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Study sets matching "nursing process"

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Study sets matching "nursing process"

16 terms
Nursing Process
nursing process
assessment
diagnosis
planning
nursing diagnosis and treatment of human responses to actual…
data collection (validate- double check-actual/factual; organ…
analysis of data (the problem and its definition; etiology; d…
goals prioritized. prioritize the problems identified; plan m…
nursing process
nursing diagnosis and treatment of human responses to actual…
assessment
data collection (validate- double check-actual/factual; organ…
23 terms
Nursing Process
Assessment, diagnosis, planning, imple…
Identifies the scope of nursing practice
Promotes innovation and creativity
True
What is the orderly progression of the nursing process?
The nursing process:... 1. Identifies the scope of nursing pract…
The nursing process:... 1. Assures that all nurses practice the…
Objective data is measureable... 1. True... 2. False
Assessment, diagnosis, planning, imple…
What is the orderly progression of the nursing process?
Identifies the scope of nursing practice
The nursing process:... 1. Identifies the scope of nursing pract…
12 terms
Nursing process
5 steps of the nursing process
1. Assessment
2. nursing diagnosis
What are common nursing diagnosis r/t…
1. assessment... 2. nursing diagnosis... 3. planning - goals, outco…
data collection... -subjective/objective sypmtoms (H&P, labs,…
used to communicate and share info about the pt and pt experi…
1. deficient knowledge... 2. risk for injury... 3. noncompliance/ad…
5 steps of the nursing process
1. assessment... 2. nursing diagnosis... 3. planning - goals, outco…
1. Assessment
data collection... -subjective/objective sypmtoms (H&P, labs,…
50 terms
Fundamentals of Nursing, Nursing Process
A client comes to the walk-in clinic w…
The nurse is measuring the client's ur…
When evaluating an elderly client's bl…
Which of the following behaviors by th…
A. Assessment... Rationale: The first step in the nursing proces…
B. The client's urine output was 450 mL.... Rationale: Objective…
A. Compare this reading against defined... Rationale: Analysis o…
A. Admitting not knowing how to do a procedure and requesting…
A client comes to the walk-in clinic w…
A. Assessment... Rationale: The first step in the nursing proces…
The nurse is measuring the client's ur…
B. The client's urine output was 450 mL.... Rationale: Objective…
17 terms
Nursing Process
Assessing
Diagnosing
Planning
Implementing
Collect and organize data... only an RN can assess... Data that sho…
figuring out the problem... Analyzing data for strengths and hea…
Prioritize problems and determine ways to fix the problem... Det…
Do, Delegate and Document
Assessing
Collect and organize data... only an RN can assess... Data that sho…
Diagnosing
figuring out the problem... Analyzing data for strengths and hea…
43 terms
Nursing Process
Steps of the nursing process:
Primary Source
Secondary Source
Sources of Data
Assessment, nursing diagnosis, planning, implementation, eval…
Information provided by the client/patient. ... Ex: "My right hi…
Information provided by family members/caregivers/significant…
Client, family & significant others, healthcare providers, me…
Steps of the nursing process:
Assessment, nursing diagnosis, planning, implementation, eval…
Primary Source
Information provided by the client/patient. ... Ex: "My right hi…
74 terms
nursing process
critical thinking
why is critical thinking important in…
critical thinking skills
critical thinking attitudes
-purposeful, self regulatory judgement that gives reasoned an…
deal with complex situations... fast paced environments... situatio…
using language ... perceiving... believing and knowing... clarifying... c…
indep. thinking... indep. humility... indep. courage... indep. empathy…
critical thinking
-purposeful, self regulatory judgement that gives reasoned an…
why is critical thinking important in…
deal with complex situations... fast paced environments... situatio…
20 terms
Nursing Fundamentals - Nursing Process
A client comes to the walk-in clinic w…
The nurse is measuring the client's ur…
When evaluating an elderly client's bl…
Which of the following behaviors by th…
A. Assessment... Rationale: The first step in the nursing proce…
B. The client's urine output was 450 mL.... Rationale: Objectiv…
A. Compare this reading against defined... Rationale: Analysis…
A. Admitting not knowing how to do a procedure and requesting…
A client comes to the walk-in clinic w…
A. Assessment... Rationale: The first step in the nursing proce…
The nurse is measuring the client's ur…
B. The client's urine output was 450 mL.... Rationale: Objectiv…
12 terms
Nursing Process
Nursing process
Components of a health history
Order of assessment Subjective data
Objective data
An example is Sensations or symptoms, perception, desires Ass…
Biographical data, reasons for seeking Health Care, past medi…
What the patient says. An example of Sensations or symptoms.
