Sherpath: Introduction to Nursing Process-Questions with Correct
Answers/ Verified/ latest Version (2024/2025)
_______________ of the nursing process is determined by the nurse's knowledge level,
understanding of common nursing language, application of evidence-based practice, and
ability to accurately evaluate patient responses to care. - ✔✔Effectiveness
defines standards of nursing practice and states that the nursing process, as a critical
thinking model, demonstrates competency in nursing practice and forms the foundation for
clinical decision making. - ✔✔American Nurses Association
Nursing process steps - ✔✔Assessment, analysis, planning, implementation, evaluation
systematic method of critical thinking that helps nurses work in an organized, methodical,
and effective manner as they develop individual plans of care. - ✔✔Nursing process
Gather data - The nurse gathers subjective and objective patient data through observation,
interviews, health history, physical assessment, the medical record, and
diagnostic/laboratory reports. - ✔✔Assessment
Cluster the data and identify the problem - The nurse analyzes, validates, and clusters
patient data to identify actual or potential patient problems. Patient data clusters are stated
in standardized nursing language as nursing diagnoses, providing clarity and universal
understanding. - ✔✔Analysis
Develop a plan of care to achieve goals - The nurse prioritizes the nursing diagnoses and
identifies goals that are realistic, measurable, and patient-focused, with specific outcomes. -
✔✔Planning
Carry out the plan of care - The nurse initiates specific nursing interventions and treatments
designed to help the patient achieve established goals and outcomes. - ✔✔Implementation
Collect data to evaluate goal attainment; revise the plan as needed - The nurse determines
if the patient's goals are met, examines the effectiveness of interventions, and decides
whether the plan of care should be discontinued, continued, or revised. - ✔✔Evaluation
, systematic collection of patient data, and it is the first step in providing patient care. -
✔✔assessment
assessing the state of a patient's physical, psychological, emotional, environmental,
sociocultural, economic, and spiritual health to gain a better understanding of the patient's
overall condition. This approach promotes patient-centered care. - ✔✔holistic assessment
data source: directly from the patient - ✔✔primary
data source: ollected from caregivers, friends, family members, other members of the
health care team, and written sources, such as medical records and diagnostic/laboratory
findings. - ✔✔secondary
information collected from the patient's point of view; cannot be objectively measured -
✔✔subjective
information collected via what is seen, measured, or tested - ✔✔objective
a standardized nursing language system used for point-of-care documentation for patient
data and clinical activity. Can be used to identify diagnoses, interventions, and outcomes.
Publishes a Nursing Diagnosis and Outcome Statements Catalogue available online in
multiple languages that identifies common labels for nursing diagnosis and subsets for
select health priorities. - ✔✔International Classification for Nursing Practice
interventions are independent nursing interventions or actions that do not require a health
care provider's prescription (e.g., patient positioning and patient teaching). - ✔✔nurse-
initiated
interventions are dependent nursing interventions that may require a prescription from a
health care provider (e.g., medication administration or catheter insertion). - ✔✔health care
provider-initiated
Answers/ Verified/ latest Version (2024/2025)
_______________ of the nursing process is determined by the nurse's knowledge level,
understanding of common nursing language, application of evidence-based practice, and
ability to accurately evaluate patient responses to care. - ✔✔Effectiveness
defines standards of nursing practice and states that the nursing process, as a critical
thinking model, demonstrates competency in nursing practice and forms the foundation for
clinical decision making. - ✔✔American Nurses Association
Nursing process steps - ✔✔Assessment, analysis, planning, implementation, evaluation
systematic method of critical thinking that helps nurses work in an organized, methodical,
and effective manner as they develop individual plans of care. - ✔✔Nursing process
Gather data - The nurse gathers subjective and objective patient data through observation,
interviews, health history, physical assessment, the medical record, and
diagnostic/laboratory reports. - ✔✔Assessment
Cluster the data and identify the problem - The nurse analyzes, validates, and clusters
patient data to identify actual or potential patient problems. Patient data clusters are stated
in standardized nursing language as nursing diagnoses, providing clarity and universal
understanding. - ✔✔Analysis
Develop a plan of care to achieve goals - The nurse prioritizes the nursing diagnoses and
identifies goals that are realistic, measurable, and patient-focused, with specific outcomes. -
✔✔Planning
Carry out the plan of care - The nurse initiates specific nursing interventions and treatments
designed to help the patient achieve established goals and outcomes. - ✔✔Implementation
Collect data to evaluate goal attainment; revise the plan as needed - The nurse determines
if the patient's goals are met, examines the effectiveness of interventions, and decides
whether the plan of care should be discontinued, continued, or revised. - ✔✔Evaluation
, systematic collection of patient data, and it is the first step in providing patient care. -
✔✔assessment
assessing the state of a patient's physical, psychological, emotional, environmental,
sociocultural, economic, and spiritual health to gain a better understanding of the patient's
overall condition. This approach promotes patient-centered care. - ✔✔holistic assessment
data source: directly from the patient - ✔✔primary
data source: ollected from caregivers, friends, family members, other members of the
health care team, and written sources, such as medical records and diagnostic/laboratory
findings. - ✔✔secondary
information collected from the patient's point of view; cannot be objectively measured -
✔✔subjective
information collected via what is seen, measured, or tested - ✔✔objective
a standardized nursing language system used for point-of-care documentation for patient
data and clinical activity. Can be used to identify diagnoses, interventions, and outcomes.
Publishes a Nursing Diagnosis and Outcome Statements Catalogue available online in
multiple languages that identifies common labels for nursing diagnosis and subsets for
select health priorities. - ✔✔International Classification for Nursing Practice
interventions are independent nursing interventions or actions that do not require a health
care provider's prescription (e.g., patient positioning and patient teaching). - ✔✔nurse-
initiated
interventions are dependent nursing interventions that may require a prescription from a
health care provider (e.g., medication administration or catheter insertion). - ✔✔health care
provider-initiated
