for Nursing Practice 12th Edition By Geralyn Frandsen;
Sandra S. Pennington
The Nursing Process - ANSWER:• A research-based organizational framework
• Flexible, adaptable, major systematic framework
• Ensures thorough, individualized, and quality nursing care to patients
• Requires critical thinking
o Clinical reasoning
o Clinical judgement
• Ongoing and constantly evolving process
Five Steps of the Nursing Process - ANSWER:1.Assessment
2.Nursing diagnosis
3.Planning
4.Implemation
5.Evaluation
Assessment - ANSWER:• Data collection, review, and analysis
• Medication profile
Nursing Diagnosis - ANSWER:Used to communicate and share information about the
patient and patient's experience
Three-step process:
PART 1: Human response to illness/injury/significant change
Part 2: Factors related to the response ("related to")
Part 3: Listing of cues/clues/evidence/other data that support the nurse's claim for
the diagnosis ("as evidenced by")
Common nursing diagnoses related to drug therapy: - ANSWER:Deficient knowledge
Risk of injury
Nonadherence
Various disturbances/deficits/excesses/impairments in bodily function
Example of nursing diagnosis - ANSWER:Anxiety related to cancer diagnosis as
evidenced by patient unable to sleep
(NANDA-I) - ANSWER:North American Nursing Diagnosis Association International
NANDA-I purpose is to... - ANSWER:o increase the visibility of nursing's contribution
to patient care
, o further develop, refine, and classify information and phenomena
International Classification for Nursing Practice (ICNP) - ANSWER:• Project of the
International Council of Nurses
• Framework that can be cross-mapped with other health care classification systems
o such as NANDA
• The Canadian Nurses Association (CNA) has endorsed the ICNP
Planning - ANSWER:• Identification of goals and outcome criteria
• Goals
o Objective
o Measurable
o Realistic
o Established time period for achievement of the outcomes
• Outcome criteria
o Concrete descriptions of patient goals
Implementation - ANSWER:• Guided by the previous phases
• Initiation and completion of specific nursing actions
• Independent, collaborative, dependent
• Statements of interventions include frequency, specific instructions, and any other
pertinent information.
The 10 Rights of Medication Administration - ANSWER:1. Right drug
2. Right dose
3, Right time
4. Right route
5. Right patient
6. Right reason
7. Right documentation
8. Right evaluation/ assessment
9. Right patient education
10. Right to refuse
Time critical scheduled medications - ANSWER:o Facility-defined medications
Administer at the exact time when necessary
• i.e. rapid-acting insulin
Otherwise within 30 minutes before or after scheduled time.
Non-Time Critical Scheduled Medications - ANSWER:o Daily, weekly, monthly
medications
Administer within 2 hours before or after scheduled time.
o Medications prescribed more frequently than daily but no greater than q4h
Administer within 1 hour before or after scheduled time.
Medication Errors - ANSWER:Major problem, regardless of health care setting