nursing process
the mnemonic for the nursing process
What is ADPIE
the patient is drunk but his wife isn't. the primary source is
who is the wife
as a nurse in a long-term care facility your morning med pass is doubled due to a colleague being out sick you have 30 patients instead of 15 !! this is an example of__________
what is Time Pressure
granny in bed 4 is 87 years old she is hard of hearing the nurse known to allow more time for her health history and patient centered interview because of
what is increased response time
Time questions
When did it start
how long does it last
how often does it occur
the part of the nursing process in which the nurse will actually enact plans and processes
what is implementation
the nurse can measure a blood pressure. this is what kind of data
what is objective
While pulling medications out of the pyxis your colleague wants to talk about another nurses recent breakup and face book post. this is an _________ known to cause medication errors
what is an interruption
when speaking with an Asian woman to gather health history the nurse notices the pt does not make eye contact and realizes this may be
what is a cultural difference
what makes it worse or what brings it on are examples of questions to evaluate
what is P provokes
this is the first step. data collection if you will
what is assessment
during this phase of the assessment interviews the nurse will summarize and ensure her data is accurate
what is termination phase
a patient recovering from a surgical internal and external fixation of bilateral long bone fractures will require a full bed bath and bedding change on your shift. The nurse knows this is an example of _________ and will require time and assistance
what is task complexity
a male nurse waits for a male family member or the pts husband to be present before performing a head-to-toe assessment of a muslin female this behavior is displaying
what is culturally sensitive care
Relieves/radiates questions
what makes it feel better or go away
Does is stay in one place or move
in this portion the problem is named using a 2 or 3 part statement
what is diagnose
saying I see, uh huh, wow, okay. nodding your head, making facial expressions are forms of active listening or ____________ technique
what is back channeling
by asking uap to report elevated temp to another nurse while preparing medications for a patient you have avoided interruption. this decreased your risk for
what is a medication error
the nurse suspects a patient may have the flu due to reported symptoms and fever the lab call to report a positive flu test this is an example of _________
(this fall under stuff not culture)
what is validation
Pain scale
what is S severity
once completed the nurse may stop the plan of care or start the entire process over
what is evaluation
these are two type of data that can be collected during a patient health history or interview
what is subjective ( they said it or described it)
and objective ( what we observe during the conversation)
it's a Monday and in flu season only two nurses have come in everyone is out sick you each have 13 patients on a med surg unit some who are on telemetry and receive medications that are tedious to prepare requiring monitoring afterward. two patients have post-surgical wound care that is time consuming and three patients with the flu have vomited the family is calling out via the call bell asking for pt to be bathed and beds changed. these two nurses are experiencing
what is time pressure task complexity and interruption
will also accept the last straw the last day at work etc lol
name age marital status are examples of what portion of a health history
(stuff not culture)
what is biographical information
question to access quality
what is can you describe it