

what is the cognitive perceptual pattern

A

senstation, perception, and cognition.

memory, language, vision, hearing, orientation, senses

22
Q

what is self perception- self concept pattern

A

how person views self.

23
Q

role relationship pattern

A

relationships with others,

24
Q

sexuality -reproductive pattern

A

present from both to death. expression of sexuality varies

25
Q

what is coping-stress tolerance pattern

A

stress is a part of everyones life

management of stress

26
Q

what is value belief pattern

A

philosophical position that guides a persons choices in life

27
Q

what is so important with assessment

A

document

28
Q

what are the componenet of the NANDA-1 nursing DX

A 
label
defintion
defining characterisitics
related factors
risk factors
29
Q

what are the types of nursing diagnosis

A

actual
risk for
wellnesss
collaborative

30
Q

what is an actual diagnosis

A

current problem
Can identify S/S (defining characteristics)
Ask: Are there S/S that indicate a problem exists?

31
Q

what is a risk for diagnosis

A

problem that may develop

plan of care to PREVENT problem

32
Q

what is a wellness diagnosis

A

a desire by person, family, community to move to higher stat of being

33
Q

what is a collaborative diagnosis

A

interventions from different healthcare team members may

34
Q

how many parts are in the actual nursing diagnosis

A

3

35
Q

what does P stand for

A

problem followed by the words related to

36
Q

what does E stand for

A

etiology followed by the words as manifested by

37
Q

what does S stand for

A

sign and symptoms

38
Q

how many parts is a risk for diagnosis

A

2

39
Q

what parts are in the risk diagnosis

A

P

E

40
Q

what are some sources of diagnostic effort

A

errors in collecting data
cue clustering
interpretation
under or over diagnosing

41
Q

what is ongoing planning

A

as clients condition changes need to modify plan

42
Q

what is a discharge plan

A

prepatation for moving from one level of care to another

43
Q

what is collaborative planning

A

planning with other healthcare professionals

44
Q

what is MART

A

measurable
achievable
realistic
time frame

45
Q

what is NIC

A

nursing intervention classificaiton system

Nursing 101 exam 1 (11 decks)

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