NANDA--ACKLEY AND LADWIG: QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
Patient's Story Correct Answers Term used to describe objective and
subjective information about the client that describes who the client is as
a person in addition to their usual medical history.
ADPIE Correct Answers Acronym to describe the nursing process. A is
for Assessment, D is for Nursing Diagnosis, P is for Planning, I is for
Implementation, E is for Evaluate
Assessment Correct Answers Perform a nursing assessment. Gather
information (data) that includes subjective and objective symptoms, and
cluster the symptoms. Give an example—taking history, taking vitals,
etc. This is where you'll get your nursing diagnosis from.
Diagnosis Correct Answers Make nursing diagnosis. The problem that
the nurse can do something about. **VERY IMPORTANT** Obtain the
nursing diagnosis from the information in the Assessment. Example: (P)
diagnosis label, (E) etiology, "related to" phrase; related cause or
contributor to the problem, (S) symptoms--defining characteristics
phrase; symptoms that the nurse identified in the assessment. Don't say
you got the Diagnosis from NANDA. See page 4.
Planning Correct Answers Formulate and write outcome/goal statements
and determine appropriate nursing interventions based on evidence
(research). Includes writing pt. outcomes, include what the patient will
do. Must be SMART (spell it out) and write out what nursing
interventions will be done. 1. Example of outcome—The patient will
walk 10 feet three times a day for 4 days, AEB walking to and from
, bathroom without becoming fatigued. Use FUTURE tense. 2.Example of
intervention—The nurse will educate the patient of signs and symptoms
of fatigue, for example, shortness of breath on exertion, weakness, etc.
The nurse will monitor patient for signs and symptoms of fatigue.
[w,w,w,w,w,h]. use verbs, like collaborate, etc. The INTERVENTIONS
are part of this step as a plan, or a goal set.
Implementation Correct Answers Put the care plan into action and
record the findings/results. To carry out the plan. Do the interventions
first and then monitor the patient goals and response to nursing
interventions. Example: The nurse DID, educate the patient.
1. The nurse monitored vital signs (be creative, use past or present
tense).
2. The nurse collaborated with physical therapy
3. Can use Likert scale
Evaluate Correct Answers Review the outcomes and the nursing care
plan that has been implemented. Make necessary revisions in care plan
as needed. Review all steps of the nursing process to ensure whether or
not the patient met goals. Restate goal. Example: Patient exceeded goal
by walking 25 feet 5 times a day for 4 days. If they don't meet goal, re-
evaluate and reset goals. Evaluate the outcome.
Nonlinear Correct Answers The nursing process is not a linear process.
It is a nonlinear, dynamic process that involves clinical reasoning and
judgment, deliberative rationality, and clinical imagination.
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
Patient's Story Correct Answers Term used to describe objective and
subjective information about the client that describes who the client is as
a person in addition to their usual medical history.
ADPIE Correct Answers Acronym to describe the nursing process. A is
for Assessment, D is for Nursing Diagnosis, P is for Planning, I is for
Implementation, E is for Evaluate
Assessment Correct Answers Perform a nursing assessment. Gather
information (data) that includes subjective and objective symptoms, and
cluster the symptoms. Give an example—taking history, taking vitals,
etc. This is where you'll get your nursing diagnosis from.
Diagnosis Correct Answers Make nursing diagnosis. The problem that
the nurse can do something about. **VERY IMPORTANT** Obtain the
nursing diagnosis from the information in the Assessment. Example: (P)
diagnosis label, (E) etiology, "related to" phrase; related cause or
contributor to the problem, (S) symptoms--defining characteristics
phrase; symptoms that the nurse identified in the assessment. Don't say
you got the Diagnosis from NANDA. See page 4.
Planning Correct Answers Formulate and write outcome/goal statements
and determine appropriate nursing interventions based on evidence
(research). Includes writing pt. outcomes, include what the patient will
do. Must be SMART (spell it out) and write out what nursing
interventions will be done. 1. Example of outcome—The patient will
walk 10 feet three times a day for 4 days, AEB walking to and from
, bathroom without becoming fatigued. Use FUTURE tense. 2.Example of
intervention—The nurse will educate the patient of signs and symptoms
of fatigue, for example, shortness of breath on exertion, weakness, etc.
The nurse will monitor patient for signs and symptoms of fatigue.
[w,w,w,w,w,h]. use verbs, like collaborate, etc. The INTERVENTIONS
are part of this step as a plan, or a goal set.
Implementation Correct Answers Put the care plan into action and
record the findings/results. To carry out the plan. Do the interventions
first and then monitor the patient goals and response to nursing
interventions. Example: The nurse DID, educate the patient.
1. The nurse monitored vital signs (be creative, use past or present
tense).
2. The nurse collaborated with physical therapy
3. Can use Likert scale
Evaluate Correct Answers Review the outcomes and the nursing care
plan that has been implemented. Make necessary revisions in care plan
as needed. Review all steps of the nursing process to ensure whether or
not the patient met goals. Restate goal. Example: Patient exceeded goal
by walking 25 feet 5 times a day for 4 days. If they don't meet goal, re-
evaluate and reset goals. Evaluate the outcome.
Nonlinear Correct Answers The nursing process is not a linear process.
It is a nonlinear, dynamic process that involves clinical reasoning and
judgment, deliberative rationality, and clinical imagination.