physical assessment, data acquired directly or indirectly by…
Nursing process
An example is Sensations or symptoms, perception, desires Ass…
Components of a health history
Biographical data, reasons for seeking Health Care, past medi…
54 terms
Nursing Process
Nursing Process
The Nursing Process
Definition of the Nursing Process
Benefits of Nursing Process
1. assessment 2. nursing diagnosis 3. planning 4. implementat…
An organizational framework for the practice of nursing... Order…
An organized sequence of problem-solving steps used to identi…
Orderly & systematic... Nursing efficiency... Facilitates documenta…
Nursing Process
1. assessment 2. nursing diagnosis 3. planning 4. implementat…
The Nursing Process
An organizational framework for the practice of nursing... Order…
30 terms
nursing process
nursing process
how do you execute the nursing process…
phases of nursing process
six phases of the nursing process
systematic rational method of planning and providing individu…
-identify a client's health status and actual or potential he…
-standard of scope and standards of nursing practice
1. assessment... 2. diagnosis... 3. outcomes identification... 4. plan…
nursing process
systematic rational method of planning and providing individu…
how do you execute the nursing process…
-identify a client's health status and actual or potential he…
12 terms
Nursing Process
The Nursing Process
Purpose of The Nursing Process
Phases of The Nursing Process
Assessment
Organized and logical method for planning and delivering pati…
-Determine the health status of the patient, including actual…
1. Assessing... 2. Diagnosing/Analyzing... 3. Planning... 4. Implement…
-Organized and ongoing collection, arrangement, validation, a…
The Nursing Process
Organized and logical method for planning and delivering pati…
Purpose of The Nursing Process
-Determine the health status of the patient, including actual…
23 terms
Nursing Process
4 Central Concepts of Nursing
These make the...
Evidence Based Practice
What is the Nursing Process used for?
Person... Environment... Health... Nurse
nursing metaparadigm
When nurses or other clinicians use research findings and the…
to plan and provide services as defined within the nursing pr…
4 Central Concepts of Nursing
Person... Environment... Health... Nurse
These make the...
nursing metaparadigm
27 terms
Nursing Process
Assessment
History, physical exam, lab diagnostic
Diagnosis
Formulate
Assess, organize, document ...creating the patients database
3 types of data used in assessment
Discovering the problems and needs. ..analyze and interpret d…
Problem (diagnostic label), etiology, signs and symptoms ...PES
Assessment
Assess, organize, document ...creating the patients database
History, physical exam, lab diagnostic
3 types of data used in assessment
40 terms
Nursing Process
define the Nursing Process in general…
name the 5 steps of the nursing process
state the 2 benefits of the nursing pr…
state 4 benefits of the nursing proces…
an individualized problem-solving technique unique to the nur…
1. Assessment... 2. Diagnosis... 3. Planning... 4. Implementation... 5. E…
-quality care... -involve them in their own care... -afforded the c…
-organize care and take pride in it... -standards of care where…
define the Nursing Process in general…
an individualized problem-solving technique unique to the nur…
name the 5 steps of the nursing process
1. Assessment... 2. Diagnosis... 3. Planning... 4. Implementation... 5. E…
17 terms
The Nursing Process
Differences in assessment phase for me…
How is the diagnosis phase different?
