Define the nursing process - CORRECT ANSWER a systematic problem solving approach toward providing
individualized nursing care.
What is NANDA-I - CORRECT ANSWER North American Nursing
Diagnosis Association International
What are the characteristics of the nursing process? - CORRECT ANSWER 1-framework for care to indiv,
families, & communities 2-orderly & systematic 3-interdependent 4-provides specific care for the indiv,
fam, & comm 5- client centered 6-appropriate for use throughout lifespan 7-used in ALL settings
What are the steps of the nursing process? - CORRECT ANSWER ADPIE A=assessment D=diagnosis
P=planning I=implementation E=evaluation
How does the nurse obtain assessment info? - CORRECT ANSWER 1- initial (or admission assessment) 2-
focused assessment 3- emergency assesment
How does the nurse obtain assessment info? - CORRECT ANSWER past medical hx - family hx - reason for
admission - current meds - previous hospitalizations & surgeries - psychosocial assessment - nutrition -
complete physical assessment
focused assessment - CORRECT ANSWER Collects data about a problem that has already been identified.
This type of assessment determines whether
the problem still exists, or any changes.
focused assessment questions - CORRECT ANSWER ‐ What are your symptoms?
‐ When did they start?
‐ What activity were you doing ?
‐ What makes it better or worse?
, ‐ What are you doing to relieve the symptom?
Emergency assessment - CORRECT ANSWER Performed to identify a life ‐threatening problem (choking,
stab wound, heart attack).
subjective data - CORRECT ANSWER Information verbalized or stated by the client.
objective data - CORRECT ANSWER ‐ Observable and measurable information.
‐ Remember to include your senses: smell, hearing, touch and sight.
sign - CORRECT ANSWER An objective finding perceived by the examiner ex. (fever, rash, etc.)
symptom - CORRECT ANSWER Subjective findings verbalized or stated by the client ex. ("I have a
headache" " I feel sick in my stomach.")
signs are - CORRECT ANSWER objective
symptoms are - CORRECT ANSWER subjective
2 sources of data - CORRECT ANSWER primary & 2ndary
primary source of data - CORRECT ANSWER ‐Information obtained from the patient (only)
secondary sources of data - CORRECT ANSWER ‐ Family members
‐ Significant others
‐ Past & current health records, laboratory tests,diagnostic procedures, consultations from other
healthcare professionals.
collect the data then BLANK the data - CORRECT ANSWER VALIDATE
‐Confirm and verify the information.