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Exam (elaborations)

The nursing process

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This document contains well refined questions and answers about the nursing process

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  • September 1, 2024
  • 9
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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The nursing process


what are nursing interventions – Answer

Are actions or treatments based on knowledge or judgment that the nurse performs to meet the patient
outcomes.



what are the 3 types of nursing interventions - provide examples - Answer1-independent ex. positioning
2-dependent ex. med admin 3-collaborative or interdependent ex. OT



what are the 4 types of NANDA-I dx - Answer1. Actual diagnosis

2. Risk diagnosis

3. Health promotion diagnosis

4. Wellness diagnosis



What are the characteristics of the nursing process? - Answer1-framework for care to indiv, families, &
communities 2-orderly & systematic 3-interdependent 4-provides specific care for the indiv, fam, &
comm 5- client centered 6-appropriate for use throughout lifespan 7-used in ALL settings



What are the steps of the nursing process? – Answer

ADPIE A=assessment D=diagnosis P=planning I=implementation E=evaluation



what does the planning phase of the nursing process consist of – Answer

develop a plan of care.This is accomplished by developing client centered goals

and expected outcomes. - use critical thinking to develop nursing interventions to resolve the client's
problem and achieve the goals.



what is an expected outcome – Answer

An outcome is a measurable change in the client's status that you expect to occur related to the
implemented care.

, What is NANDA-I – Answer

North American Nursing

Diagnosis Association International



what is the difference between a medical and nursing dx – Answer

A medical diagnosis describes a disease process. A nursing diagnosis describes an individual, family or

group response to an actual or potential problem.



ntiwhat is the etiology – Answer

the cause ; Idefies the physiologic, psychological, sociologic, spiritual, or environmental factors assumed
to be the

cause of the problem or a contributing factor.



what is the evaluation phase of the nursing process – Answer

Evaluation is the final stage of the nursing process. You as the nurse determine if the patient has
achieved the expected outcomes not if the nursing interventions were completed.




2 sources of data – Answer

primary & 2ndary



3 helpful guides in prioritizing needs - Answer1-Maslow 2- Pt preference what does the pt think is
important 3-Anticipation or future problems



actual dx – Answer

Represents a problem that has been validated by the

presence of defining characteristics (signs and

symptoms).

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