Flashcards › The Nursing Process

List the 5 steps of the nursing process Assessment, Dx, Planning, Implementation, Evaluation Actual Dx means... Condition that is currently present A client states "My stomach hurts".....what type of data is this.. Subjective Who created nursing dx that are for our use? NANDA What does etiology mean? Cause of a disease The pt had a hip surgery and is unable to get out of bed....they have a risk for impaired skin integrity. what type of dx is this? Risk dx The pt had a hip surgery. The nurse works closely with PT and the surgeon....what type of nursing action is this? Collaboration Client has tremors of both hands.....what type of data is this? Objective The nurse watched the client administered his own insulin.....what type of data is this? Objective Client ate cereal, juice, toast and coffee.....what type of data is this? Objective A client states "This catheter hurts".....what type of data is this.. Subjective What type of data serves as a comparison for future s/s and provides a reference for determining if a client is improving? Baseline data Name the process that provides a systematic method for nurses to plan and implement client care to achieve desired outcomes. Nursing Process What is the basis for the basic human need hierarchy? Maslow's Hierarchy of Needs What is the careful observation and evaluation of a client's health? Assessment Relieving the cause of the problem directs the...... Intervention Pt having pain...what is your nursing goal? Relieve / control pain Pt's response to nursing actions/interventions is complete during what step in the nsg process? Evaluation Pt's response to nursing questions is complete during what step in the nsg process? Assessment Name 3 characteristics of critical thinkers. Aware of of their strength's, knows their limitations and when to ask for help, open-minded, humble What is known as intentional, comtemplative, and outcome-directed thinking. Critical Thinking Assessing a pt's abdominal dressing is complete during what step in the nsg process? Assessment Establishing priorities is key........the first level of need is also known as.. Physiological A nursing dx has 3 components.......... The name, the cause, the s/s If the LVN delivers basic care, preventive nursing, client education and documents - what step in the nursing process is he/she completing? Implementation If the LVN gathers, organize and analyzes subjective/objective data- what step in the nursing process is he/she completing? Assessment

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