Prnu 101-Ch.8-Role Of Lpn In Nursing Process

Front 1

List the 4 step nursing process
- based on the _____

Back 1

- data collection
- planning
- intervention
- evaluation

- scientific method

Front 2

The 4 step nursing process based on the scientific method identifies ___ then ____

Back 2

- the problem first
- gathers data

Front 3

The most important outcome for nurses is ____

Back 3

- think before acting (do no harm)

Front 4

List the 5 step nursing process for the RN

Back 4

- assessment (data collection)
- nursing diagnosis
- planning
- intervention
- evaluation

Front 5

The 5 step nursing process:
- replaced the problem solving method with ____
- provided an organized, unique way of contributing to ____

Back 5

- reasoning model
- patient care

Front 6

Systematic gathering and review of info about the patient, which is communicated to appropriate members of the health care team

Back 6

Data Collection

Front 7

Involves assisting the RN in the development of nursing diagnosis, goals, and interventions for a patients plan of care and maintaining patient safety

Back 7

Planning

Front 8

Is the provision of required nursing care to accomplish established patient goals

Back 8

Implementation

Front 9

Compares the actual outcomes to the expected outcomes, which are then communicated to members of the health care team

Back 9

Evaluation

Front 10

Is a way nurses communicate with to identify what the nurse will do to safely assist the patient reach desired patient goals; provides for continuity of safe care for patients

Back 10

Nursing Process

Front 11

NCSBN integrated the ____ into all areas of the NCLEX-PN examination

Back 11

- nursing process

Front 12

Nursing Process:
- 2 functions

Back 12

- provides structure for reasoning, a way for nurses to identify and respond to patient needs within the scope of nursing
- an orderly way of developing a plan of care for individual patients

Front 13

Is a summary, in nursing terms, of actual or potential problems that nurses can respond to

Back 13

Nursing Diagnosis

Front 14

Nursing Diagnosis:
- function
- mandated/developed by
- used by

Back 14

- function: the problem the patient presented with
- mandated: NANDA
- used by: only RN's

Front 15

Role differences between RN's and LPN's

Back 15

RN's: - nursing diagnosis
- independent role in all 5 steps of nursing process
- established list of current nursing diagnosis

LPN: - no nursing diagnosis
- dependent role in planning and evaluation phases
- independent role in data collection and implementation phases

Front 16

The LPN uses the nursing diagnosis as the reference point to ___

Back 16

- identify and resolve patient problems

Front 17

Patient care is a ____

Back 17

- learning experience

Front 18

Assessment Phase
- what is it?
- what is data?

Back 18

- when the LPN collects data about the patient
- data: is everything that relates to the patient (v/s, allergies, head to toe assessment, chief complaints, patients history)

Front 19

Phase 1: Assessment
- when does it begin?
- the ___ is the primary source of information
- 2 types of data

Back 19

- begins: upon admission and continues with each patient encounter
- patient
1.) subjective- based on patient's opinion or report
2.) objective- data nurse can verify or measure

Front 20

Subjective Data
- based on
- give example
- sometimes called ___
Objective Data
- based on
- give examples
- sometimes called ____

Back 20

Subjective:
- based on: patient's opinions
- ex: patient complaints
- symptoms
Objective:
- based on: data nurse can verify
- ex: v/s, BP, Pulse, Temp, wound w/ saturated dressing
- signs

Front 21

Phase 1: Assessment
- must always ____ the information
- communicate info to appropriate health care team members
- ____ data must be reported immediately

Back 21

- verify
- emergency

Front 22

List 3 ways good communication strategies will facilitate patient data collection

Back 22

- ensure the patient knows who you are and what you are going to do
- clarify what you do not understand w/ the patient
- respectful distancing

Front 23

Phase 2: Planning
- planning includes assisting the RN to develop ____,____, ____

Back 23

- nursing diagnosis
- outcomes
- interventions

Front 24

Phase 2: Planning
- only the ___ can develop the plan of care, nursing diagnosis, goals, and interventions
- (T/F) it is illegal for the LPN to write the plan of care and have the RN initial or sign off on it

Back 24

- RN
- True

Front 25

Phase 2: Planning
- assist in determining a significant relationship between ____ and ____
- focus is on _____ that will benefit from nursing interventions
- once the data is collected and organized, the RN then makes the ____ and formulates the ____

Back 25

- data and patient needs or problems
- patient functions
- nursing diagnosis - plan of care

