17 Questions
What is the primary focus of the nursing process?
Problem solving and decision making
What is the purpose of collecting and validating data in the nursing process?
To establish a database of the patient's responses to healthcare concerns
What is the difference between subjective and objective data?
Subjective data is a patient's report of their symptoms, while objective data is a measurable observation
What is the primary source of data in the nursing process?
The patient themselves
What is the directive approach to interviewing used for?
Gathering information when time is limited
What is a key characteristic of the nursing process?
It is a systematic and cyclical approach
What is the primary purpose of nursing diagnosis?
To identify health risks and strengths
What is the role of NANDA in nursing diagnosis?
To organize nursing diagnoses into different categories
What is the outcome of the diagnosing step in the nursing process?
Identification of patient problems, risks, and strengths
What is included in a nursing diagnosis?
Etiology, diagnostic label, and evidence
Why is a combination of directive and nondirective approaches usually appropriate during an information-gathering interview?
To achieve a balance between directive and nondirective approaches
What is the primary purpose of the evaluation phase in the nursing process?
To determine whether to continue, modify or terminate the plan of care.
What should the nurse do when a client's goal is partially met?
Modify the care plan to better address the client's needs.
During the evaluation phase, what type of data does the nurse collect?
Objective data related to client outcomes.
What is an example of critical thinking in the nursing process?
Looking at alternatives for wound care when a client's stasis ulcer is not improving.
What is the outcome of the nursing process when a client's goal is met?
The care plan is terminated.
What is the difference between the assessment and evaluation phases in the nursing process?
The assessment phase focuses on identifying client needs, while the evaluation phase focuses on evaluating client outcomes.
Study Notes
Nondirective Approach to Interviewing
- Allows the patient to control the purpose, subject matter, and pacing of the interview
- Combines with directive approach to create a balanced information-gathering interview
Nursing Process
- Cyclic, goal-oriented, and dynamic in nature
- Directed and person-centered, focusing on problem-solving and decision-making
- Interpersonal and collaborative, universally applicable, and systematic
- A component of the RN Standards of Practice, involving clinical reasoning and patient assessment
Nursing Diagnosis
- Consists of diagnostic label, etiology (cause), and evidence
- Diagnostic label from NANDA (North American Nursing Diagnosis Association)
- NANDA developed a nursing classification to organize nursing diagnoses into categories
Patient Assessment
- Collects data, organizes and validates data, and documents data
- Purpose: establishes a database of patient's responses to healthcare concerns or illness and their ability to manage healthcare needs
Data Collection
- Types of data: subjective (e.g., patient's statement of pain) and objective (e.g., heart rate)
- Sources of data: primary (patient) and secondary (family, healthcare professionals, records, and reports)
- Data collection methods: observation (using senses of vision, smell, hearing, and touch)
Directive Approach to Interviewing
- Highly structured, eliciting specific information
- Nurse establishes purpose, controls the interview, and patient responds to questions
- Used to gather and give information when time is limited
Evaluating
- Collects data related to outcomes and compares data with outcomes
- Relates nursing actions to patient goals/outcomes, drawing conclusions about problem status
- Purpose: determines whether to continue, modify, or terminate the plan of care
Outcomes
- Goal met, goal partially met, or goal unmet
Test your knowledge of the nursing process, its characteristics, and the clinical reasoning cycle. Learn about patient assessment, data collection, and decision making in nursing practice.
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