Key in planning phase
Phases of nursing process
Need to assess how good of a historian they are... More of a con…
DSM-5 is where medical diagnoses will come from... Our responsib…
Patient needs to collaborate, buy in to plan... We need to under…
Assessment... Diagnosis... Outcome identification... Planning... Implemen…
Differences in assessment phase for me…
Need to assess how good of a historian they are... More of a con…
How is the diagnosis phase different?
DSM-5 is where medical diagnoses will come from... Our responsib…
62 terms
nursing process
the nursing process
the nursing process is.....
the purpose of the nursing process is…
the nursing process acronym
provides a common language and process for nurses to think th…
dynamic and continuous, no beginning or end
human responses
ADPIE
the nursing process
provides a common language and process for nurses to think th…
the nursing process is.....
dynamic and continuous, no beginning or end
33 terms
Nursing process
what are the steps of the nursing proc…
what are some characteristic of the nu…
assessment
subjective
assess... diagnose ... plan ... intervention ... evaluate
continuously changing ... client center ... adaptation of problem s…
a systematic and continous collection , organization , valida…
the person opinion (symptoms )
what are the steps of the nursing proc…
assess... diagnose ... plan ... intervention ... evaluate
what are some characteristic of the nu…
continuously changing ... client center ... adaptation of problem s…
41 terms
nursing process
ANA def of nursing
Trial-and-error problem solving
Scientific problem solving
Intuitive problem solving
"The diagnosis and treatment of human responses to actual or…
involves testing any number of solutions until one is found t…
a systematic, seven-step, problem-solving process that involv…
is thus a direct understanding of a situation based on a back…
ANA def of nursing
"The diagnosis and treatment of human responses to actual or…
Trial-and-error problem solving
involves testing any number of solutions until one is found t…
20 terms
Nursing Process
5 Steps in the Nursing Process
Assessment? Primary Source? Secondary…
Subjective
Objective
Assessment, Nursing Diagnosis, Planning, Implementing, Evalua…
Gather Information/Collect Data; Client / Family; physical ex…
from the client (symptom) "I have a headache"
observable data (sign)... Blood Pressure 130/80
5 Steps in the Nursing Process
Assessment, Nursing Diagnosis, Planning, Implementing, Evalua…
Assessment? Primary Source? Secondary…
Gather Information/Collect Data; Client / Family; physical ex…
8 terms
Nursing Process
1
2
3
4
Assessment
Diagnosis
Goals/Patient Outcomes
Nursing Actions/Interventions
1
Assessment
2
Diagnosis
8 terms
Nursing Process
Assessment
-subjective data
-objective data
Nursing diagnosis
documenting data, subjective, objective, vital signs, lab val…
reported by the patient
observable and measurable data detected by the nurse
based on recorded data; ex. Pain (acute or chronic) related t…
Assessment
documenting data, subjective, objective, vital signs, lab val…
-subjective data
reported by the patient
50 terms
Nursing Process
1. Data Collection, DATA ANALYSIS , CO…
During Assessment
Assessment and Diagnosis... Planning... Impl…
Interview​​... Physical Examination​​... Rev…
List all 4 parts of the Assessment and Diagnosis
When to determine if there are any limitations in performing…
Steps of the Nursing Process
Data Collection is an ongoing process composed of x3
1. Data Collection, DATA ANALYSIS , CO…
List all 4 parts of the Assessment and Diagnosis
During Assessment
When to determine if there are any limitations in performing…
Nursing Process
Define Nursing Process in general terms.
Name the 5 steps of the nursing process.
State 2 benefits of the nursing proces…
State 4 benefits of the nursing proces…
an individualized problem-solving technique unique to the nur…
1. Assessment... 2. Diagnosis... 3. Planning... 4. Implementation... 5. E…
Ensures quality care and consistency... Collaborative- allows pa…
Allows us to organize care... Allows us to organize how we deliv…
Define Nursing Process in general terms.
an individualized problem-solving technique unique to the nur…
Name the 5 steps of the nursing process.
