Podcast
Questions and Answers
Which of the following best describes the primary purpose of the nursing process?
Which of the following best describes the primary purpose of the nursing process?
- To reduce the administrative burden on nursing staff.
- To identify the healthcare needs of an individual and provide tailored care. (correct)
- To ensure all patients receive the same level of care, regardless of their condition.
- To standardize medical treatments across healthcare settings.
The nursing process is described as cyclical, continuous, and dynamic. What does this imply about patient care?
The nursing process is described as cyclical, continuous, and dynamic. What does this imply about patient care?
- The care plan is implemented in a linear fashion, with each step completed before moving to the next.
- Once initiated, the care plan remains unchanged throughout the patient's treatment.
- The care plan is continuously evolving and adapting to the patient's changing condition. (correct)
- The care plan is rigid and must be followed exactly as it is written.
How did the North American Nursing Diagnosis Association (NANDA)'s work impact the nursing process?
How did the North American Nursing Diagnosis Association (NANDA)'s work impact the nursing process?
- NANDA limited international participation in the development of nursing standards.
- NANDA's work led to the exclusion of nursing diagnosis from patient care.
- NANDA formalized nursing diagnosis as a key step in the nursing process. (correct)
- NANDA shifted the focus away from patient-centered care.
A nurse is using the nursing process. How does this approach affect their critical thinking and decision-making skills?
A nurse is using the nursing process. How does this approach affect their critical thinking and decision-making skills?
Which feature of the nursing process ensures that healthcare is delivered in a structured and methodical manner?
Which feature of the nursing process ensures that healthcare is delivered in a structured and methodical manner?
How would you describe the adaptability and applicability of the nursing process across different settings and specializations?
How would you describe the adaptability and applicability of the nursing process across different settings and specializations?
In the context of the nursing process, what does patient-centered care primarily emphasize?
In the context of the nursing process, what does patient-centered care primarily emphasize?
How does the nursing process contribute to the professional growth and development of a nurse?
How does the nursing process contribute to the professional growth and development of a nurse?
A patient is admitted with pneumonia and has difficulty breathing. Which type of nursing diagnosis is most appropriate for the respiratory issue?
A patient is admitted with pneumonia and has difficulty breathing. Which type of nursing diagnosis is most appropriate for the respiratory issue?
A nurse identifies that a patient who is recovering from surgery is at risk for developing a pressure ulcer due to prolonged bed rest. What type of nursing diagnosis should the nurse use?
A nurse identifies that a patient who is recovering from surgery is at risk for developing a pressure ulcer due to prolonged bed rest. What type of nursing diagnosis should the nurse use?
Which nursing diagnosis component is absent in a 'Risk for' diagnosis?
Which nursing diagnosis component is absent in a 'Risk for' diagnosis?
Which action best exemplifies the 'assessing' phase of the nursing process?
Which action best exemplifies the 'assessing' phase of the nursing process?
A patient reports feeling anxious and having difficulty sleeping before surgery. How should the nurse categorize this type of data?
A patient reports feeling anxious and having difficulty sleeping before surgery. How should the nurse categorize this type of data?
A nurse is creating a care plan for a patient with multiple nursing diagnoses. Which diagnosis should the nurse address first?
A nurse is creating a care plan for a patient with multiple nursing diagnoses. Which diagnosis should the nurse address first?
During a physical examination, a nurse identifies the presence of edema by pressing a finger into the patient's lower leg.. Which data collection method is the nurse using?
During a physical examination, a nurse identifies the presence of edema by pressing a finger into the patient's lower leg.. Which data collection method is the nurse using?
A patient is diagnosed with both 'Impaired Physical Mobility' and 'Risk for Falls'. In what order should these diagnoses be addressed in the care plan?
A patient is diagnosed with both 'Impaired Physical Mobility' and 'Risk for Falls'. In what order should these diagnoses be addressed in the care plan?
After data collection, a nurse identifies the following nursing diagnoses for a patient: 1) Acute Pain, 2) Risk for Infection, 3) Impaired Skin Integrity, and 4) Anxiety. How should these diagnoses be prioritized?
