What is the nursing process? - ✔️✔️A systematic problem-solving process that guides
all nursing actions
What is the purpose of the nursing process? - ✔️✔️To help the nurse provide goal-
directed, client-centered care
What are the two types of goals used in nursing? - ✔️✔️Short-term and long-term
What are the steps of the nursing process? - ✔️✔️Assess, diagnose, plan, implement,
evaluation (ADPIE)
Assessment - ✔️✔️Gather data
Diagnosis - ✔️✔️Identify client's health needs
Planning Outcomes - ✔️✔️Decide goals you want to achieve with your nursing
activities
Planning Interventions - ✔️✔️choose interventions to help client achieve stated goals
Implementation - ✔️✔️action phase when you carry out or delegate actions you
previously planned
Evaluation - ✔️✔️Judge whether your actions have successfully treated or prevented
the client's health problems
Assessment definition - ✔️✔️The systematic gathering of information related to the
physical, mental, spiritual, socioeconomic, and cultural status of an individual, group, or
community
What is the difference between a medical diagnosis and a nursing diagnosis? -
✔️✔️Medical- focus on disease and pathology
Nursing- focus on the client's response to illness
A professional nurse must perform what portion of the nursing process? -
✔️✔️Assessment
While nurse aides, LPNs, and other personnel can collect information such as vital
signs, pain reports, and finger-stick glucose levels, It is the responsibility of the
, professional nurse to... - ✔️✔️Assign those tasks, validate the data collected, conduct
the interview, and complete the physical assessment
Assessment involves collecting information from... - ✔️✔️-the patient
-secondary sources
-interpreting information
-validating the information
Types of data - ✔️✔️-subjective: what the patient says
-objective: what can be observed or measured
-primary: obtained directly from the patient
-secondary: obtained through the medical record or another person
Types of assessment - ✔️✔️-initial
-ongoing
-comprehensive
-focused
-special needs
Types of special needs assessments - ✔️✔️-Nutritional
-Pain
-Cultural
-Spiritual health
-Psychosocial
In which 5 steps of Maslow's hierarchy of needs does nursing live? - ✔️✔️-
Physiological
-Safety and security
-Love and belonging
-Self-esteem
-Cognitive
Does physiological or psychosocial come first in prioritizing care - ✔️✔️Physiological
Levels of problem urgency - ✔️✔️-High priority: life threatening
-Medium priority: not a direct threat to life, but may cause destructive physical or
emotional changes
-Low priority: Requires minimal supportive nursing intervention
Types of nursing diagnoses - ✔️✔️-Actual
-Risk
-Wellness
Nursing-sensitive outcomes - ✔️✔️those that can be influenced by nursing
interventions