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10 Cards in this Set
- Front
- Back
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What is the function of the Nursing Process?
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- Used to get patients to their optimal level of wellness
- NANDA - Required by the National Practice Standards - Provides the basis for NCLEX |
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What are the characteristics of the Nursing Process?
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- individualized for each client
- systematic and orderly - dynamic (5 steps can overlap) - client-centered -promotes communication - outcome-oriented - universally applicable |
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What are the phases of the Nursing Process?
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-ADPIE
- Assess - Diagnose (nursing diagnosis) - Plan - Implement - Evaluate |
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What happens in the Assess phase?
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- collecting, organizing, validating, and recording data (subjective, objective, and historical) about the client's health
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What happens in the Diagnose phase?
What is a Nursing Diagnosis? |
- Analyzing and synthesizing data
- Cluster data to categorize behaviors which reveals the problem - Problem=Nursing Diagnosis - Nursing diagnosis is a clinical judgment about individual, family, or community responses to actual and potential health problems for which the nurse is accountable |
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What happens in the Planning phase?
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- Prioritize nursing diagnoses
- Write goal (broad) for each problem - Write expected outcome (specific) for each characteristic - Write nursing interventions |
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What is the purpose of goals/expected outcomes?
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- Serve as criteria for evaluation of client progress
- goals are broad statements reflecting resolution of the problem - Expected outcomes are specific, measurable statements that reflect resolution of the defining characteristics |
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What are nursing interventions and what is the purpose of them?
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- Can be Physician or nurse (or both)- initiated
- Assess, Assist, Teach - Specific - Required to prevent, reduce, or eliminate the problem or diagnostic label |
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What is the Implement phase of the nursing process?
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- carrying out the planned interventions
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What is the Evaluate phase of the nursing process?
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- Review goal/expected outcomes to determine the degree to which they have been achieved
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