NURSING PROCESS QUESTIONS AND
ANSWERS VERIFIED SOLUTIONS
◉ Nursing Process. Answer: critical thinking five-step process
Involves looking at the whole patient at all times
Personalizes the patient
It provides a "road map" that ensures good nursing care & improves
patient outcomes
◉ Five steps of nursing process. Answer: assess
diagnose
plan
implement
evaluate
◉ nursing assessment. Answer: collection of information from a
primary source (patient) and secondary sources (family, friends,
health professionals, medical record)
the interpretation and validation of data to ensure a complete database
◉ What are the two stages of assessment?. Answer: collection and
verification of data
,analysis of data
◉ What is a cue?. Answer: information that you obtain through use of
the senses
EX: lies with arms flat on chest; tense
states has not turned for some time
reports pain a 7 on a scale of 0-10
◉ What is an inference?. Answer: your judgment or interpretation of
these cues
EX: pain is severe; pain limits patient's ability to move and reposition
self
◉ What are the two types of data?. Answer: subjective
objective
◉ subjective data. Answer: patient's verbal descriptions of their health
problems
ex: Mr. Lawson's self-report of pain at the area where his incision
slightly separated
, ◉ objective data. Answer: observations or measurements of a patient's
health status
ex: vital signs; describing an observed behavior; condition of a
surgical wound
◉ Sources of data. Answer: patient (interview, observation, physical
examination)
family and significant others
health care team
medical records
scientific literature (EBP)
nurse's experience
◉ Who/what is the best source of information?. Answer: THE
PATIENT
◉ What are the 4 effective communication skills during patient
assessment?. Answer: courtesy
comfort
connection
confirmation
◉ open-ended questions. Answer: prompts patients to describe a
situation in more than one or two words
ANSWERS VERIFIED SOLUTIONS
◉ Nursing Process. Answer: critical thinking five-step process
Involves looking at the whole patient at all times
Personalizes the patient
It provides a "road map" that ensures good nursing care & improves
patient outcomes
◉ Five steps of nursing process. Answer: assess
diagnose
plan
implement
evaluate
◉ nursing assessment. Answer: collection of information from a
primary source (patient) and secondary sources (family, friends,
health professionals, medical record)
the interpretation and validation of data to ensure a complete database
◉ What are the two stages of assessment?. Answer: collection and
verification of data
,analysis of data
◉ What is a cue?. Answer: information that you obtain through use of
the senses
EX: lies with arms flat on chest; tense
states has not turned for some time
reports pain a 7 on a scale of 0-10
◉ What is an inference?. Answer: your judgment or interpretation of
these cues
EX: pain is severe; pain limits patient's ability to move and reposition
self
◉ What are the two types of data?. Answer: subjective
objective
◉ subjective data. Answer: patient's verbal descriptions of their health
problems
ex: Mr. Lawson's self-report of pain at the area where his incision
slightly separated
, ◉ objective data. Answer: observations or measurements of a patient's
health status
ex: vital signs; describing an observed behavior; condition of a
surgical wound
◉ Sources of data. Answer: patient (interview, observation, physical
examination)
family and significant others
health care team
medical records
scientific literature (EBP)
nurse's experience
◉ Who/what is the best source of information?. Answer: THE
PATIENT
◉ What are the 4 effective communication skills during patient
assessment?. Answer: courtesy
comfort
connection
confirmation
◉ open-ended questions. Answer: prompts patients to describe a
situation in more than one or two words