Exam 1 The Nursing Process

Front 1

A systematic rational method of planning and providing nursing care.

Back 1

The Nursing Process

Front 2

Steps of the Nursing Process:
Collect, organize, validate and document data

Back 2

Assessing

Front 3

Steps of the Nursing Process:
Analyze data; identify health problems, risks, and strengths; formulate diagnostic statements

Back 3

Diagnosing

Front 4

Steps of the Nursing Process:
Prioritize problems/diagnoses; formulate goals; select and write nursing interventions

Back 4

Planning

Front 5

Steps of the Nursing Process:
Reassess client; determine nurse's need for assistance; implement interventions; supervise care; document nursing activities

Back 5

Implementing

Front 6

Steps of the Nursing Process:
Collect data related to outcomes; compare data with outcomes; relate nursing actions to client goals; continue, modify or terminate care plan

Back 6

Evaluating

Front 7

List 3 types of Nursing Interventions

Back 7

1. Physician initiated
2. Nurse initiated
3. Collaborative

Front 8

DEF: A clinical judgment about an individual, family, or community responses to ACTUAL and POTENTIAL health problems for which the nurse is accountable

Back 8

Nursing Diagnosis

Front 9

Which is subjective data?
1. The client's age.
2. The client's pulse.
3. The client's demeanor.
4. The client's respiration rate.

Back 9

3. The client's demeanor. Subjective data is SUBJECT to interpretation.

Front 10

Which is an objective statement?
1. The client weighs 152 pounds.
2. The client appears to be anxious.
3. The client's appears to be overweight.
4. The spot on the client's leg appears to be a blister.

Back 10

1. The client weighs 152 pounds. Objective data is measurable and defined; must contain the measurement.

Front 11

What is an objective statement?
1. The client is angry.
2. The client is anxious.
3. The client is asleep.
4. The client's eyes are closed.

Back 11

4. The client's eyes are closed. This is an observable, measurable state. The proper phrasing for the other 3 statements are "The client APPEARS to be ..."

Front 12

SOB
AEB
R/T
D/C

Back 12

Shortness Of Breath
As Evidenced By
Related To
Defining Characteristics

Front 13

A Nursing action required to prevent, reduce or eliminate the problem or diagnostic label

Back 13

Nursing Intervention