The Nursing Process -EXAM 2 Questions With 100% Correct Answers 2024

The Nursing Process -EXAM 2 Questions With 100% Correct Answers 2024 The nursing practice is used to? - answerIdentify patients heath and need, establish plan to meet these needs, evaluate success 5 phases of the nursing process - answerAssessment, diagnosis, planning, implementations, evaluation assessment - answersystematic and continuous collection, analysis, validation, and communication of patient date -carried on through all phases of the nursing process assessment focuses on: - answerpatients response to a health problem, two types of data with assessment - answersubjective- what the patient or family tells the nurse objective- vital signs and info gathered from physical examination -database includes ALL information past/present Characteristics of nursing assessment - answerprioritized, purposeful, complete, systematic( head to toe) , accurate, relevant, recorded in standard matter types of nursing assessments - answerinitial comprehensive focused emergency time-lapsed Initial comprehensive assessment - answershortly after admitted to hospital -performed by nurse to collect data on all aspect of patients health -problem identification and care planning focused assessment - answermay be performed during initial assessment OR routine data collection -specific problems, identify new or overlooked problems -performed by nurse to collect data on specific problems Emergency assessment - answerphysiologic or psychological crisis -performed by nurse gathering life threatening problem -something that is critical at the time time-lapsed assessment - answercompare patients current status to baseline date obtained earlier -reassess health status and make necessary revisions in plan of care Medical assessment - answertarget data pointing to pathologic conditions (more on the problem, less on the person ) -pinpoint/focus on one thing Nursing assessment - answerfocus on patients response to health problems -response to goal, how its effecting patient and family source of data - answerpatient, family, records, medical history, consultations, test, health care professions -looks at some form of data before seeing the patient four phases of a nursing interview - answerpreparatory phase- looking at info. you already have introduction- name and what ur doing working phase- asking questions always have notebook termination- repeating info making sure you hav everything and its correct purpose of Nursing assessment - answerhealth status, identification of health problems, establishment of database for nursing intervention clinical reasoning during assessment - answersystematically and comprehensively -detecting bias, determining the credibility of information -distinguishing normal from abnormal (identify the risk of abnormal findings) -significance of data, relevant from irrelevant -identifying assumptions and inconsistencies (accuracy, reliability, missing info. ) Problem with data collection - answer-inappropriate organization -seeing things someone else didnt or didnt report -failure to establish partnership -reporting interpretations rather than observed (dont ever think) -failure to update validating inferences - answerproper equipment/ procedure -clarifying statement -sharing inferences w/ other team members -checkin findings -comparing cues to knowledge base of normal finding -consistency of clues proper documentation data - answerALWAYS give verbal reporting whenever a critical change -enter database in computer or with black ink -good grammar and standard medical abbreviation -use patients own words -avoid nonspecific terms purpose of diagnosing - answerresponse to actual or potential and life processes etiologies identify resources or strengths to prevent or restore problems etiologies - answerusually the doctors role ( what is the cause ) prioritizing diagnoses - answerhigh- greatest threat to patient medium- nonthreatening low- not related to current health problems types of diagnoses- - answerNursing diagnosis