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NURSING FUNDAMENTALS: THE NURSING PROCESS (ATI) EXAM
QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
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Terms in this set (84)
a cyclical, critical thinking process.
what is the nursing process? it is dynamic, continuous, client-centered, problem-solving, and decision making
framework that is foundational to the nursing practice.
1. assessment/data collection
2.analysis
five steps of the nursing process 3.planning
4. implementation
5. evaluation
1. observation
2.interviews
3.medical history
methods of data collection
4. comprehensive or focused physical exam
5.diagnostic and laboratory reports
6.collaboration
1. ask appropriate questions
2.listen carefully to responses
what is involved in collecting data
3.develop good head to toe assessment skills
effectively?
4. employ critical thinking and clinical judgment
5. recognize the need to collect data prior to interventions
when do you collect subjective data during the nursing history
(symptoms)?
1. symptoms
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2.patients feelings
what does subjective data include?
3.patients perceptions
4. description of health status
when is objective data (signs) obtained? during the physical assessment
"nurses feel, see, hear, and smell objective data through observation or physical
how do nurses obtain objective data?
assessment of the client"
primary sources of data this is what the patients tells the nurse (subjective) or what the nurse observes.
what others tell the nurse based on what the client has told them (subjective; "she
secondary sources of data told me that her shoulder is sore every morning") and the objective data is obtained
from another source such as, family, friends, health care professional, or records.
1. validate
what three things does the nurse do during
assessment? 2.interpret
3.cluster data
use of critical thinking to identify health status or problems, interpret, or monitor
analysis the collected data base, reach an appropriate nursing judgment about health status
and coping mechanisms, and provide direction for nursing care.
1. recognize patterns or trends
what does analysis requires the nurse to do
2.compare the data with expected standards or reference pages
..?
3.arrive at conclusions to guid nursing care
documentation documentation is essential. it should focus on facts and should be very descriptive.
1. establish priorities and outcomes that can be measured and evaluated
2.these priorities and outcomes are what directs selection of interventions
3.three types of planning
4. develop plan of care based on assessment
what does planning involve?
5. planning is continuous; obtain new info and evaluate responses to care;
modify plan of care if necessary
6.discharge planning
7. nurses select priorities, determine outcomes, and select interventions
Nurses base the care they provide on the assessment data, analysis, and the plan of
implementation
care they developed in the previous steps.
1. problem solving
2.clinical judgment
3.critical thinking to select and implement appropriate interventions
what does implementation involve?
4. use nursing knowledge, priorities of care, and planned outcomes to promote,
maintain and restore health.
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