EXAM 1 NUR 245
Phases of Nursing
ADPIE or ADOPIE
Assessment
Diagnosis
planning
Implementation
Evaluation
Nursing process A
Assessment
-collect data
-review of clinical record
-health history
-physical exam
-function assessment
-risk assessment
-use EBP
-document relevant data
,Nursing process D
Diagnosis- compare clinical findings with normal and abnormal variation
-interpret data
-ID clusters of cues
-make hypothesis
-test hypothesis
-derive dx
-validate dx
-document dx
Nursing process P
Planning- establish priorities, developmental outcomes/goals (SMART goals),
identify nursing interventions, document POC
Nursing process I
implementation- implement the plan in a safe and timely manner, use EBP
interventions, collaborate with colleagues, coordinate care delivery, provide teaching
and health promotion, document implementation and modifications
Nursing process E
, Evaluate progress towards goals/outcomes,
conduct systematic, ongoing, criterion based evaluation
include patient and significant others
use ongoing assessment to revise diagnosis, outcome, plan
disseminate results to patient and family
Closed-ended (direct) questions
elicit a one or two word response
help you elicit specific information
helpful in filling in any details originally left out
highly stressed people and people with difficulty hearing will find these easier
Open-ended questions
unbiased
associated with non-directive interview
invite clients to discover, explore, elaborate, clarify, or illustrate a thought or feeling
What are the 10 traps of interviewing
providing false assurance or reassurance
giving unwanted advice
Phases of Nursing
ADPIE or ADOPIE
Assessment
Diagnosis
planning
Implementation
Evaluation
Nursing process A
Assessment
-collect data
-review of clinical record
-health history
-physical exam
-function assessment
-risk assessment
-use EBP
-document relevant data
,Nursing process D
Diagnosis- compare clinical findings with normal and abnormal variation
-interpret data
-ID clusters of cues
-make hypothesis
-test hypothesis
-derive dx
-validate dx
-document dx
Nursing process P
Planning- establish priorities, developmental outcomes/goals (SMART goals),
identify nursing interventions, document POC
Nursing process I
implementation- implement the plan in a safe and timely manner, use EBP
interventions, collaborate with colleagues, coordinate care delivery, provide teaching
and health promotion, document implementation and modifications
Nursing process E
, Evaluate progress towards goals/outcomes,
conduct systematic, ongoing, criterion based evaluation
include patient and significant others
use ongoing assessment to revise diagnosis, outcome, plan
disseminate results to patient and family
Closed-ended (direct) questions
elicit a one or two word response
help you elicit specific information
helpful in filling in any details originally left out
highly stressed people and people with difficulty hearing will find these easier
Open-ended questions
unbiased
associated with non-directive interview
invite clients to discover, explore, elaborate, clarify, or illustrate a thought or feeling
What are the 10 traps of interviewing
providing false assurance or reassurance
giving unwanted advice
