What are the most important roles of the Caregiver
nurse (5)
Advocate
Educator
Researcher
Leader
What are the 5 steps in the nursing (1) Assessment
process?
(2) Nursing Diagnosis
(3) Planning
(4) Implementation
(5) Evaluation
*** All of the above require critical thinking!
1
,FUNdamentals of Nursing - Exam 1
Define Assessment Collects comprehensive data pertinent to the patient's
health and/or situation.
- info medical personnel can look at
- begins the moment you walk through the door
Can the RN provide subjective NO! Only the patient can give subjective info.
information about patient?
OBJECTIVE info is what the RN sees, hears, or smells
What is the Diagnosis phase? Analyze the assessment and make a clinical judgement
related to an ACTUAL or POTENTIAL health problem.
** Nurses have to be aware of potential risks based on
health problems.
** Also collaborate with other specialists to manage the
problem(s)
2
,FUNdamentals of Nursing - Exam 1
What are the three phases of a Nursing First info → Related to → as evidence by
Diagnosis?
WHAT is the problem?
WHY is it a problem?
WHAT is the evidence of that problem?
Ex:
"Acute pain → related to surgical incision → as evidence
by patient report (or as evidence by crying)"
What are the OUTCOMES This is the statement of how a patient's status will change
IDENTIFICATION? once interventions have been successfully instituted
Identify the expected outcomes when planning for the
patient's individual situation.
Interventions must be measurable criterion indicating
that objectives have been met.
3
, FUNdamentals of Nursing - Exam 1
Define the PLANNING stage of the Develops a plan that prescribes strategies and
nursing process alternatives to attain expected outcomes.
- Prioritize strategies
- Goals (statement that describes the aim if the nursing
care) should be short term and long term
Describe IMPLEMENTATION of the The actions to facilitate positive patient outcomes
nursing process
What three skills are needed in order to Cognitive
implement goals?
Personal
Psychomotor
Describe the EVALUATION phase of the This describes how well the patients needs were met (or
nursing process not met).
Done through reassessment
4