1. Assessment... 2. Diagnosis... 3. Planning... 4. Implementation... 5. E…
Nursing Process
5 Step Process
Maslow's Hierarchy of Needs
Objective
Subjective
Assessment... Diagnosis... Planning... Implementation... Evaluation
Physiological... Safety... Love/Belonging... Esteem... Self-Actualization
observed, measurable
client's description and perception
5 Step Process
Assessment... Diagnosis... Planning... Implementation... Evaluation
Maslow's Hierarchy of Needs
Physiological... Safety... Love/Belonging... Esteem... Self-Actualization
37 terms
Nursing Process
Initial Comprehensive Assessment
Focused Assessment
Emergency Assessment
Time- Lapsed Assessment
Used to collect data; often used for admission. Used to estab…
Specific focus on the area or problem already identified; ong…
Physiological or psychological crisis; life threatening probl…
Current data vs baseline data; used to make revisions to the…
Initial Comprehensive Assessment
Used to collect data; often used for admission. Used to estab…
Focused Assessment
Specific focus on the area or problem already identified; ong…
9 terms
Nursing Process
The nursing process
Subjective date
Objective data
Gordons functional health care patterns
Assessment... Diagnosis... Planning... Implementation... Evaluation
This is information the patient tells you... Also called symptoms
This is information that any health care provider can observe…
Health perception... Nutritional... Elimination... Activity... Cognitive…
The nursing process
Assessment... Diagnosis... Planning... Implementation... Evaluation
Subjective date
This is information the patient tells you... Also called symptoms
34 terms
Nursing Process
Lifestyle Modification
Theory
Concept
General Systems Theory
Programs to teach patients methods of self-care that alleviat…
Group of concepts that describe a pattern of reality; provide…
Abstract impressions organized into symbols of reality
Theory for universal application... • a change in one element co…
Lifestyle Modification
Programs to teach patients methods of self-care that alleviat…
Theory
Group of concepts that describe a pattern of reality; provide…
27 terms
Nursing Process
5 step nursing process
Subjective vs. objective data
cue
inference
assess... diagnose... plan... implement... evaluate
subjective- patients feelings... objective-measureable
help you develop beginning picture
how you perceive or interpret the cue
5 step nursing process
assess... diagnose... plan... implement... evaluate
Subjective vs. objective data
subjective- patients feelings... objective-measureable
42 terms
Nursing Process
Assessment
Back-Channeling
Clinical Practice Guideline
Closed- Ended Questions
First step of the nursing process; activities required in the…
Active listening technique that prompts a respondent to conti…
Systematically developed statements about a plan of care for…
A form of question that limits a respondent's answer to one o…
Assessment
First step of the nursing process; activities required in the…
Back-Channeling
Active listening technique that prompts a respondent to conti…
24 terms
Nursing Process
5 steps in the nursing process
Assessment
Identifying cues/Validating data
Maslows hierarchy of needs
1. Assessment... 2. Diagnosis... 3. Planning ... 4. Implementation/Int…
RN collects data pertinent to the healthcare consumers health…
1. Cue= helps you develop the beginning picture ... (abnormals)…
Helps determine what to tackle first ... 1. Physiological needs…
5 steps in the nursing process
1. Assessment... 2. Diagnosis... 3. Planning ... 4. Implementation/Int…
Assessment
RN collects data pertinent to the healthcare consumers health…
28 terms
Nursing process
Initial assessment
Focused assessment
Emergency assessment
Time-lapsed assessment
Performed shortly after patient is admitted
Gathers info about specific problem that has already been ide…
In crisis to identify life threatening problems
Scheduled to compare patient's current status to baseline dat…
Initial assessment
Performed shortly after patient is admitted
Focused assessment
Gathers info about specific problem that has already been ide…
15 terms
Nursing Process
Nursing Process
5 steps in Nursing Process
Assessment
subjective data
A critical thinking process that professional nurses use to a…
