The Nursing Process
Critical Pathway of Care for Client in Alcohol Withdrawal
Problem-Oriented Recording
Validation of the Nursing Process by using the SOAPIE Format
Review Questions
100

This portion of the nursing process involves the dynamic process by which the RN, through interaction with the patient, family. groups, communities, populations, and Healthcare providers, collects and analyzes data.

What is Assessment?

100
This is the day when the client would have blood alcohol level measured, drug screening done, chemistry profile completed, urinalysis conducted, chest x-ray performed, and ECG taken.

What is day 1?

100

This is what the "S" stands for in the SOAPIE format.

What is Subjective data?

100

This is what is being recorded in the "S" and "O" portions of the SOAPIE format.

What is being verbally reported to, and direct observation and examination by, the nurse?

100

The nurse is using the nursing process to care for a client who is suicidal. The statement below belongs to which section of the nursing process? "Notes that client's family reports recent suicide attempt."

What is the Assessment portion of the nursing process?

200

This portion of the nursing process involves clinical judgments about individual, family, or community experiences/responses to actual or potential health problems/life processes.

What is Nursing Diagnosis?

200

During this period of time strict I&Os are taken. 

What is day 1 thru day 5?

200

This is what the "O" stands for in the SOAPIE format.

What is Objective data?

200

This is what is being recorded in the "A" portion of the SOAPIE format.

What is the Nurse's interpretation of the "S" and "O" portions of the SOAPIE format?

200

The nurse is using the nursing process to care for a client who is suicidal. Which portion of the nursing process is being used in; "Identifies nursing diagnosis: Risk for suicide"

What is the diagnosis portion of the nursing process?

300

This portion of the nursing process involves client behaviors and responses that are colloaboratively agreed upon, measurable, desired results of nursing interventions. 

What is Outcomes?

300
One this day, Librium is administered at 200 mg in divided doses.

What is day 1?

300

This is what the "A" stands for in the SOAPIE format.

What is Assessment?

300

This is what is being recorded in the "P" portion of the SOAPIE format.

What is the Description of appropriate nursing actions to resolve the identified problem?

300
The nursing is using the nursing process to care for a client who is suicidal. Which portion of the nursing process is being used when; "Establishes goal of care; Client will not harm self during hospitalization"

What is the outcome identification portion of the nursing process?

400

This portion of the nursing process involves the process of dtermining the healthcare consumer's progress toward attainment of expected outcomes, and the effectiveness of the RN's care and interventions.

What is Evaluation?

400

On this day, Librium is administered at 160 mg in divided doses.

What is day 2?

400
This is what the "P" stands for in the SOAPIE format.

What is Plan?

400

This is what is being recorded in the "I" portion of the SOAPIE format.

What is the Description of nursing actions actually carried out?

400

The nursing is using the nursing process to care for a client who is suicidal. Which portion of the nursing process is being used when; "Prioritizes the necessity for maintaining a safe environment for the client"

What is the planning portion of the nursing process?

500

According to the ANA, American Psychiatric Nurses Association, and the International Society of Psychiatric-Mental Health Nurses, these are the SIX steps in the ongoing nursing process.

What are "Assessment", "Diagnosis", "Outcome Identification", "Planning", "Implementation", and  "Evaluation"?

500

On this day, Librium is administered at 80 mg in divided doses. Hint it is not day 3...

What is day 4? On day 3 the Librium is administered at 120 mg in divided doses. 
500

This is what the "I" and the "E" stand for in the SOAPIE format.

What is Intervention and Evaluation?

500

This is what is being recorded in the "E" portion of the SOAPIE format.

What is the Reassessment of the situation to determine results of nursing actions implemented?

500

The nurse is using the nursing process to care for a client who is suicidal. Which of the nursing process is being used when; "Collaborates with the client to develop a plan for ongoing safety and suicide prevention"

What is the implementation portion of the nursing process?