Ch. 4: The Nursing Process and
Pharmacology:
The Nursing Process - ANS- Foundation for the clinical practice of nursing
- provides framework for consistent nursing actions
Steps of the Nursing Process - ANSADPIE
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
What is the foundation for the clinical practice of nursing?
a) Assessment
b) Nursing process
c) Planning
d) Evaluation
e) Implementation - ANSb) Nursing process
Rationale: It takes all parameters of the nursing process, which include assessment, diagnosis, planning,
implementation, and evaluation, to encompass the full care of a patient.
Holistic Care Needs - ANS•See Figure 4-1 in the text (p. 38).
Assessment - ANS- starts when pt. is admitted until pt. is discharged
- Physical examination
, - Nursing history
- Medication history
- Diagnostic test results
Formats of Data-Collection - ANS- Head-to-Toe Assessment
- Body Systems Assessment
- Gordon's Functional Health Patterns Model
Gordon's Functional Health Patterns Model - ANSHealth Perception-Health Management Pattern
Nutrition-Metabolic Pattern
Elimination Pattern
Activity-Exercise Pattern
Cognitive-Perceptual Pattern
Sleep-Rest Pattern
Self-Perception-Self-Concept Pattern
Role-Relationship Pattern
Sexuality-Reproductive Pattern
Coping-Stress Tolerance Pattern
Value-Belief Pattern
Nursing Diagnosis - ANSA clinical judgment about individual, family, or community responses to actual or
potential health problems/life processes (NANDA-I)
Five Types of Nursing Diagnoses - ANS- Actual
- Risk/High Risk
- Possible
- Health Promotion and Wellness
- Syndrome
Pharmacology:
The Nursing Process - ANS- Foundation for the clinical practice of nursing
- provides framework for consistent nursing actions
Steps of the Nursing Process - ANSADPIE
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
What is the foundation for the clinical practice of nursing?
a) Assessment
b) Nursing process
c) Planning
d) Evaluation
e) Implementation - ANSb) Nursing process
Rationale: It takes all parameters of the nursing process, which include assessment, diagnosis, planning,
implementation, and evaluation, to encompass the full care of a patient.
Holistic Care Needs - ANS•See Figure 4-1 in the text (p. 38).
Assessment - ANS- starts when pt. is admitted until pt. is discharged
- Physical examination
, - Nursing history
- Medication history
- Diagnostic test results
Formats of Data-Collection - ANS- Head-to-Toe Assessment
- Body Systems Assessment
- Gordon's Functional Health Patterns Model
Gordon's Functional Health Patterns Model - ANSHealth Perception-Health Management Pattern
Nutrition-Metabolic Pattern
Elimination Pattern
Activity-Exercise Pattern
Cognitive-Perceptual Pattern
Sleep-Rest Pattern
Self-Perception-Self-Concept Pattern
Role-Relationship Pattern
Sexuality-Reproductive Pattern
Coping-Stress Tolerance Pattern
Value-Belief Pattern
Nursing Diagnosis - ANSA clinical judgment about individual, family, or community responses to actual or
potential health problems/life processes (NANDA-I)
Five Types of Nursing Diagnoses - ANS- Actual
- Risk/High Risk
- Possible
- Health Promotion and Wellness
- Syndrome