Assess... Diagnose... Plan... Implement... Evaluate
Collection of Information from a primary source, interpretati…
data directly from patient ex: I am in pain
Nursing Process
A critical thinking process that professional nurses use to a…
5 steps in Nursing Process
Assess... Diagnose... Plan... Implement... Evaluate
46 terms
Nursing Process
assessment
case management
clinical pathways
diagnosis
a systematic process by which the nurse collects and analyzes…
assignment of a health care provider to oversee the progress…
multidisciplinary plan in which clinical interventions are sc…
identification of a disease or condition by scientific evalua…
assessment
a systematic process by which the nurse collects and analyzes…
case management
assignment of a health care provider to oversee the progress…
19 terms
Nursing Process
ADPIE
Assessment
Diagnosis
Planning
5 Steps of the nursing process
The process of collecting, organizing, documenting, and valid…
The process of sorting and analyzing the assessment data to i…
A series of steps in which the nurse and the patient set prio…
ADPIE
5 Steps of the nursing process
Assessment
The process of collecting, organizing, documenting, and valid…
17 terms
Nursing Process
Obtain data utilizing observation, int…
What type of data does a nurse collect…
What type of data does the nurse colle…
What does the nurse do during the asse…
Nurses must ask clients appropriate questions, listen careful…
Subjective data. The symptoms.
Objective data. Nurses observe and measure this data. The sig…
He/she validates, interprets, and clusters data.
Obtain data utilizing observation, int…
Nurses must ask clients appropriate questions, listen careful…
What type of data does a nurse collect…
Subjective data. The symptoms.
44 terms
Nursing Process
critical thinking
critical thinking
interpretation
analysis
-active, purposeful, organized, cognitive process used to car…
continuous process characterized by continual inquiry and per…
data, patterns
data true or other options
critical thinking
-active, purposeful, organized, cognitive process used to car…
critical thinking
continuous process characterized by continual inquiry and per…
8 terms
Nursing Process
Nursing Process
The five phases of Nursing Process
Assessment
Nursing Diagnosis
A systematic and rational method of planning and providing pa…
Assessment, Nursing Diagnosis, Planning, Implementation, Eval…
Collect, organize, validate, and documentation of data (both…
Formulating a diagnosis and involves analyzing data, identify…
Nursing Process
A systematic and rational method of planning and providing pa…
The five phases of Nursing Process
Assessment, Nursing Diagnosis, Planning, Implementation, Eval…
15 terms
Nursing process
Modes of Nursing intervention:
Restoration
Maintenance
Promotion
− Restoration... − Maintenance... − promotion
− re-establishes patients health... − used for "actual" diagnosis
− supports patients activities for health... − used for 'risk' d…
− improves patients health... − for wellness diagnosis, knowledg…
Modes of Nursing intervention:
− Restoration... − Maintenance... − promotion
Restoration
− re-establishes patients health... − used for "actual" diagnosis
41 terms
Nursing Process
nursing process
interrelated phases of the nursing pro…
characteristics of the nursing process
concept mapping
systematic problem solving method of planning and providing i…
A.D.P.I.E... assessing... diagnosing... planning... implementing... evaluating
individualized for each patient... systematic-directs each step…
visual representation of a patient's nursing diagnosis and th…
nursing process
systematic problem solving method of planning and providing i…
interrelated phases of the nursing pro…
A.D.P.I.E... assessing... diagnosing... planning... implementing... evaluating
44 terms
Nursing Process
Problem-Solving
Methods of Problem-Solving
Trial & Error Problem Solving
Scientific Problem-Solving
The basic skill of identifying a problem and taking steps to…
* Trial & Error... * Scientific
An experimental approach that tests ideas to decide which met…
A precise method used by scientists and healthcare researcher…
Problem-Solving
The basic skill of identifying a problem and taking steps to…
Methods of Problem-Solving
* Trial & Error... * Scientific
11 terms
Nursing Process
