Nursing Process questions with correct
solutions
Define the nursing process✅✅a systematic problem solving approach toward
providing individualized nursing care.
What is NANDA-I✅✅North American Nursing
Diagnosis Association International
What are the characteristics of the nursing process?✅✅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?✅✅ADPIE A=assessment D=diagnosis
P=planning I=implementation E=evaluation
How does the nurse obtain assessment info?✅✅1- initial (or admission assessment)
2- focused assessment 3- emergency assesment
How does the nurse obtain assessment info?✅✅past medical hx - family hx - reason
for admission - current meds - previous hospitalizations & surgeries - psychosocial
assessment - nutrition - complete physical assessment
focused assessment✅✅Collects data about a problem that has already been
identified. This type of assessment determines whether
the problem still exists, or any changes.
focused assessment questions✅✅‐ 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✅✅Performed to identify a life‐threatening problem (choking,
stab wound, heart attack).
subjective data✅✅Information verbalized or stated by the client.
objective data✅✅‐ Observable and measurable information.
‐ Remember to include your senses: smell, hearing, touch and sight.
sign✅✅An objective finding perceived by the examiner ex. (fever, rash, etc.)
, symptom✅✅Subjective findings verbalized or stated by the client ex. ("I have a
headache" " I feel sick in my stomach.")
signs are✅✅objective
symptoms are✅✅subjective
2 sources of data✅✅primary & 2ndary
primary source of data✅✅‐Information obtained from the patient (only)
secondary sources of data✅✅‐ Family members
‐ Significant others
‐ Past & current health records, laboratory tests,diagnostic procedures, consultations
from other healthcare professionals.
collect the data then BLANK the data✅✅VALIDATE
‐Confirm and verify the information.
‐ Keep it free from errors, bias, or misinterpretation.
Data is 1,2,3✅✅collected, validated, then clustered
clustering of data often contains✅✅defining characteristics which are specific
assessment findings that support a
nursing diagnosis.
during the clustering of data what is used✅✅critical thinking is used to analyze and
synthesize the information that is
collected. The data is then put into specific clusters that describe a specific client
problem.
identify sources of data for obtaining information from the client✅✅subjective &
objective, primary & secondary, people, healthcare professionals, medical chart, test &
lab results etc
identify how you develop a nursing diagnosis✅✅As you cluster data, you begin to
consider various diagnoses that may relate to the client. You must remember that if
certain defining characteristics do not exist for a specific diagnosis, then you must not
use the diagnosis.
identify how you develop a nursing diagnosis (what is first / next etc)✅✅1. Complete
thorough assessment of the patient.
2.Highlight or underline relevant symptoms (defining
solutions
Define the nursing process✅✅a systematic problem solving approach toward
providing individualized nursing care.
What is NANDA-I✅✅North American Nursing
Diagnosis Association International
What are the characteristics of the nursing process?✅✅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?✅✅ADPIE A=assessment D=diagnosis
P=planning I=implementation E=evaluation
How does the nurse obtain assessment info?✅✅1- initial (or admission assessment)
2- focused assessment 3- emergency assesment
How does the nurse obtain assessment info?✅✅past medical hx - family hx - reason
for admission - current meds - previous hospitalizations & surgeries - psychosocial
assessment - nutrition - complete physical assessment
focused assessment✅✅Collects data about a problem that has already been
identified. This type of assessment determines whether
the problem still exists, or any changes.
focused assessment questions✅✅‐ 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✅✅Performed to identify a life‐threatening problem (choking,
stab wound, heart attack).
subjective data✅✅Information verbalized or stated by the client.
objective data✅✅‐ Observable and measurable information.
‐ Remember to include your senses: smell, hearing, touch and sight.
sign✅✅An objective finding perceived by the examiner ex. (fever, rash, etc.)
, symptom✅✅Subjective findings verbalized or stated by the client ex. ("I have a
headache" " I feel sick in my stomach.")
signs are✅✅objective
symptoms are✅✅subjective
2 sources of data✅✅primary & 2ndary
primary source of data✅✅‐Information obtained from the patient (only)
secondary sources of data✅✅‐ Family members
‐ Significant others
‐ Past & current health records, laboratory tests,diagnostic procedures, consultations
from other healthcare professionals.
collect the data then BLANK the data✅✅VALIDATE
‐Confirm and verify the information.
‐ Keep it free from errors, bias, or misinterpretation.
Data is 1,2,3✅✅collected, validated, then clustered
clustering of data often contains✅✅defining characteristics which are specific
assessment findings that support a
nursing diagnosis.
during the clustering of data what is used✅✅critical thinking is used to analyze and
synthesize the information that is
collected. The data is then put into specific clusters that describe a specific client
problem.
identify sources of data for obtaining information from the client✅✅subjective &
objective, primary & secondary, people, healthcare professionals, medical chart, test &
lab results etc
identify how you develop a nursing diagnosis✅✅As you cluster data, you begin to
consider various diagnoses that may relate to the client. You must remember that if
certain defining characteristics do not exist for a specific diagnosis, then you must not
use the diagnosis.
identify how you develop a nursing diagnosis (what is first / next etc)✅✅1. Complete
thorough assessment of the patient.
2.Highlight or underline relevant symptoms (defining
