Define the nursing process - CORRECT ANSWER✅✅A systematic method of planning and providing
patient care organized around series of phrases that integrate evidence-informed practice and critical
thinking
What are the phases of the Nursing process? - CORRECT ANSWER✅✅~ Assessment
~ Nursing Diagnosis
~ Planning
~ implementation
~ evaluation
What occurs during the assessment portion of the nursing process? - CORRECT ANSWER✅✅- Collection
of data
- Data organization
- Validation of data
- Document findings
What occurs during the diagnoses portion of the nursing process? - CORRECT ANSWER✅✅- Analyzing
data
- Identifying health problems
- Formulation of diagnostic statements
What occurs during the planning portion of the nursing process? - CORRECT ANSWER✅✅- Prioritize
problems and diagnoses
- Formulate goals and health outcomes
- Identify nursing interventions
What occurs during the Implementation portion of the nursing process? - CORRECT ANSWER✅✅-
Reassessment of Pt
- Determine resource requirements
,- Implementation nursing interventions
- Supervision of delegated care
- Documentation of nursing activities
What occurs during the evaluation portion of the nursing process? - CORRECT ANSWER✅✅- Collect
data regarding outcomes
- Relating nursing actions to client goals and outcomes
- Drawing conclusions regarding problem status
- Continuing to modify or terminate lient care plan
Why is assessment important? - CORRECT ANSWER✅✅It helps make good clinical decisions and is a
critical foundation that is utilized in further steps of the nursing process
What is a complete database? - CORRECT ANSWER✅✅includes a complete health history and a full
physical examination; utilized in paediatric or family clinic
What is a episodic database? - CORRECT ANSWER✅✅Used for a limited or short-term problem; "mini-
database" used in the hospital or long-term care
What is a follow-up database? - CORRECT ANSWER✅✅The status of any identified problems should be
evaluated at regular and appropriate intervals. Used to monitor short-term or chronic health problems
What is an emergency database? - CORRECT ANSWER✅✅Calls for rapid collection data, often compiled
while life-saving measures are occurring. Commonly used in the emergency dept.
What is the purpose of collecting the complete health history? - CORRECT ANSWER✅✅- Collect
subjective data
- provides a complete picture of clients past and current health status
- Holistic assessment
- Record of health strengths & coping skills
- Assess overall health status, goals, and health promoting practices in the client
,- Can be used as a screening tool for ill patients
What are the components of a health history? - CORRECT ANSWER✅✅- Biographical data
- Reason for seeking care
- Past medical hx
- Family health hx
- functional and Social hx
- developmental and cultural practices
Biographical Data - CORRECT ANSWER✅✅- name
- DOB
- age
- birthplace
- gender
- relationship status
- cultural background
- primary language
- occupation
- daily living pattern
- source of info provided
Reason for seeking care - CORRECT ANSWER✅✅A brief, spontaneous statement in the patients words
describing the reason for the visit. Usually consists of a subjective symptom and an objective sign the
nurse observes on the patient
current health status - CORRECT ANSWER✅✅A short statement of general health status for the well
client. For someone who is ill, it is a long record of the reason for seeking care
What are the components of collecting current health status? - CORRECT ANSWER✅✅1. Location of
problem(s)
, 2. Character of problem
3. Severity
4. Timing - onset, duration, frequency
5. Setting - where were you when the problem started?
6. Aggravating/ relieving factors
7. Associated factors - are any other problems occurring due to the primary problem
8. Patient perception of problem - PQRSTU
past medical history - CORRECT ANSWER✅✅May have relate to current health problem and tell the
nurse how the patient responds to illness
- childhood illnesses
- accidents or injuries
- serious or chronic illnesses
- hospitalizations
- # of babies delivered (obstetrical hx)
- immunizations
- allergies
- current medications
- most recent health examination
Family hx - CORRECT ANSWER✅✅Ask about health conditions/health status of blood relatives. Always
ask about a history of:
- heart disease
- hypertension
- strokes
- diabetes
- cancer
- mental health issues
- other prominent illnesses