the nursing process guides the student…
_______ is a deliberate problem-solvin…
cognitive (thinking, reasoning)
psychomotor (doing)
patient assessment and data collection. it offers a framework…
nursing process
is knowledge when you use your brain
skills when using your hands to actually do something
the nursing process guides the student…
patient assessment and data collection. it offers a framework…
_______ is a deliberate problem-solvin…
nursing process
11 terms
The Nursing Process
Assessment
Four Types of Nursing Assessments
Initial Comprehensive Assessment
Focused Assessment
Systematic and continuous collection, analysis, validation, a…
Initial comprehensive • Focused • Emergency • Time-lapsed
Performed shortly after admittance to hospital... • Performed to…
May be performed during initial assessment or as routine ongo…
Assessment
Systematic and continuous collection, analysis, validation, a…
Four Types of Nursing Assessments
Initial comprehensive • Focused • Emergency • Time-lapsed
59 terms
nursing process
___ ___: An approach to the identifica…
____: deliberate and systematic collec…
___ Health assessment: ... - The theory o…
what are these examples of? nutritiona…
nursing process
assessment
functional
functional health assessments
___ ___: An approach to the identifica…
nursing process
____: deliberate and systematic collec…
assessment
19 terms
Nursing Process
Care plan
Collaborative interventions
Critical thinking
Defining characteristics
is a documented plan for giving patient care and includes phy…
involve working with other health care professionals in the h…
using skillful reason- ing and logical thought to determine t…
signs and symptoms, exhibited by the patient.
Care plan
is a documented plan for giving patient care and includes phy…
Collaborative interventions
involve working with other health care professionals in the h…
30 terms
nursing process:
assessing
cue
data
database
systematic and continuous collection, analysis, validation, a…
significant information that is help in decision making
information
all the pertinent patient information collected by the nurse…
assessing
systematic and continuous collection, analysis, validation, a…
cue
significant information that is help in decision making
9 terms
Nursing Process
Purpose of assessment is to
Data collection comes from
A cue is
subjective data is
establish a database about the patients perceived needs, heal…
patient through interview, observations and physical exam
info that you obtain through use of the senses
patients verbal description of health problems
Purpose of assessment is to
establish a database about the patients perceived needs, heal…
Data collection comes from
patient through interview, observations and physical exam
38 terms
The nursing process
Scientific Method
Nursing process
Problem-solving method
Assessment
Observe (collect data), form a hypothesis, develop a plan to…
Assessment, Diagnosis, Planning, Implementation, Evaluation
1. Encounter problem (collect data)... 2. Identify nature of pro…
Determine the client's current and ongoing health status, Pre…
Scientific Method
Observe (collect data), form a hypothesis, develop a plan to…
Nursing process
Assessment, Diagnosis, Planning, Implementation, Evaluation
25 terms
Nursing Process
Nursing Process
Critical Thinking....
Goals of Nursing
Nursing Process: Characteristics
-Need to identify abnormal data... -A critical thinking model us…
and the nursing process interconnect
To heal, comfort...... but we need a process and might need to g…
Proactive-thinking ahead before something could happen ... Clien…
Nursing Process
-Need to identify abnormal data... -A critical thinking model us…
Critical Thinking....
and the nursing process interconnect
33 terms
Nursing Process
nursing process
medical process
5 steps
critical thinking
-focuses on the client's response to actual or potential heal…
-focuses on illness, injury, or disease... -does not vary until…
-assessment... -diagnosis ... -planning... -implementation... -evaluation
a combination of reasoned thinking, openness to alternatives,…
nursing process
-focuses on the client's response to actual or potential heal…
medical process
-focuses on illness, injury, or disease... -does not vary until…
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