After data collection, a nurse identifies the following nursing diagnoses for a patient: 1) Acute Pain, 2) Risk for Infection, 3) Impaired Skin Integrity, and 4) Anxiety. How should these diagnoses be prioritized?
A nurse obtains a blood pressure reading of 90/50 mmHg. What is the most appropriate next action for the nurse in relation to validating data?
A nurse obtains a blood pressure reading of 90/50 mmHg. What is the most appropriate next action for the nurse in relation to validating data?
Which action is part of the planning phase of the nursing process?
Which action is part of the planning phase of the nursing process?
Which scenario demonstrates a nurse appropriately documenting patient data?
Which scenario demonstrates a nurse appropriately documenting patient data?
A nurse formulates a nursing diagnosis for a patient. What does the nursing diagnosis primarily describe?
A nurse formulates a nursing diagnosis for a patient. What does the nursing diagnosis primarily describe?
During which phase of the nursing process is the care plan put into action?
During which phase of the nursing process is the care plan put into action?
Prior to administering medication, a nurse reviews the patient's history, checks for allergies, and verifies the medication order. Which phase of the nursing process does this action represent?
Prior to administering medication, a nurse reviews the patient's history, checks for allergies, and verifies the medication order. Which phase of the nursing process does this action represent?
After implementing a new pain management protocol, the nurse monitors patients' pain levels and satisfaction: Which step of the nursing process is being performed?
After implementing a new pain management protocol, the nurse monitors patients' pain levels and satisfaction: Which step of the nursing process is being performed?
During the evaluation phase of the nursing process, if the established goals are not met, what is the MOST appropriate next step for the nurse?
During the evaluation phase of the nursing process, if the established goals are not met, what is the MOST appropriate next step for the nurse?
A patient's care plan includes interventions to manage a risk for hyperthermia related to decreased ability to perspire. Following implementation, the patient's temperature remains elevated. Which factor is LEAST likely to contribute to the failure of the interventions?
A patient's care plan includes interventions to manage a risk for hyperthermia related to decreased ability to perspire. Following implementation, the patient's temperature remains elevated. Which factor is LEAST likely to contribute to the failure of the interventions?
When evaluating the effectiveness of interventions for a patient, a nurse notices that the patient's condition has unexpectedly deteriorated. What should be the nurse's INITIAL response?
When evaluating the effectiveness of interventions for a patient, a nurse notices that the patient's condition has unexpectedly deteriorated. What should be the nurse's INITIAL response?
A nurse is evaluating a care plan focused on managing a patient's potential for hyperthermia. The goal was to reduce the patient's temperature from 38.2°C to a normal range. After implementing interventions, the patient's temperature is consistently 37.9°C. What is the MOST appropriate nursing action?
A nurse is evaluating a care plan focused on managing a patient's potential for hyperthermia. The goal was to reduce the patient's temperature from 38.2°C to a normal range. After implementing interventions, the patient's temperature is consistently 37.9°C. What is the MOST appropriate nursing action?
Which scenario BEST exemplifies the evaluation phase of the nursing process?
Which scenario BEST exemplifies the evaluation phase of the nursing process?
A nurse has implemented interventions to manage a patient's fluid volume deficit. During evaluation, the nurse observes that the patient's urine output has increased, but skin turgor remains poor. What does this indicate about the interventions?
A nurse has implemented interventions to manage a patient's fluid volume deficit. During evaluation, the nurse observes that the patient's urine output has increased, but skin turgor remains poor. What does this indicate about the interventions?
If, upon evaluation, the nurse determines that the implemented interventions were not successful in achieving expected outcomes, what step should the nurse take NEXT?
If, upon evaluation, the nurse determines that the implemented interventions were not successful in achieving expected outcomes, what step should the nurse take NEXT?
Which of the following is LEAST likely to be a reason for the failure to achieve goals during the evaluation phase of the nursing process?
Which of the following is LEAST likely to be a reason for the failure to achieve goals during the evaluation phase of the nursing process?
