NURSING PROCESS QUESTIONS AND
ANSWERS.
Define the nursing process - Answers-a systematic problem solving approach toward
providing individualized nursing care.
What is NANDA-I - Answers-North American Nursing
Diagnosis Association International
What are the characteristics of the nursing process? - Answers-1-framework for care to
indiv, families, & communities 2-orderly & systematic 3-interdependent 4-provides
specific care for the indiv, fam, & comm 5- client centered 6-appropriate for use
throughout lifespan 7-used in ALL settings
What are the steps of the nursing process? - Answers-ADPIE A=assessment
D=diagnosis P=planning I=implementation E=evaluation
How does the nurse obtain assessment info? - Answers-1- initial (or admission
assessment) 2- focused assessment 3- emergency assesment
How does the nurse obtain assessment info? - Answers-past medical hx - family hx -
reason for admission - current meds - previous hospitalizations & surgeries -
psychosocial assessment - nutrition - complete physical assessment
focused assessment - Answers-Collects data about a problem that has already been
identified. This type of assessment determines whether
the problem still exists, or any changes.
focused assessment questions - Answers-‐ What are your symptoms?
‐ When did they start?
‐ What activity were you doing ?
‐ What makes it better or worse?
‐ What are you doing to relieve the symptom?
Emergency assessment - Answers-Performed to identify a life‐threatening problem
(choking, stab wound, heart attack).
subjective data - Answers-Information verbalized or stated by the client.
objective data - Answers-‐ Observable and measurable information.
‐ Remember to include your senses: smell, hearing, touch and sight.
sign - Answers-An objective finding perceived by the examiner ex. (fever, rash, etc.)
, symptom - Answers-Subjective findings verbalized or stated by the client ex. ("I have a
headache" " I feel sick in my stomach.")
signs are - Answers-objective
symptoms are - Answers-subjective
2 sources of data - Answers-primary & 2ndary
primary source of data - Answers-‐Information obtained from the patient (only)
secondary sources of data - Answers-‐ Family members
‐ Significant others
‐ Past & current health records, laboratory tests,diagnostic procedures, consultations
from other healthcare professionals.
collect the data then BLANK the data - Answers-VALIDATE
‐Confirm and verify the information.
‐ Keep it free from errors, bias, or misinterpretation.
Data is 1,2,3 - Answers-collected, validated, then clustered
clustering of data often contains - Answers-defining characteristics which are specific
assessment findings that support a
nursing diagnosis.
during the clustering of data what is used - Answers-critical thinking is used to analyze
and synthesize the information that is
collected. The data is then put into specific clusters that describe a specific client
problem.
identify sources of data for obtaining information from the client - Answers-subjective &
objective, primary & secondary, people, healthcare professionals, medical chart, test &
lab results etc
identify how you develop a nursing diagnosis - Answers-As you cluster data, you begin
to consider various diagnoses that may relate to the client. You must remember that if
certain defining characteristics do not exist for a specific diagnosis, then you must not
use the diagnosis.
identify how you develop a nursing diagnosis (what is first / next etc) - Answers-1.
Complete thorough assessment of the patient.
2.Highlight or underline relevant symptoms (defining
characteristics).
3. Make a list of symptoms.
4. Cluster and interpret the symptoms.
ANSWERS.
Define the nursing process - Answers-a systematic problem solving approach toward
providing individualized nursing care.
What is NANDA-I - Answers-North American Nursing
Diagnosis Association International
What are the characteristics of the nursing process? - Answers-1-framework for care to
indiv, families, & communities 2-orderly & systematic 3-interdependent 4-provides
specific care for the indiv, fam, & comm 5- client centered 6-appropriate for use
throughout lifespan 7-used in ALL settings
What are the steps of the nursing process? - Answers-ADPIE A=assessment
D=diagnosis P=planning I=implementation E=evaluation
How does the nurse obtain assessment info? - Answers-1- initial (or admission
assessment) 2- focused assessment 3- emergency assesment
How does the nurse obtain assessment info? - Answers-past medical hx - family hx -
reason for admission - current meds - previous hospitalizations & surgeries -
psychosocial assessment - nutrition - complete physical assessment
focused assessment - Answers-Collects data about a problem that has already been
identified. This type of assessment determines whether
the problem still exists, or any changes.
focused assessment questions - Answers-‐ What are your symptoms?
‐ When did they start?
‐ What activity were you doing ?
‐ What makes it better or worse?
‐ What are you doing to relieve the symptom?
Emergency assessment - Answers-Performed to identify a life‐threatening problem
(choking, stab wound, heart attack).
subjective data - Answers-Information verbalized or stated by the client.
objective data - Answers-‐ Observable and measurable information.
‐ Remember to include your senses: smell, hearing, touch and sight.
sign - Answers-An objective finding perceived by the examiner ex. (fever, rash, etc.)
, symptom - Answers-Subjective findings verbalized or stated by the client ex. ("I have a
headache" " I feel sick in my stomach.")
signs are - Answers-objective
symptoms are - Answers-subjective
2 sources of data - Answers-primary & 2ndary
primary source of data - Answers-‐Information obtained from the patient (only)
secondary sources of data - Answers-‐ Family members
‐ Significant others
‐ Past & current health records, laboratory tests,diagnostic procedures, consultations
from other healthcare professionals.
collect the data then BLANK the data - Answers-VALIDATE
‐Confirm and verify the information.
‐ Keep it free from errors, bias, or misinterpretation.
Data is 1,2,3 - Answers-collected, validated, then clustered
clustering of data often contains - Answers-defining characteristics which are specific
assessment findings that support a
nursing diagnosis.
during the clustering of data what is used - Answers-critical thinking is used to analyze
and synthesize the information that is
collected. The data is then put into specific clusters that describe a specific client
problem.
identify sources of data for obtaining information from the client - Answers-subjective &
objective, primary & secondary, people, healthcare professionals, medical chart, test &
lab results etc
identify how you develop a nursing diagnosis - Answers-As you cluster data, you begin
to consider various diagnoses that may relate to the client. You must remember that if
certain defining characteristics do not exist for a specific diagnosis, then you must not
use the diagnosis.
identify how you develop a nursing diagnosis (what is first / next etc) - Answers-1.
Complete thorough assessment of the patient.
2.Highlight or underline relevant symptoms (defining
characteristics).
3. Make a list of symptoms.
4. Cluster and interpret the symptoms.
