Step by Step
Give 1 example of what the nurse would do in the implementation step of the nursing process
Take action. Carry out a nursing intervention
How often is the care plan reviewed and updated?
Once every 24 hours.
Data that can be verified is called?
Objective data.
During what phase of the nursing process does the nurse choose nursing interventions?
The planning phase.
If an intervention on the care plan is not documented, it is considered?
Not Done.
What is the goal of the assessment step of the nursing process?
Collect data. Recognize cues. Nurse will use critical thinking to accomplish this step.
What are etiologic factors?
The cause of the problem. Ex. Impaired mobility caused by neurologic impairment.
Data that cannot be verified is called?
Subjective data
Providing a patient with a dose of pain medication after surgery would be what type of nursing action?
A dependent nursing action
Who’s responsible for making sure a delegated task gets completed and documented?
The nurse who delegated the task.
What would a nurse do during the planning phase of the nursing process?
Generate solutions. Set goals. Plan interventions.
What individual is responsible for initiation of a nursing care plan?
The RN. LPN may assist in creating the care plan.
What type of data is: A temperature of 101.7F?
Objective Data
What are dependent nursing actions?
Actions that require a physician order.
This is the process of actively analyzing, applying, and evaluating information to make a clinical decision?
Critical Thinking
What activities take place during the evaluation phase of the nursing process?
Evaluate outcomes. Assess response to interventions. Determine if goals have been met. Do the patient responses match the expected outcomes? Care plan is reassess and changes made as needed.
What are defining characteristics?
Signs and symptoms.
Reports of "nausea after eating" would be what type of data?
Subjective Data
What are independent nursing actions?
Actions that do not require a physician order.
_____-_____ ____ requires the intentional presence of the nurse seeking to know the totality of the individual’s lived experiences and connections to others.
Patient-centered Care
Name the 5 steps of the nursing process in the correct order.
Assessment (data collection), Data analysis/problem identification, Planning, Implementation, Evaluation
How are nursing diagnosis and medical diagnosis different?
Medical diagnosis define the problem while nursing diagnosis defines the patient’s response to illness. Example: Dx: CVA, Nursing Dx: Impaired swallowing, risk for aspiration.
Coarse lung sounds hear on assessment would be an example of objective or subjective data?
Objective Data
During what phase of the nursing process are nursing interventions carried out?
The implementation phase.
What role does documentation have in care plans?
Documents the intervention and responses to support the care plan or initiate a change/modification in the care plan