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Nur 221 Nur. Process
Nursing Process
| Question | Answer |
|---|---|
| A systematic problem solving framework that guides nursing actions | The nursing process |
| What are the 5 steps of the nursing process? | Assessment- Nursing Diagnosis- Planning- Implementation- Evaluation |
| According to the the ANA what is the Nursing process? | Professional nurse’s approach to identify, diagnose, and treat human responses to health and illness |
| What is the purpose of the Nursing process? | Identify patients needs Determine the clients Priorities Establish goal and expected outcomes of care |
| What are other purposes of the Nursing process? | Communicate patient plan of care Provide Nursing interventions to meet clients needs Evaluate the effectiveness of the outcomes and goals of overall care. |
| Define assessment | Systematic collection of data to determine the clients past and present health status, their functional status and determines the past and present coping patterns. |
| What is the process of Assessment? | Data collection interpretation and validation of data clustering data to form data base. |
| What is the primary source of data? | Client |
| What are other sources of assessment data? | Family members, health professionals, medical record. |
| What is the definition of a nursing diagnosis? | A Nursing Diagnosis is a statement that describes the clients actual and potential response to a health problem that a nurse is licensed and competent to treat. |
| What are the types of nursing diagnosis? | Actual and Risk |
| What does Planning include? | Determining client centered goals and outcomes Selecting nursing interventions Writing scientific rationales |
| What is Implementation? | Giving interventions |
| What is evaluation? | Evaluating your goals for your client and if they met expected outcomes |
| What is the product of Planning? | Nursing Care Plans |
| Date given by the patient or patient family. Symptoms of "how they feel" | Subjective data |
| observation and measurable data. Able to be compared to an accepted standard or value | Objective data |
| What is Nanda? | North American Nursing Diagnosis Association |
| A problem that currently exist with data to support the diagnosis | Actual Diasnosis |
| At risk for a problem that may develop. No signs or symptoms at present | Rick Dianosis |
| 1 Identify & start with label (NANDA)2 Etiology (may have secondary statement; medical diagnosis)3 AEB - Defining characteristics (signs/symptoms)4 Avoid judgement statements5 Avoid suggesting that a team member is not doing his/her job | Rules to remember when writing a Nursing Diagnostic Statemen |
| Establish priorities based on Maslow's Hierarchy-Develop goals with measurable outcomes-Design nursing interventions | Notes to remember for the planning phase of the nursing process |
| patient centered (the patient will...)-singular, one goal per statement-realistic for patient-measurable/observable-time limited-mutual-long or short term-Who, what behavior, how measured, when | Guidelines for Formulating/Writing Goals |
| Nursing centered (the nurse will...)-Independent, Dependent, Collaborative-based on related factors-Focus activities to promote, maintain, or restore health-Theoretical base/rationale (evidence based)-May be diagnostic, therapeutic, educational | Planning phase for Nursing Actions/Interventions |
| step in the nursing process where nurses provide direct and indirect nursing care interventions to patients-requires the nurse to use appropriate cognitive, interpersonal, and psychomotor skills | Implementation |
| -patient centered/patient goal acheivement-ongoing process that enables the nurse to determine progress the patient has made in meeting the goals for care | Evaluation |
| Scientific reasoning for selecting a specific nursing action. | Rationale |
| Subject (nurse, but do not write, "The nurse will", this is understood). Action verb - what the nurse will do. Descriptive qualifiers - how or what and where to perform action. 4. Specific times - when, how often, how long, specific dates and times. | Components of a nursing order. |
| The nursing process is not linear, infact it is | dynamic and contiunous |
Created by:
dgreen158
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