The Nursing Process
This tool can help gather and link data in a logical manner and then group it in a meaningful way.
What is: concept mapping
Nursing diagnosis is based on:
What is: assessment data and problem identification.
Criteria for Expected Outcomes are:
What is: - Realistic - Attainable - Within time frame - Included after patient collaboration
Another name for Interventions.
What is: Nursing orders.
The first rule of priorities of care
What is: airway always comes first
Doing this with the care plan, allows the nurse to use critical thinking skills to organize care for the patient.
What is: Review the nursing care plan before beginning care.
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
You can tell if progress is being made or determine if revisions are necessary by:
What is: Comparing actual nursing outcomes to expected outcomes.
Before performing tasks for the first time, such as a urinary catheterization, the nurse should:
What is: Review the agency's procedure manual.
What you do if expected outcomes do not meet actual patient outcomes.
What is: Revise the nursing care plan.
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.
How often NANDA-I are revised?
2 years
An example of an expected outcome.
What is: Patient will eat 50% of 6 small meals every day by the end of week 1.
Nursing action that does not need an MD order to perform.
What is: Independent nursing action.
Task can be done anytime
What is: Time-flexible
Develops and prioritizes the initial care plan
What is: RN
Defines the patients response to illness
What is: North American Nursing Diagnosis Association International (NANDA-I)
Written interventions on the care plan should start with, the nurse will or the patient will?
What is: "The nurse will..."
Must be done at set time
What is: Time-fixed
Role of the LPN with care plans.
What is: collect data of health status and implementation of care plan.
If patient has several nursing diagnoses you do this.
What is: Prioritize according to Maslow's Hierarchy of Needs.
The two types of goals/expected outcomes.
What is: Short term and long term.
Etiology (causes of the problem) is stated as related to or as evidenced by?
What is: related to
Judgement of the effectiveness of the intervention or plan
What is: Evaluation