NFDN 1001 TEST WITH COMPLETE
SOLUTIONS
Nursing Process
A framework through which one aims to identify, diagnose, and treat actual and potential health
issues and challenges of clients from a holistic perspective
What does the Nursing Process do?
-Framework for meeting needs of the client
-Focus the nurse's attention on the given health situation, resulting in a holistic plan of care
-Organized and systematic method of problem solving which leads to safer patient care
-Actively involves the client
-You, as the nurse, will have autonomy over your practice=greater job satisfaction
5 Steps of the Nursing Process
1.Assessment
2.Nursing Diagnosis
3.Planning
4.Implementation
5.Evaluation
Assessment
-Beginning of providing patient-centered care
-Entails gathering data and compiling a health history (patient interview, physical exam, analysis
of diagnostic and lab results, health record and research)
,-Collaboration with patient, family and health-care team
-Provides a holistic perspective of the patient's past and current health status
-Ongoing process used every time nurses interact with a patient
Four types of assessment
-Initial (Complete)
-Focused
-Time-lapsed (Follow-up/ongoing)
-Emergency
Types of data in an Assessment
Subjective and Objective
Sources of Data in an Assessment
-Patient of family
-Interdisciplinary team
-Medical chart
-Research
-Literature
Types of questions used in an interview
Closed-ended and Open-ended
Nursing Judgement
Refers to the process nurses use to critically evaluate and interpret patient data and then make
informed decisions about their patient's care
, What is the first, second and third level of nursing judgement?
1. Emergencies (ABCV)
2. Mental status change, acute pain, abnormal lab values
3. Not already addressed, family issues, knowledge deficit
Nursing Diagnosis
-Analyze the assessment data
-Form diagnostic conclusions that determine the nursing care a client receives
-Clinical judgements about the "Client" in response to actual or potential health problems
-Example: At risk for unstable blood sugars related to knowledge deficit
-Listing what is wrong
Medical Diagnosis
-Disease specific based on physical signs and symptoms, medical history, results of diagnostic
test
-example: Diabetes, cancer, hypertension
NANDA
-North American Nursing Diagnosis Association
-It's purpose: to develop, refine and promote a taxonomy of nursing diagnostic language that can
be used by all professional nurses
-Defined a nursing diagnosis as a clinical judgement about a "client" in response to actual or
potential health problem or life processes
SOLUTIONS
Nursing Process
A framework through which one aims to identify, diagnose, and treat actual and potential health
issues and challenges of clients from a holistic perspective
What does the Nursing Process do?
-Framework for meeting needs of the client
-Focus the nurse's attention on the given health situation, resulting in a holistic plan of care
-Organized and systematic method of problem solving which leads to safer patient care
-Actively involves the client
-You, as the nurse, will have autonomy over your practice=greater job satisfaction
5 Steps of the Nursing Process
1.Assessment
2.Nursing Diagnosis
3.Planning
4.Implementation
5.Evaluation
Assessment
-Beginning of providing patient-centered care
-Entails gathering data and compiling a health history (patient interview, physical exam, analysis
of diagnostic and lab results, health record and research)
,-Collaboration with patient, family and health-care team
-Provides a holistic perspective of the patient's past and current health status
-Ongoing process used every time nurses interact with a patient
Four types of assessment
-Initial (Complete)
-Focused
-Time-lapsed (Follow-up/ongoing)
-Emergency
Types of data in an Assessment
Subjective and Objective
Sources of Data in an Assessment
-Patient of family
-Interdisciplinary team
-Medical chart
-Research
-Literature
Types of questions used in an interview
Closed-ended and Open-ended
Nursing Judgement
Refers to the process nurses use to critically evaluate and interpret patient data and then make
informed decisions about their patient's care
, What is the first, second and third level of nursing judgement?
1. Emergencies (ABCV)
2. Mental status change, acute pain, abnormal lab values
3. Not already addressed, family issues, knowledge deficit
Nursing Diagnosis
-Analyze the assessment data
-Form diagnostic conclusions that determine the nursing care a client receives
-Clinical judgements about the "Client" in response to actual or potential health problems
-Example: At risk for unstable blood sugars related to knowledge deficit
-Listing what is wrong
Medical Diagnosis
-Disease specific based on physical signs and symptoms, medical history, results of diagnostic
test
-example: Diabetes, cancer, hypertension
NANDA
-North American Nursing Diagnosis Association
-It's purpose: to develop, refine and promote a taxonomy of nursing diagnostic language that can
be used by all professional nurses
-Defined a nursing diagnosis as a clinical judgement about a "client" in response to actual or
potential health problem or life processes
