Nursing Process

Question 1

critical thinking and the assessment process diagram

Answer 1

Question 2

Nursing process diagram

Answer 2

Question 3

Assessment

Answer 3

-gathering and analysis about pt state
-primary and secondary sources
-establish knowledge of clients percieved needs, health problems and responses
-uncovers health practices goals values and expectations

Question 4

nursing health history

Answer 4

-biographical information
-present illness or health concern
-family history
-psychosocial history
-review of systems
-client expectations
-health history
-environmental history
-spiritual health
-documentation of findings

Question 5

therapuetic communication techniques

Answer 5

-open ended questions
-clarification
-probing
-paraphrasing
-sharing observation
-silence
-summarizing

Question 6

steps in data analysis

Answer 6

-recognize pattern or trend by cues
-compare with normal standards
-make reasoned decision

Question 7

differentiate between medical diagnosis, nursing diagnosis and collaborative problem

Answer 7

-medical: ID of disease based on evaluation of signs and symptoms
-Nursing: clinical jusgement concerning a human response to health conditions and life processes
-collaborative problem: actual or potential complication that nurses monitor using nursing care and physician prescription

Question 8

differentiate between the different types of nursing diagnosis

Answer 8

Question 9

planning nursing care

Answer 9

-after ID of nursing diagnosis
-client centered goals and expected outcomes
-plan nursing interventions and select interventions that will resolve clients problems and achieve goals
-critical thinking and problem solving

Question 10

goal vs expected outcome

Answer 10

-goal: broad statement that describes desired change in clients condition or behaviour (aim, intent or end)
-expected outcome: measurable criteria to evaluate goal achievement

Question 11

type of institutional care plans used to plan nursing care

Answer 11

-kardex card filing system
-computerized care plans
-community based care plans
-critical pathways

Question 12

implementation of nursing care

Answer 12

-any treatment based on clinical jusgement and knowledge to enhance patient outcomes
-must consider: nursing diagnosis, goals and expected outcomes, evidence base, feasibility, acceptability to pt, my own competence

Question 13

implementation process includes

Answer 13

-reassessing client by revising and reviewing exsiting care plan
-organizing resources and care delivery b anticipating and preventing complications

Question 14

direct care includes

Answer 14

-ADLs
-physical care technques
-consuelling
-controlling for adverse reactons - preventative measures

Question 15

indirect care includes

Answer 15

-communication about nursing interventions
-delegating, supervising, and evaluating the work of other health care team members

Question 16

five elements of the evaluation process

Answer 16

-identify evaluative crieria and standards
-collect evalualuative data
-interpret and summarize findings
-document findings and clinical jusgements
-terminate, contiue or revise care plan