PNR 104

Steps of the nursing process in order Assessment, nursing dx, planning, implementation, and evaluation Assessment and nursing DX RN's are responsible for this part of the nursing process Data Collection LPN's main role in nursing process Documentation of the plan Should be constructed right after the admission database is collected. Must be readily available to each nurse who is assigned to the patient. (Reviewed & updated once every 24 hrs.) Problem solving process steps define the problem clearly, consider all possible alternatives as solutions to the problem, consider the possible outcomes for each alternative, predict the likelihood of each outcome occurring, choose the best alternative with the fewest undesirable outcomes. A medical diagnosis is never included in a nursing diagnosis True (example: stroke, MI) Nursing diagnosis = problem + etiology +signs and symptoms Etiology