Nursing Process

Front 1

What are the 5 components of the nursing process?

Back 1

asessment
nursing diagnosis
planning
implementation
evaluation

Front 2

What is subjective data?

Back 2

subjective data is info perceived only by the affected person

Front 3

What is objective data?

Back 3

objective data is observalbe and measurable by someone other than the person affected

Front 4

What are the four techniques used in physical asessment?

Back 4

inspection, palpation, percussion, ausculation

Front 5

What is critical thinking?

Back 5

critical thinking is reflective and reasonable thinking that focuses on what toe believe and do

several alternatives unique to the situation are sought
when called on to critically think through an issue, you may never have seen the problem before and there is no set standard

Front 6

How is problem solving?

Back 6

problem solving often calls for the search for one correct answer
when called on to problem solve an issue, often policy guides the action and performance is dictated by standards of care

Front 7

What are seven attitudes of critical thinkers?

Back 7

humility
courage
empathy
integrity
perserverance
sense of justice
faith in reasoning

Front 8

What are some cognitive skills of critical thinking?

Back 8

divergent thinking
reasoning
reflection
creativity
clarification
basic support

Front 9

What are evidenced based practice?

Back 9

standards developed as a result of evidence
these are minimum requirements that are necessary to give quality effective care

Front 10

What is the assessment?

Back 10

taking vitals and performing pain assessment
performing head to toe assessment
listening to the pt's comments and questions about his/her health status

Front 11

During assessment how do we collect data?

Back 11

ask pertinent questions about signs, symptoms, and listening carefully to the answers

Front 12

What is planning?

Back 12

the establishment of client goals/outcomes
working w/ the client to prevent, reduce, or resolve problems
use critical thinking to write goals that are realistic and reasonalbe

Front 13

What is implementing?

Back 13

provider carries out the plan of care
it's the doing part of the care plan

Front 14

What is evaluating?

Back 14

measuring the extent to which client goals have been met
examining the need for adjustments and changes

Front 15

What is the purpose of the nursing process?

Back 15

to achieve scientifcially-based holistic, individualized care for the client
achieve the oppurtunity to work collaboratively w/ clients, others
to achieve continuity of care

Front 16

What should you look for in a general survey?

Back 16

signs of distress
facial characterisitics
body type, psoture, movement
speech
dress
grooming and personal hygiene
style of interacting w/ others

Front 17

What is complete assessment?

Back 17

provides comprehensive baseline info; typically conducted on admission

Front 18

What is a focused assessment?

Back 18

problem or need oriented; focus on specific problems or concerns that have already been identified and are being tracked; perform w/ change of assignment or a change in condition, or when evaluating results of an intervention

Front 19

How can we verify data?

Back 19

critical thinking
is the data measurable
double check personal observations
double check equipment
consult w/ experts and team members
compare objective vs. subjective data
clarify statements

Front 20

What is the difference in medical diagnoses and nursing diagnoses?

Back 20

medical diagnoses identify diseases, whereas nursing diagnosis focus on unhealthy responses to health and illness

Front 21

What is a nursing diagnosis?

Back 21

a clinical judgment about an individual, family, or community response to actual or potential health problems or life processes which provieds the basis for definitve therapy toward achievement of outcomes for which the nurse is accountable

Front 22

What are the parts of the nursing diagnosis?

Back 22

label
etiology
s/s

Front 23

What is the label?

Back 23

describes an actual or potential pt problem

self care deficet:

Front 24

What is the etiology?

Back 24

the related factors that precede, contribute to, or are associated w/ the pt's problem

R/t weakness

Front 25

What are the s/s?

Back 25

support the diagnosis and is preceded by the phrase as evidenced by

aeb ability to perform partial bath only-washing face and hands

Front 26

What are actual diagnoses?

Back 26

describes an existing problem that can be valideated by the presence of major defining s/s
includes all 3 parts- label, etiology, s/s

constipation r/t insufficent physical activity aeb presence of dry, hard stool

Front 27

What is a risk diagnosis?

Back 27

describes a potential problem that the pt is at risk for developing
could be prevented w/ proper planning and implementation of interventions
must be supported by risk factors
contains first 2 parts- label, etiology

risk for self care deficit: bathing r/t weakness

Front 28

What is a syndrome diagnosis?

Back 28

used when a cluster of assessment findings or nursing diagnoses occur together, showing a specific clinical pattern
can be actual or risk

relocation stress syndrome r/t relocation from michigan to nashville aeb withdraw from social situations, change in apeptite

Front 29

What is a wellness diagnosis?

Back 29

describes a pt's response to a level of wellness

Front 30

What are the parts of the outcome statement?

Back 30

1. a specific behavior that shows the pt has reached his goal (improved functional ability w/ bathing)
2. criteria for measuring that behavior (aeb bathing entire self)
3. the conditions under which the behavior should occur (indepenedently)
4. a time frame for when the behavior should occur (prior to discharge)