FON Exam 1: Nursing Process | 35 Questions with 100% Correct Answers | Updated & Verified
What are the 5 steps of the nursing process? - ANS - (A)ssessment (D)iagnosis (P)lanning (I)mplementation (E)valuation Why is the nursing process important? - ANS - It sets the framework for nursing curriculum; mentioned in the Nurse Practice Acts & a standard for the JCAHO (Joint Commision) When is the nursing process used? - ANS - Everytime we have contact with a patient (not just the formal written care plan), helps expert nurses unaware of separate steps What are the goals of (A)ssessment during ADPIE? - ANS - Looking at patient holistically, the number one source of data comes from the patient, data collection comes from patient, family, tests, records and the focused assessment is focusing on the problem instead of doing a head to toe assessment, subjective vs. objective, avoid assumptions. What are the goals of (D)iagnosis/Analysis during ADPIE? - ANS - Identifying health problems, matching symptoms to defining characteristics (aka evidence), identifying actual & potential problems What are the types of nursing diagnosis/problems? - ANS - Actual & potential/risk problems What are actual problems in a nursing diagnosis and what are some examples? - ANS - Clinically validated problems with sufficient assessment data to validate these problems; examples include grieving and ineffective airway clearance.
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