What are the components of the five step nursing process? Correct Ans
- Assess
Diagnose
Plan
Implement
Evaluate
What does assessment involve? Correct Ans - This involves
collecting information from the patient and from secondary sources (e.g.,
family members), along with interpreting and validating the information to
form a complete database.
What are the two stages of assessment? Correct Ans - -Collection
and verification of data
ex: Collect from patient, their family, and medical records
-Analysis of Data
What key aspects help to develop the nurse-patient relationship for data
collection? Correct Ans - -sources of date
-database
What are examples of sources of data? Correct Ans - -Patient
(through interview, observation,physical exam) [the best source of info]
-family and significant other [make sure to have patients consent first]
-health care team [physician, see what orders are in]
-Medical Records[ see what the wound is like, how many days will it heal]
-Scientific Literature
Give the different types of assesments Correct Ans - -Patient-
Centered Interview
-Physical Exam
-Periodic assessments made during rounding or admin care
What are different types of data? Correct Ans - -subjective
-objective
, What is subjective data? Correct Ans - -patients verbal descriptions
of their health problems
What is objective data? Correct Ans - Observations or
measurements of a patient's health status
What are examples of patient-centered interview Correct Ans - -
motivational interview
-effective communication
-interview preparation
-phases of an interview
What are the phases of an interview? Correct Ans - -Orientation
and setting an agenda
-Working phase
-Termination
What is the orientation phase of the interview Correct Ans - setting
goal or time when you introduce yourself to the patient
-Asked how they would like to be addressed (Last name)
-Letting them know when the interview will terminate, what is to be
expected, etc.
What is the working phase of the interview? Correct Ans - The time
you ask open ended questions.
What is the termination phase of the interview? Correct Ans -
Summarizing all info went over, make sure data is correct, let the patient
know when your going to return
What are interview techniques you can use? Correct Ans - -
Observation
-open ended questions
-back channeling (say uh-huh)
-direct closed-ended questions (are you having pain, describe the pain)
During patient centered interview, what components of history do you
explore? Correct Ans - -Emotional
-Social