the nursing process

Question 1

what are the steps for the nursing process (think AAPIE)

Answer 1

• A = assessment
• A = analysis
• P = planning
• I = implementation
• E = evaluation

Question 2

what is the point of assessment in AAPIE or the nursing process?

Answer 2

• assessment is for findings, documenting findings, organize data

Question 3

what is the importance of analysis in AAPIE or the nursing process?

Answer 3

• analyzing queues, make hypothesis, look for potential problems, looking at risks for the PT

Question 4

what is the importance of planning in AAPIE or the nursing process?

Answer 4

• coming up with goals for the PT, goals could be short term or long term, what can we do for that pt, setting a care plan, ect

Question 5

what is the importance of implementing in AAPIE or the nursing process?

Answer 5

• using nursing interventions to provide care using clinical judgement model, use judgement to decide what to do for my patient

Question 6

what is the importance of evaluation in AAPIE or the nursing process?

Answer 6

• evaluate the outcome of the patient, of my work, and plan for the pt

Question 7

what is primary data related to assessment?

Answer 7

• patient interview, lab results, ect

Question 8

what is secondary assessment data

Answer 8

• info that comes from sources other than the patient, family members, medical records, ect

Question 9

what is subjective assessment data?

Answer 9

• patients verbalized symptoms, health history, ect

Question 10

what is importance of analysis for the nursing process

Answer 10

• take all the info and put it together to recognize priories
• compare the information to expected findings
• make a plan and take action

Question 11

what in the “planning” part of the nursing process

Answer 11

• involve the patient and maybe their support system in planning goals
• be sure the patient understands the plan or goal
• plan and organize data and next steps

Question 12

what does nursing planning consist of?

Answer 12

• setting priorities
• establishing client goals / desired outcomes
• selecting nursing interventions
• writing individualized nursing interventions on care plans

Question 13

how do nurses make appropriate goals for PT’s?

Answer 13

• make them smart goals
  S = specific = begins with patient will
  M = measurable = must have indicators
  A = achievable = the outcome can be achieved
  R = realistic = the patient must be able to complete the task
  T = Timley = must have a limited time

Question 14

what is an example of a SMART goal?

Answer 14

• pt will be able to walk to the bathroom independently at the end of the week

Question 15

what are nursing interventions and activities?

Answer 15

• actions nurses perform to achieve goals
• ex: giving meds when patient is in pain
• treating signs & symptoms and defining characteristics
• interventions should promote, maintain or restore client health

Question 16

what are examples of direct nursing care?

Answer 16

• basic care (bed bath, feeding, bed making, ect)
• reassessments
• ADL’s
• physical care, anything that’s touching, ex: wound dressing
• informal counseling (therapeutic communication)
• teaching

Question 17

what is indirect nursing care?

Answer 17

• nursing interventions that are performed to benefit patients but don’t involve face to face contact with patients
  ex: team communication, shift report, consulting with other staff

Question 18

what is importance of evaluation for the nursing process

Answer 18

• final step of nursing process
• focuses on pt and pt response to nursing interventions & outcomes
• use pt outcomes to judge success (and use that to change care plan)

Question 19

why is critical thinking important for nursing?

Answer 19

• it gives nurses foundations for clinical reasonings
• it allows nurses to do questioning, analysis, interpretation, and deductive reasoning
• it also allows us to listen to intuition & be creative

Question 20

what is clinical reasoning

Answer 20

• it’s the interpretation of relevant data
• goes along with critical thinking and becomes critical decisions
• also has lots of reflection as what we can do better in the future

Question 21

what is the NCSBN clinical measurement judgment model?

Answer 21

• it has different layers & is a framework for measuring clinical judgment and decision - making skills
• it shows 6 key cognitive skills needed for appropriate clinical judgement

Question 22

what are the 6 NCSBN clinical judgment Measurements

Answer 22

1. recognizing cues
2. analyzing cues
3. prioritizing cues
4. generalizing solutions
5. taking action

Question 23

what is the ABCDE of nursing?

Answer 23

A = airway
B = breathing
C = circulation
D = disability
E = Exposure
- critical situations in nursing are preformed through instant clinical reasoning & do not involve patient input

Question 24

what is priority setting framework?

Answer 24

• safety & risk reduction (ex: what is my risk of entering PT room
• least restrictive / invasive
• survival potential (mostly w/ mass casualties, with limited resources)
• acute vs chronic (work on pt with new symptom vs old ones)
• urgent vs non urgent: (some pt will just come first due to severity)
• stable vs nonstable = pt stable vital signs will be seen after unstable vital signs

Question 25

what are the 5 rights of delegation?

Answer 25

1. right task 2. right circumstances 3. right person 4. right directions and communications 5. right supervision & evaluation