Unit 2: Nursing Process UALR
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| show | discipline specific, reflective reasoning process that guides a nurse in generating, implementing, and evaluating approaches for dealing with client care and professional concerns.
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| show | the application of a set of questions to a particular problem or situation to determine essential information and ideas.
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| show | a systematic, rational method of planning and providing individualized healthcare.
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| show | Assess; Diagnose; Plan; Implement; Evaluate
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| show | Collect Data; Organize Data; Validate Data; Document Data
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| show | Analyze Data; Identify health problems, risk, & strengths; Formulate diagnostic statements
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| Four parts of Planning (PFSW) | show 🗑
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| Five components of Implementing (RDISD) | show 🗑
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| Five points of Evaluation (CCRDC) | show 🗑
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| Name four types of assessment (IPET) | show 🗑
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| show | Biographical data; Chief complaint; History of present illness; History of past illnesses; History of family illness; Lifestyle; Social data; Psychological data; Patterns of healthcare
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| show | Data that cannot be observed.
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| What is objective data? | show 🗑
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| Name sources of client data. | show 🗑
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| What are three methods of collecting data? | show 🗑
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| show | Directive and non-directive
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| show | A highly structured session that elicits specific information in a set amount of time.
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| show | This is the rapport building session usually allowing the client to control the purpose, pace and subject matter.
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| show | Closed; Open-ended; Neutral; Leading
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| show | Vital Signs; H&W; Cephalocaudal exam; Body systems review
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| Four methods of examination | show 🗑
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| Define Palpation | show 🗑
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| show | Listening to internal functions with a stethoscope.
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| show | Using critical thinking to identify health patterns.
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| List the eight basic biophysical needs. (OFSNECRS) | show 🗑
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| List the four basic psychosocial needs. (LHSS) | show 🗑
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| show | Actual, Risk, Possible, Syndrome, and Wellness
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| show | The problem and the etiology.
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| Define etiology. | show 🗑
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| What governing body outlines nursing diagnosis? | show 🗑
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| show | Related to; R/T
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| List three types of planning. | show 🗑
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| show | Upon admission.
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| show | Standardized and Individual
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| Identify criteria for setting goals. | show 🗑
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| Four stages of nursing interventions. | show 🗑
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| Components of an intervention statement. | show 🗑
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| show | Short-term goals would be less than one week. Long-term goals would be longer than one week.
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| show | A rationale that supports the goals of the intervention.
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| What is NIC? | show 🗑
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| show | NIC outlines possible interventions linked to defined diagnosis.
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| show | To insure the proper intervention is used supporting the rationale for implementing the action.
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| show | Nursing Outcomes Classification used for defining outcomes related to interventions.
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| show | Task; Circumstance; Person; Direction; Supervision
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| show | review diagnosis; review desired outcomes; identify possibilities; choose the most appropriate; individualize to the client.
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| show | This is a chart where each department has a section for their particular charting needs and methods. ASH uses this method.
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| What is POMR? | show 🗑
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| What does SOAP stand for? | show 🗑
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| show | This refers to a charting method that identifies the problem, the intervention and the evaluation. Usually involves a flow sheet and progress notes.
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| What is DAR charting? | show 🗑
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| What is charting by exception? | show 🗑
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| What is a COW? | show 🗑
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| What abbreviations are unacceptable in charting? | show 🗑
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