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Exam (elaborations)

Nursing Process – Comprehensive Guide to Assessment, Diagnosis, Planning, Implementation, and Evaluation

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This document offers a thorough overview of the nursing process, breaking down each of the five phases—Assessing, Diagnosing, Planning, Implementing, and Evaluating. It includes critical thinking examples, assessment types, patient observation techniques, question types (open/closed), and communication best practices during interviews. Also covers key definitions, personal space considerations, and guidelines for therapeutic interaction. Ideal for nursing students studying fundamentals or preparing care plans.

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Institution
Community Health Nursing
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Community Health Nursing









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Institution
Community Health Nursing
Module
Community Health Nursing

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Uploaded on
June 16, 2025
Number of pages
5
Written in
2024/2025
Type
Exam (elaborations)
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Nursing Process
Assessing ✔✔Collect data; Organize data; Validate data; Document data

Diagnosing ✔✔Analyze data; Identify health problems, risks, and strengths;
Formulate diagnostic statements

Planning ✔✔Prioritize problems/diagnoses; Formulate goals/desired outcomes;
Select Nursing Interventions; Write nursing interventions

Implementing ✔✔Reassess the client; Determine the nurse's need for assistance;
Implement the nursing interventions; Supervise delegated care; Document nursing
activities

Evaluating ✔✔Collect data related to outcomes; Compare data with outcomes;
Relate nursing actions to client goals/outcomes; Draw conclusions about problem
status; Continue, modify, or terminate the client's care plan

What is the nursing process? ✔✔a systematic, rational method of planning and
providing nursing care.

What is the purpose of the nursing process? ✔✔to identify a client's health care
status, and actual or potential health problems, to establish plans to meet the
identified needs, and to deliver specific nursing interventions to address those needs.

The nursing process is cyclical. What does this mean? ✔✔its components follow a
logical sequence, but more than one component may be involved at one time.

What happens if a client "falls off the track?" ✔✔if goals are not achieved (falling
off the track), the cycle continues with reassessment, or the plan of care may be
modified.

What are the 5 steps of the nursing process? ✔✔Assessment; Diagnosis; Planning;
Implimenting; Evaluating

What are some examples of critical thinking in the ASSESSMENT stage of the nursing
process? ✔✔making reliable observations; Distinguishing relevant from irrelevant
data; Distinguishing important from unimportant data; Validating data; Organizing
data; Categorizing data according to a framework; Recognizing assumptions;
Identifying gaps in the data

What are some examples of critical thinking in the DIAGNOSING stage of the nursing
process? ✔✔Finding patterns and relationships among cues; Making inferences;
Suspending judgment when lacking data; Stating the problem; Examining
assumptions; Comparing patterns with norms; Identifying factors contributing to the
problem

, What are some examples of critical thinking in the PLANNING stage of the nursing
process? ✔✔Forming valid generalizations; Transferring knowledge from one
situation to another; Developing evaluative criteria; Hypothesizing; Making
interdisciplinary connections; Prioritizing client problems; Generalizing principles
from other sciences

Assessing: description ✔✔collecting, organizing, validating, and documenting client
data

Assessing: purpose ✔✔To establish a database about the client's response to
health concerns or illness and the ability to manage health care needs

Assessing: activities ✔✔Establish a database: Obtain a nursing health history;
Conduct a physical assessment; Review client records; Review nursing literature;
Consult support persons; Consult health professionals. *update data *Organize data
*Validate data *Communicate/document data

Diagnosing: description ✔✔Analyzing and synthesizing data

Diagnosing: purpose ✔✔To identify client strengths and health problems that can
be prevented or resolved by collaborative and independent nursing interventions. To
develop a list of nursing and collaborative problems.

Diagnosing: activities ✔✔Interpret and analyze data: Compare data against
standards; Cluster or group data (generate tentative hypotheses); Identify gaps and
inconsistencies. *Determine client strenghts, risks, diagnoses and problems
*Formulate nursing diagnoses and collaborative problem statements *Document
nursing diagnoses on the care plan

Planning: description ✔✔Determining how to prevent, reduce, or resolve the
identified priority client problems; how to support client strengths; and how to
implement nursing interventions in an organized, individualized, and goal-directed
manner

Planning: purpose ✔✔To develop an individualized care plan that specifies client
goals/desired outcomes, and related nursing interventions.

Planning: activities ✔✔Set priorities and goals/outcomes in collaboration with
client. Write goals/desired outcomes. Select nursing strategies/interventions.
Consult other health professionals. Write nursing interventions and nursing care plan.
Communicate care plan to relevant health care providers.

Implementing: description ✔✔Carrying out (or delegating) and documenting the
planned nursing interventions
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