Taylor - Fundamentals Of Nursing - Adn 1 Exam #3 Chapter 11-The Nursing Process

Front 1

The Nursing Process is:

Back 1

a 5 step, systematic method that directs the patient and nurse. It mutually develops the following steps:
assessment
diagnosis
plan of care
implementation of care
evaluation of care.

Front 2

Nursing Assessments accomplish:

Back 2

determines the patient's need for nursing care by a systematic collection and creation of the patient's data base.

Front 3

Nursing Diagnoses accomplish:

Back 3

a clear identification of the patient's needs; base on strengths and weaknesses and actual and potential health problems.

Front 4

Nursing Plans accomplish:

Back 4

develop nursing care plans that specify prioritized desired patient goals(desired outcomes) and the nursing interventions most likely to assist the patient to meet those goals.

Front 5

Nursing Implementation accomplishes:

Back 5

the execution of the plan's prioritized nursing interventions.

Front 6

Nursing Evaluation accomplishes:

Back 6

an evaluation of the nursing interventions' effectiveness in terms of the patient's goal achievements,and possible modifications needed if these goals are not met.

Front 7

Characteristic descriptor of the Nursing Process:
Systematic

Back 7

each activity of the nursing process is part of an ordered sequence of events, each depending on the accuracy of the activity that precedes and each influencing the activity that follows.
Each step is dependent upon an accurate database that helps identify the patient's strengths and problems.

Front 8

Characteristic descriptor of the Nursing Process:
Interpersonal

Back 8

A patient-nurse collaboration that is patient- centered rather than task-centered. The nurse is always exploring ways to help the patient use their strengths and discover problems in order to meet health needs.

Front 9

Characteristic descriptor of the Nursing Process:
Outcome Oriented

Back 9

The most important goals are determined and matched with the most appropriate nursing interventions.
Provides the nurse-patient relationship with priorities and a clear sense of how to proceed in order to ensure continuity of care and goal achievement.

Front 10

Characteristic descriptor of the Nursing Process:
Universal application

Back 10

mastery of the nursing process provides a valuable framework and a clear direction,for the patient and nurse, that can be used in any nursing situation.

Front 11

Problem Solving Approaches:
Trial and Error Problem Solving

Back 11

Involves testing of any # of solutions until one is found that works;
NOT recommended because:
Not efficient for the nurse,
may be dangerous for the patient,
does not use evidence-based clinical research to address the problem.

Front 12

Problem Solving Approaches:
Scientific Problem Solving.

Back 12

A Systematic, 7 Step process that the nursing process embraces:
1) problem identification
2) data collection
3) hypothesis formulation
4) plan of action
5) hypothesis testing
6) interpretation of results
7) evaluation

Front 13

Problem Solving Approaches:
Intuitive Problem Solving.

Back 13

A direct understanding of a situation (based on a background of experiences, knowledge and skills) that allows a nurse to develop a "sense" which assists in making expert decisions.
Used alone, though, intuition may lead to using trial-and -error approaches.

Front 14

Problem Solving Approaches:
Critical Thinking.

Back 14

this may involve clinical reasoning( logical, scientific, and evidence based) and /or intuition in order to cognitively work through an intellectually challenging situation in both a logical and creative manner.
Pairing logical and intuitive thinkers in "brainstorming" in order to solve a problem can bring great results.

Front 15

Decision Making is:

Back 15

a purposeful, goal directed effort applied in a systematic way to make a choice among alternatives while at the same time keeping in mind that all decisions have consequences.

Front 16

Documentation of the Nursing Process:

Back 16

the patient record provides a clear picture of the patient, and allows communication between all members of the healthcare team that is:
accurate,
concise,
timely,
relevant &
legally binding.

Front 17

Benefits of the Nursing Process:

Back 17

a thoughtful and systematic way to achieve a clear, efficient, cost effective plan of action that allows collaboration between health providers and achieves for the patient care that is:
scientifically based,
holistic,
individualized &
allows continuity.

Front 18

Establishing caring relationships with patients: Do I:

Back 18

•Do I know my patients well enough to promote anything more than their physical well-being?
•If asked to describe a patient, would I be able to report on anything other than the patient’s physical condition?
•Is the care I routinely provide really holistic, individualized, prioritized according to medical need and the patient interests, and continuous? Do my care plans reflect this?
•What does the content of the patient report and nursing documentation communicate about nursing priorities in my practice setting?
•What are my strengths and deficiencies in creating caring relationships?
•In what ways (if any) must I change to establish better caring relationships?

Front 19

Establishing caring relationships:
Some questions and statements that illicit useful information and show that I care for the patient.

Back 19

•“Tell me something about your life at home. What do you miss most now that you are here?”
•“What family members and friends do you see most often? Who do you think knows you best and you would trust to speak for you if you were ever unable to speak for yourself?”
•“Most of us have some goal or dream that keeps us going. It might be owning our own home, seeing some relationship patched up, or being able to celebrate the birth of a grandchild. What is your dream?”

Front 20

Establishing caring relationships:
Some questions and statements that illicit useful information and show that I care for the patient.

Back 20

•“When you’ve had troubles in the past, what did you draw on for strength? What keeps you going?”
•“Looks like you’ve got a lot of time for thinking these days . . . would you like to share what’s been on your mind?”
•“Looks like we’ll be spending some time together . . .what would you like to do with this time? How may I help you?”
•“What would you like us to know that will help us to better meet your needs?”
•“Hospitals can be scary places . . . how can I help you?”

Front 21

Questions for Nurses who are sensitive to the legal dimensions of practice are careful to develop a strong sense of both ethical and legal accountability:

Back 21

•Do I know the legal boundaries of my practice?
•Am I familiar with pertinent institutional procedures and policies?
•Do I “own” my personal strengths and weaknesses and seek assistance as needed?
•Am I careful never to accept responsibility for an assignment for which I am unprepared?
•Am I knowledgeable about, and respectful of, patient rights?
•Does my documentation provide a legally defensible account of my practice?

Front 22

Concept Mapping:

Back 22

Concept mapping is an instructional strategy that requires learners to identify, graphically display, and link key concepts. Concept maps, also called cognitive maps, mind maps, and meta cognitive tools for learning

Front 23

The steps in concept map planning:

Back 23

1.Develop a basic skeleton diagram.
2.Analyze and categorize data.
3.Analyze nursing diagnoses relationships.
4.Identify goals, outcomes, and interventions.
5.Evaluate patient’s responses.

Front 24

The Parts of a Concept Map:

Back 24

1) Stated Problem:
2) Short-term Goal:
3) Long-term Goal:
4) Nursing Interventions:
5) Patient’s Response:
6) Summarization of impressions of patient progress towards goals

Front 25

The Nursing Process is based upon a notion of blended skills. Simply described, what does this mean?

Back 25

Nursing works best when each nurse competently uses the intellectual, interpersonal, technical, and ethical/legal skills demanded by each situation.