Verified Answers
Define the nursing process - Ans -a systematic problem solving approach toward
providing individualized nursing care.
What is NANDA-I - Ans -North American Nursing
Diagnosis Association International
What are the characteristics of the nursing process? - Ans -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? - Ans -ADPIE A=assessment D=diagnosis
P=planning I=implementation E=evaluation
How does the nurse obtain assessment info? - Ans -1- initial (or admission
assessment) 2- focused assessment 3- emergency assesment
How does the nurse obtain assessment info? - Ans -past medical hx - family hx -
reason for admission - current meds - previous hospitalizations & surgeries - psychosocial
assessment - nutrition - complete physical assessment
focused assessment - Ans -Collects data about a problem that has already been
identified. This type of assessment determines whether
the problem still exists, or any changes.
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, focused assessment questions - Ans -‐ 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 - Ans -Performed to identify a life‐threatening problem
(choking, stab wound, heart attack).
subjective data - Ans -Information verbalized or stated by the client.
objective data - Ans -‐ Observable and measurable information.
‐ Remember to include your senses: smell, hearing, touch and sight.
sign - Ans -An objective finding perceived by the examiner ex. (fever, rash, etc.)
symptom - Ans -Subjective findings verbalized or stated by the client ex. ("I have a
headache" " I feel sick in my stomach.")
signs are - Ans -objective
symptoms are - Ans -subjective
2 sources of data - Ans -primary & 2ndary
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primary source of data - Ans -‐Information obtained from the patient (only)