QUESTIONS & ANSWERS (GRADED
A+)
What is the nursing process? - ANSWERSystematic, rational method of planning
and proving individualized care.
What do you do in the nursing process? - ANSWER1. Assessing
2. Nursing Diagnosing
3. Planning
4. Implementing
5. Evaluating
What is the Decision-Making Process? - ANSWER-Choosing the best actions to
meet a desired goal
-Make value decisions
-Time management decisions
-Scheduling decisions
-Priority decisions
-A health promotion nursing diagnosis is a clinical judgment that encompasses a
patient's desire and motivation for a readiness of enhanced state of health or factor
that may lead to improved level
-A health promotion nursing diagnosis does not require a current level of wellness
-Example: Readiness for enhanced learning
Types of nursing diagnoses: Wellness - ANSWERWellness nursing diagnoses focus
on the patient's progress or potential progress towards healthier behaviors rather
than on a problem. They were created to remedy a situation in which only negative
issues were addressed, leaving out diagnoses for patients in a healthy setting. A
wellness diagnosis indicates a readiness to advance from the current level of health
to a higher level.
The Nursing Process: Assessing - ANSWER-Collecting, organizing, validating and
documenting a patient's health data
-collect data
-organize data
-validate data
-Document data
, The Nursing Process: Diagnosing - ANSWER-Analyze date
-Identify health problems, risks, and strengths
-formulate diagnostic statements
The Nursing Process: Planning - ANSWER-Prioritize problems/diagnoses
-Formulate goals/desired outcomes
-Select nursing interventions
-Write nursing interventions
The Nursing Process: Implementing - ANSWER-Reassess the client
-Determine the nurse's need for assistance
-Implementing the nursing interventions
-Supervise delegated care
-Document nursing activités
The Nursing Process: Evaluating - ANSWER-Collect data related to outcomes
-Compare data with outcomes
-Relate nursing actions to client goals/outcomes
-Draw conclusions about problem status
-Continue, modify, or terminate the client's care plan
What is subjective? - ANSWERWhat the patient says
Ex: "I have pain, nausea, fear"
What is objective? - ANSWER-Measurable
Ex: vital signs, labs, drainage, etc.
Methods of data collection? - ANSWER-Observing
-Interviewing
Directive Approach to Interviewing? - ANSWER-Nurse establishes purpose
-Nurse controls the interview
-Used to gather and give information when time is limited, e.g., in an emergency
Nondirective Approach to Interviewing - ANSWER-Rapport-building
-Client controls the purpose, subject matter, and pacing
-Combination of directive and nondirective approaches usually appropriate during
the information-gathering interview
Types of questions: Closed - ANSWERIf you can answer a question with only a
"yes" or "no" response, then you are answering a close-ended type of question.
Examples of close-ended questions are:
Are you feeling better today?