Nursing Process and Clinical Reasoning
17 Questions
9 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the primary focus of the nursing process?

  • Medication administration
  • Patient assessment
  • Problem solving and decision making (correct)
  • Documentation and record keeping
  • What is the purpose of collecting and validating data in the nursing process?

  • To evaluate the effectiveness of care
  • To create a treatment plan
  • To develop a nursing diagnosis
  • To establish a database of the patient's responses to healthcare concerns (correct)
  • What is the difference between subjective and objective data?

  • Subjective data is obtained from the patient, while objective data is obtained from secondary sources
  • Subjective data is a patient's report of their symptoms, while objective data is a measurable observation (correct)
  • Subjective data is a measurable observation, while objective data is a patient's report of their symptoms
  • Subjective data is obtained from secondary sources, while objective data is obtained from the patient
  • What is the primary source of data in the nursing process?

    <p>The patient themselves</p> Signup and view all the answers

    What is the directive approach to interviewing used for?

    <p>Gathering information when time is limited</p> Signup and view all the answers

    What is a key characteristic of the nursing process?

    <p>It is a systematic and cyclical approach</p> Signup and view all the answers

    What is the primary purpose of nursing diagnosis?

    <p>To identify health risks and strengths</p> Signup and view all the answers

    What is the role of NANDA in nursing diagnosis?

    <p>To organize nursing diagnoses into different categories</p> Signup and view all the answers

    What is the outcome of the diagnosing step in the nursing process?

    <p>Identification of patient problems, risks, and strengths</p> Signup and view all the answers

    What is included in a nursing diagnosis?

    <p>Etiology, diagnostic label, and evidence</p> Signup and view all the answers

    Why is a combination of directive and nondirective approaches usually appropriate during an information-gathering interview?

    <p>To achieve a balance between directive and nondirective approaches</p> Signup and view all the answers

    What is the primary purpose of the evaluation phase in the nursing process?

    <p>To determine whether to continue, modify or terminate the plan of care.</p> Signup and view all the answers

    What should the nurse do when a client's goal is partially met?

    <p>Modify the care plan to better address the client's needs.</p> Signup and view all the answers

    During the evaluation phase, what type of data does the nurse collect?

    <p>Objective data related to client outcomes.</p> Signup and view all the answers

    What is an example of critical thinking in the nursing process?

    <p>Looking at alternatives for wound care when a client's stasis ulcer is not improving.</p> Signup and view all the answers

    What is the outcome of the nursing process when a client's goal is met?

    <p>The care plan is terminated.</p> Signup and view all the answers

    What is the difference between the assessment and evaluation phases in the nursing process?

    <p>The assessment phase focuses on identifying client needs, while the evaluation phase focuses on evaluating client outcomes.</p> Signup and view all the answers

    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

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Description

    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.

    More Like This

    Use Quizgecko on...
    Browser
    Browser