The Nursing Process
Nursing Diagnosis
Planning
Intervention
Evaluation
100
This tool can help gather data in a logical manner and then group it in a meaningful way.
What is: concept mapping
100
Nursing diagnosis is based on:
What is: assessment data and problem identification.
100
Criteria for Expected Outcomes are:
What is: - Realistic - Attainable - Within time frame - Included after patient collaboration
100
Another name for Interventions.
What is: Nursing orders.
100
Three purposes of Evaluation.
What is: 1. Determine if outcomes were reached and goals met 2. Compare actual outcomes with expected outcomes 3. Confirm nursing interventions are effective
200
This allows the nurse to use critical thinking skills to organize care for the patient.
What is: Review the nursing care plan before beginning care.
200
The three parts of the nursing diagnosis.
What is: 1. patient's problem or potential problem 2. causative or related factors 3. defining characteristics or signs and symptoms
200
You can tell if progress is being made or determine if revisions are necessary by:
What is: Comparing actual nursing outcomes to expected outcomes.
200
Before performing tasks for the first time, such as a urinary catheterization, the nurse should:
What is: Review the agency's procedure manual.
200
What you do if expected outcomes do not meet actual patient outcomes.
What is: Revise the nursing care plan.
300
Directed, purposeful, mental activity by which you create and evaluate ideas, analyze data, anticipate problems, use expansive thinking, reflect on experience, construct plans and determine desired outcomes.
What is: critical thinking.
300
Nursing diagnosis identifies:
What is: - Patient's response to illness - Related signs/symptoms - Causative factors - Potential risk for health problems
300
An example of an expected outcome.
What is: Patient will eat 50% of 6 small meals every day by the end of week 1.
300
Nursing action that does not need an MD order to perform.
What is: Independent nursing action.
300
An example of an Evaluation.
What is: The patient's pain level is 2-3 out of ten 45 minutes after pain medication administration and patient states pain is manageable. Continue plan. Attempts ROM by self when encouraged; performed ROM X2 this shift. Continue plan.
400
Develops and prioritizes the initial care plan
What is: RN
400
Diagnostic labels
What is: North American Nursing Diagnosis Association International (NANDA-I)
400
Written expected outcomes should start with:
What is: "The patient will..."
400
Written interventions on the care plan should start with:
What is: "The nurse will..."
400
Actions to be performed when expected outcomes have been met.
What is: Document data to support this and mark nursing diagnosis as resolved.
500
Role of the LPN
What is: collect data of health status and implementation of care plan.
500
If patient has several nursing diagnoses you do this.
What is: Prioritize according to Maslow's Hierarchy of Needs.
500
The two types of goals/expected outcomes.
What is: Short term and long term.
500
Example of an intervention for a patient who is on bedrest.
What is: 1. Turn, cough, deep breathe 2. ROM
500
Goal of outcome-based quality-improvement program.
What is: Improve nursing practice.
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