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PN Exam 1 Class #89
Chapter 4
| Question | Answer |
|---|---|
| What is the Nursing Process? | A decision making framework used by all nurses to determine the needs of their patients and to decide how to care for them. |
| What is a Care Plan? | A documented plan for giving patient care and includes the health-care providers orders, nursing diagnoses, and nursing orders. |
| What is Critical Thinking? | Useful skillful reasoning and logical thought to determine the merits of a belief or action. |
| How does a nurse Validate? | Ensuring the correctness of any information a nurse obtains. |
| What are the 5 steps of the Nursing Process? | ADPIE: Assessment, Diagnosis, Planning, Implementation, Evaluation. |
| What is Assessment? | Gathering info. through signs and symptoms, patient history, and both subjective and objective findings. |
| What is Diagnosis? | The formulation of nursing diagnoses through the analysis of the assessment info. that you have gathered. |
| What is Planning? | The process of determining priorities and what nursing actions should be performed to help resolve or manage each patient problem. |
| What is Implementation? | The process of taking actions to resolve the patients problems. |
| What is Evaluation? | When the nurse reflects on the interventions he or she has performed and decides if they have brought the patient closer to achieving their goals or revises to help them achieve their goals. |
| What are Nursing Diagnoses? | Diagnoses related to the needs or problems a patient is experiencing. |
| Can you delegate nursing decisions or care planning? | No, these are strictly the role of the licensed nurse. |
| What are Objective Data? | Anything observable through the 5 senses. |
| What are Subjective Data? | Info. that is only known to the patient and family members. |
| What is Rapport? | Creating a relationship of mutual trust and understanding. |
| What is Primary Data? | Info. received directly from the patient. |
| What is Secondary Data? | Info. received from family members, friends and the patient's chart. |
| What are the 4 tools used to conduct a Physical Assessment? | Inspection, Palpation, Auscultation, and Percussion. |
| What is Inspection? | Visual examination of a patient or situation. |
| What is Palpation? | Touching or feeling the torso and limbs. |
| What is Auscultation? | Listening for abnormal sounds in the lungs, heart or bowels. |
| What is Percussion? | Using tapping movements to detect abnormalities of the internal organs. |
| In what way is a Physical assessment performed? | In a head-to-toe pattern. |
| How do nurses prioritize patient's needs? | Maslow's Hierarchy of Human needs. |
| What are the 8 tiers in Maslow's Hierarchy of Human Needs? | Physiological, Safety and Security, Love and Belonging, Self-Esteem, Cognitive, Aesthetic, Self-Actualization, Transcendence. |
| What is the tier of human needs that nurses must always address first in a patient? | Physiological need of Survival, followed by Safety. |
| How many parts is a nursing diagnosis made up of? | One, two or three parts. |
| What are the parts of a nursing diagnosis? | The problem, the etiology, and the signs and symptoms. |
| What is a Nursing Goal? | The overall direction in which one must progress to improve a problem. May be long-term or short-term. |
| When are long-term goals expected to be met? | After the patient is discharged. |
| When are short-term goals expected to be met? | Before the patient is discharged, may be a qualifying factor in discharge. |
| What is an Expected Outcome? | Statements of measurable action for the patient within a specific time frame and in response to nursing interventions. |
| What should an Outcome Statement include? | 1. a realistic, specific action to be taken by the patient 2. An action that the patient is wiling and able to perform 3. An action that is measurable 4. A definite time frame for the action to be accomplished |
| What is Direct patient care? | Care performed when the nurse interacts directly with the patient. |
| What is Indirect patient care? | Care performed when the nurse provides assistance in a setting in a setting other than with the patient. |
| What are the 4 types of Nursing Interventions? | Independent interventions, Dependent interventions, and Collaborative interventions, Individualized interventions. |
| What are independent interventions? | Interventions a nurse can take without a Dr.'s order. Ex. Intake and output monitoring. |
| What are dependent interventions? | Interventions that MUST have a Dr.'s order to implement. |
| What are collaborative interventions? | Interventions that involve working with other health-care professionals in the hospital setting. |
| What are individualized interventions? | Interventions that consider and include the patients personal likes or needs. |
| What are the 3 main types of Care Plans? | Computerized, Standardized, and Multidisciplinary. |
| What are Critical Pathways? | AKA "clinical pathways", are based on the progression expected for each day the patient is in the hospital. |
| What are Student Care Plans? | Layouts used to help students make connections between the patient's medical diagnoses, medications, lab results, assessment data, nursing diagnoses, nursing orders or interventions and evaluations. |
| What are Concept Maps? | AKA "mind maps", can be used to diagram and connect data about any subject. |
Created by:
merelisen3
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