What are the primary goals of nursing? Correct Answer-1. Determine
client/family responses to human problems, level of wellness and need
for assistance
2. Provide physical care, emotional care, teaching, guidance and
counselling
3. Implement interventions aimed at prevention and assiting the client to
meet his or her own needs and health-related goals
Define the Patient's Story Correct Answer-- Describes objective and
subjective info about the client that describes who they are as a person as
well as they usual medical history
- Physiological, psychological and family characteristics
What are the characteristics of critical thinkers? Correct Answer-1.
Raise questions
2. Show willingness to search for answers
3. Are inquisitive
4. Eager to acquire new knowledge
5. Consider multiple perspectives
6. Explore ideas/problems in new ways
7. Are open minded
Name the 5 phases of the nursing process Correct Answer-1. Assessment
,- To gather and analyze information about the patient and their context
from his/her perspective
2. Nursing Diagnosis
- Also known as a diagnostic label
3. Planning: occurs from first contact until discharge (results in a care
plan)
- outcomes and interventions
4. Implementation (nursing actions + rationale)
5. Evaluation
Describe the assessment phase of the nursing process Correct Answer--
To gather and analyze information about the patient and their context
from his/her perspective
- Can be gathered from family (not only biological)
- First step is to complete a thorough health and medical history and by
listening to and observing the client
- Use open ended questions
- "My assessment is..."
- Client's name should not be used on the student care plan
- Subjective & objective data
Describe subjective and objective data Correct Answer-1. Subjective
data
- What a patient says
- Verbal description of health concern (i.e. symptoms)
,2. Objective data
- What you observe
- Measurements or observed findings of a patient's health status
- Often based on accepted standards (blood pressure, etc)
who can be your sources of data? Correct Answer-1. Patient (client) =
primary source
2. Secondary sources - family/friends/other caregivers; patient records;
formal care providers; literature
In what situation would you use a secondary source for obtaining data?
Correct Answer-in situations where the patient is unable to advocate for
themselves (i.e. an infant, a person with a disability, intoxication, etc)
define clinical reasoning Correct Answer-a cognitive process that uses
formal and informal thinking strategies to father and analyze client info,
evaluate the significance of this info and determine the value of
alternative actions
what is the difference between a nursing diagnosis and a medical
diagnosis Correct Answer-Medical diagnosis: diabetes mellitus
Nursing diagnosis (PES system aka problem, etiology, symptoms):
- Start with symptoms first because you will get those from assessments
- Problem → related to → reason
, - Impaired comfort → r/t → blood glucose testing
what are the 3 types of diagnoses? Correct Answer-1. Problem-focused:
judgment concerning an undesirable human response to a health
condition/life process
2. Risk Nursing: clinical judgment concerning the susceptibility of an
individual family, group or community for developing an undesirable
human response to health condition/life process
3. Health promotion: judgement concerning motivation and desire to
increase well-being and to actualize health potential
define outcomes and interventions in the planning phase of the nursing
process Correct Answer-1. Outcomes
- Ways to develop good outcomes
Using the NOC list
*Very specific and help by allowing the nurse to measure and record
outcomes before and after intervention
*Developing an appropriate outcome statement
Can increase client motivation to progress toward the goal
2. Interventions
- Independent interventions
*Autonomous actions that are initiated by the nurse in response to a
nursing diagnosis
- Collaborative interventions