QUESTIONS AND 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
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, the problem still exists, or any changes.
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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