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Nursing Process - NUR 101 Test 2
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Nursing Process - NUR 101 Test 2
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Nursing Process - NUR 101 Test 2A good plan of care should be - ANS-holistic, individualized, acceptable, continous,
easy to evaluate, communicative.
affective outcomes - ANS-changes in patients values, beliefs attitudes
analysis and interpretation - ANS-recognize patterns or trends, compare with standards,
then come to a conclusion about patients response to a health problem
Assessing - ANS-Systematically collecting and verifying patient data.
Assessment priorities - ANS-influenced by patients health orientation, developmental
stage, culture and need for nursing.
Characteristics of data - ANS-purposeful, complete, factual and accurate, reelevant
Charateristicss of nursing process - ANS-Systematic, Dynamic, Interpersonal, Outcome
oriented, Universally applicable
cognitive outcome - ANS-increases in patient knowledge
collaborative intervention - ANS-performed jointly by urses and ther memebers of the
healthcare team
Collaborative problems - ANS-physiologic complications that nurse monitors to detect
onset or changes in status
criteria - ANS-measurable qualities, attributes, or characteristics that specify skills,
knowledge or health status
Data cluster - ANS-grouping of patient data or cues that points to the existence of a
patient health problem
Data clustering - ANS-set of signs and symptoms grouped together in a logical order.
one method is to group your findings based on body systems.
data documentation - ANS-ALWAYS document finding from your assessment
, Data reporting of a change in health status - ANS-if critical immedite verbal reporting
Data validation - ANS-comparing data with another source, clarifying vague data
Definition of Nursing Process - ANS-To identify, diagnose, and treat human responses
to actual or potential health problems to health and illness. It is a systematic method
that directs the nurse and patient , as they together accomplish the following 5 steps:
Assesing, Diagnosing, Planning, Implementing, and Evaluating ( should be
individualized and organized)
Diagnosing - ANS-Clearly identifying patient strengths and actual and potential health
problems that ursing intervention can resolve.
Diagnosis - ANS-only RN can diagnose. First 3 semesters we write nursing problems
not diagnosis
Emergency Assessment - ANS-performed when physiologica or psychological crisis
presents. To idetify life-threatening problems.
etiology - ANS-physiologic, psychological, sociologic, spiritual, and environmental
factors elieved to be realted to the problem as either a cause or a contibuting factor
evaluate - ANS-reassessment, modification f the plan of care, termination of care,state
patients response to each intervention
Evaluating - ANS-Evaluate the efectiveness of the plan of care in terms of patient goal
achievement. Identify positive or negative outcome achievement. Revise if necessary.
Focused Assessment - ANS-may be performed during inital or as routine ongoing data
collection. performed to gather data about a specific problem already identifed, or to
identify new or overlooked problems. Performed by the nurse to collect data about a
specific problem.
Goal of outcome identification and planning - ANS-establish priorities, identify and write
patient outcomes, select evidence based nursing interventions, communicate care plan
Implementing - ANS-Describes the performance of nursing intervention necessary for
achieving the expected outcome. What you as the nurse will do, will assess, or will
administer so patient can achieve outcome. Action phase perform....act....do!
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