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Week 2

Overview of the Nursing Process

QuestionAnswer
Which step of the nursing process does a nurse use when finding blood pressure of 180/75, a heart rate of 90, and a patient complaint of chest pain? Assessment
Which best describes the diagnosis step of the nursing process? The nurse analyzes, validates, and clusters patient data to identify patient problems. Patient data clusters are stated in standardized language, which provides clarity and universal understanding by all health care providers.
Which term describes the nurse prioritizing the diagnoses and identifying goals that are realistic, measurable, and patient-focused with specific outcomes? Planning
A patient reports that his pain level is now 6 out of 10. The patient’s goal for a pain level of 3-4 out of 10 is not met. Which step of the nursing process does this statement reflect? Evaluation
which part of the process a nurse uses when establishing short- and long-term goals with the patient. How should the students respond? Planning
What is the primary purpose of the nursing diagnosis? Communicating patient needs
Who first pioneered the term “nursing process?” Lydia Hall
The five steps that make up the nursing process allow it to be: Dynamic
What does the term “dynamic nature” of the nursing process refer to? Change over time in response to the patient’s needs
What is a part of the assessment process? Data collection
Which statement illustrates the collaborative characteristic of the nursing process? Nurses may incorporate actions by the patient or family to address patient goals.
Which subcategory of planning is recognized by professionals and educators as part of the traditional five-step nursing process? Outcome identification
Created by: shid1851
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