Front 26

Phase 2: Planning
- 3 types of care plans

Back 26

- Standardized: based on research of the best possible options for a nursing diagnosis
- Computerized: individualized plans that can be entered into the computer
- Multidisciplinary (collaborative): developed by multidisciplinary team, reflect specific interventions used by each discipline

Front 27

Phase 3: Implimentation
- definition
- 4 examples

Back 27

- carrying out the nursing orders on the care plan to obtain a goal
- ex: initiate teaching within the LPN role
- support the teaching of the RN
- teaching a mother how to give new infant a bath
- show diabetic how to measure blood sugar by finger pricking

Front 28

Phase 4: Evaluation
- definition
- what it compares
- example

Back 28

- the process of determining outcome attainment by comparing actual vs desired patient outcomes
- compares: patient's responses w/ the outcome criteria
-ex: (nursing goal) patient will ambulate 2x a day in next 24 hrs; (evaluation) patient ambulated 3x a day within 24 hrs

Front 29

Maslow's Hierarchy of Needs
- the problem taking priority is one that is potentially ____
-example
- levels of need
- example of lower level needs

Back 29

- life threatening (ie bleeding, SOB)
- levels: lower levels take priority over higher levels of needs
- lower level: survival related or psychological

Front 30

Goals / Outcomes
- short term / long term
- length of time for goals
- goals / outcomes definitions

Back 30

- short term: 4-8 hours or 2-4 days
- long term: 1-2 weeks
- goal: state a general intent
- outcome: describe a result that can be observed at a specific point in time

Front 31

Outcomes (NOCS)
- must be ___, ___, ___ , and ___

Back 31

- patient centered
- realistic
- measurable
- time referenced

Front 32

Phase ___ Examples:
- observing results of a laxative or enema
- observing behavior for signs of diorientation or confusion
- observing family interaction
- observing the env. for for need for safety factors

Back 32

Phase 1: Assessment

Front 33

The following characteristics are examples of possible _____ in data collection
- inadequate assessment of skills
- presence of distractions
- insufficient time
- inability to speak the language
- patient labeling

Back 33

communication barriers

Front 34

Phase 2: Planning
~ characteristics of care plans formulated by the RN
- must establish ___
- take care of ___ problems immediately
- must be flexible to accomodate ___

Back 34

- priorities
- potential life threatening
- a patient's changing needs and condition

Front 35

Phase 2: Planning
- building on ____ provides a sense of contribution and some control for the patient
- goals and outcomes must have ___, ___, and ___

Back 35

- patient strengths

- realistic, measurable, time referenced

Front 36

Phase 2: Planning
~ Nursing Interventions
- identify ___ to do that assist the patient to reach ___
- specifies ____ to nursing personnel
- focus on the ___ portion of the nursing diagnosis
- based on info from ___, and not from ___

Back 36

- specifics -desired outcomes
- who, what, where, when, how much
- related to (R/T)
- alternate sources - top of head

Front 37

The following are examples of ___ and ___:
- "I will learn the medical prefixes, roots, and suffixes by the end of the semester"
- "I will learn the medical prefixes, roots, and suffixes well enough by the end of the semester to get an A on the final"

Back 37

- Goal
- Outcome

Front 38

The LPN curriculum equips the graduate to ___ and implement an variety of nursing ___, making a high degree of independence possible in these areas

Back 38

- data collection
- interventions

Front 39

LPN Nursing Curriculum:
- Nursing Process Education
- Critical Thinking Education

Back 39

- Nursing Process Edu: enables the nurse to care for patients in a systematic manner
- Critical Thinking Edu: allows the nurse to analyze a situation and choose the best intervention for the patient

Front 40

The nursing process standard that standardizes, defines, and assists in choosing the appropriate nursing interventions
- known as participation

Back 40

Nursing Interventions Classification (NIC)

Front 41

The nursing process standard that standardizes terminology and criteria for measurable or desirable outcomes of nursing interventions
- known as goals

Back 41

Nursing Outcomes Classification (NOC)

Front 42

Is the source that helps the RN to determine the nursing diagnosis

Back 42

North American Nursing Diagnosis (NANDA)

Front 43

Is a source for choosing standardized nursing interventions

Back 43

NIC

Front 44

Identifies desired outcomes as a result of nursing interventions

Back 44

NOC

Front 45

NIC and NOC can be used alone or linked with nursing diagnosis, using ___ taxonomy

Back 45

NANDA

Front 46

The aim of both the nursing process and critical thinking is to promote ____

Back 46

patient safety