Ch. 4: The Nursing Process and Pharmacology: Questions and Answers Latest Edition

Ch. 4: The Nursing Process and
Pharmacology:

The Nursing Process - ANS- Foundation for the clinical practice of nursing

- provides framework for consistent nursing actions



Steps of the Nursing Process - ANSADPIE

- Assessment

- Diagnosis

- Planning

- Implementation

- Evaluation



What is the foundation for the clinical practice of nursing?

a) Assessment

b) Nursing process

c) Planning

d) Evaluation

e) Implementation - ANSb) Nursing process



Rationale: It takes all parameters of the nursing process, which include assessment, diagnosis, planning,
implementation, and evaluation, to encompass the full care of a patient.



Holistic Care Needs - ANS•See Figure 4-1 in the text (p. 38).



Assessment - ANS- starts when pt. is admitted until pt. is discharged



- Physical examination

, - Nursing history

- Medication history

- Diagnostic test results



Formats of Data-Collection - ANS- Head-to-Toe Assessment

- Body Systems Assessment

- Gordon's Functional Health Patterns Model



Gordon's Functional Health Patterns Model - ANSHealth Perception-Health Management Pattern

Nutrition-Metabolic Pattern

Elimination Pattern

Activity-Exercise Pattern

Cognitive-Perceptual Pattern

Sleep-Rest Pattern

Self-Perception-Self-Concept Pattern

Role-Relationship Pattern

Sexuality-Reproductive Pattern

Coping-Stress Tolerance Pattern

Value-Belief Pattern



Nursing Diagnosis - ANSA clinical judgment about individual, family, or community responses to actual or
potential health problems/life processes (NANDA-I)



Five Types of Nursing Diagnoses - ANS- Actual

- Risk/High Risk

- Possible

- Health Promotion and Wellness

- Syndrome