2023 NUR 155 FOUNDATIONS TO NURSING EXAM 2 LATEST UPDATE GRADED A+

2023 NUR 155 FOUNDATIONS TO NURSING EXAM 2 LATEST UPDATE GRADED A+ What is the nursing process? - ANSWER-Systematic, rational method of planning and proving individualized care. What do you do in the nursing process? - ANSWER-1. Assessing 2. Nursing Diagnosing 3. Planning 4. Implementing 5. Evaluating What is the Decision-Making Process? - ANSWER--Choosing the best actions to meet a desired goal -Make value decisions -Time management decisions -Scheduling decisions -Priority decisions The Nursing Process: Assessing - ANSWER--Collecting, organizing, validating and documenting a patient's health data -collect data -organize data -validate data -Document data The Nursing Process: Diagnosing - ANSWER--Analyze date -Identify health problems, risks, and strengths -formulate diagnostic statements The Nursing Process: Planning - ANSWER--Prioritize problems/diagnoses -Formulate goals/desired outcomes -Select nursing interventions -Write nursing interventions The Nursing Process: Implementing - ANSWER--Reassess the client -Determine the nurse's need for assistance -Implementing the nursing interventions -Supervise delegated care -Document nursing activités The Nursing Process: Evaluating - ANSWER--Collect data related to outcomes -Compare data with outcomes -Relate nursing actions to client goals/outcomes -Draw conclusions about problem status -Continue, modify, or terminate the client's care plan What is subjective? - ANSWER-What the patient says Ex: "I have pain, nausea, fear" What is objective? - ANSWER--Measurable Ex: vital signs, labs, drainage, etc. Methods of data collection? - ANSWER--Observing -Interviewing Directive Approach to Interviewing? - ANSWER--Nurse establishes purpose -Nurse controls the interview -Used to gather and give information when time is limited, e.g., in an emergency Nondirective Approach to Interviewing - ANSWER--Rapport-building -Client controls the purpose, subject matter, and pacing -Combination of directive and nondirective approaches usually appropriate during the information-gathering interview Types of questions: Closed - ANSWER-If you can answer a question with only a "yes" or "no" response, then you are answering a close-ended type of question. Examples of close-ended questions are: Are you feeling better today? May I use the bathroom? Is the prime rib a special tonight? Should I date him? Will you please do me a favor? Types of questions: Open - ANSWER-Open-ended questions are ones that require more than one word answers. The answers could come in the form of a list, a few sentences or something longer such as a speech, paragraph or essay.