Flashcards
Nursing Process
Nursing Process
A systematic method to identify health needs and provide individualized care to healthy or sick individuals.
First Use of Nursing Process Concept
First Use of Nursing Process Concept
Lydia Hall first introduced the nursing process as the "Nursing Process System."
Nursing Process Steps (Early Definition)
Nursing Process Steps (Early Definition)
Yura and Walsh defined the nursing process in four steps.
Gebbie and Lavin's Contribution
Gebbie and Lavin's Contribution
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Nursing Process Benefit
Nursing Process Benefit
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Nursing Process Universality
Nursing Process Universality
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Dynamic Nature
Dynamic Nature
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Nursing Process Advantages
Nursing Process Advantages
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Nursing Process Purpose
Nursing Process Purpose
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The 5 Steps of Nursing Process
The 5 Steps of Nursing Process
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Assessing
Assessing
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Assessment Process
Assessment Process
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Subjective Data
Subjective Data
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Objective Data
Objective Data
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Data Collection Methods
Data Collection Methods
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Nursing Diagnosis
Nursing Diagnosis
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Actual Nursing Diagnosis
Actual Nursing Diagnosis
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Risk Nursing Diagnosis
Risk Nursing Diagnosis
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Health Promotion Nursing Diagnosis
Health Promotion Nursing Diagnosis
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Nursing Diagnosis Components
Nursing Diagnosis Components
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Prioritizing Nursing Diagnoses
Prioritizing Nursing Diagnoses
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Planning in Nursing
Planning in Nursing
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Planning Process Steps
Planning Process Steps
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Implementing in Nursing
Implementing in Nursing
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Evaluating (Nursing Process)
Evaluating (Nursing Process)
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Evaluation Outcome: Goals Not Met
Evaluation Outcome: Goals Not Met
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Reasons for Unmet Goals (Evaluation)
Reasons for Unmet Goals (Evaluation)
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Intervention Issues in Evaluation
Intervention Issues in Evaluation
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Patient Condition Changes
Patient Condition Changes
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Hyperthermia Risk Factor
Hyperthermia Risk Factor
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Hyperthermia Nursing Interventions
Hyperthermia Nursing Interventions
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Hyperthermia Goal Evaluation
Hyperthermia Goal Evaluation
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Study Notes
- The nursing process is a systematic method used for identifying the health care needs of individuals and providing individual care.
- Assist. Prof. Dr. Funda KARAMAN is the lecturer for the Nursing Process.
Objectives of the Nursing Process:
- Define process purpose
- Learn steps
- Explain steps with a sample plan
- Apply the nursing process
History of the Nursing Process
- The concept of the nursing process was first used in 1955 by Lydia Hall as the "Nursing Process System."
- Later, Dorothy Johnson (1959), Idea Jean Orlanda (1961), and Ernestine Wiedenbach (1963) handled the nursing process in three stages.
- Yura and Walsh (1967), Kartz (1979), McFarlene, and Castledine (1982) defined the nursing process stages as four steps.
- Kritina Gebbie and Mary Am Lavin focused on nursing diagnosis at the conference they organized in 1973, attempting classify nursing diagnoses
- After the first meeting of the North American Nursing Diagnosis Association (NANDA) in 1974, Gebbie and Lavin added nursing diagnosis to the nursing process.
- NANDA created the "Nursing Diagnosis Terminology" in 1982.
- NANDA began to represent international participation by taking the name "international" in 1992.
- The nursing process can be implemented by every nurse in every faculty and is used in every branch of nursing.
Features of the Nursing Process
- It is universal and used in every health institution.
- It can be applied to any age group
- Is cyclical, continuous, and dynamic.
- Is patient-centered.
- Care is provided scientifically, planned, and systematically.
- It assesses both individual and systematic evaluation of care.
- Increases critical thinking, decision-making, and problem-solving abilities.
- Improves interpersonal, technical, and intellectual skills.
Purpose of the Nursing Process
- Identifying an individual's health needs.
- Determining the individual's priorities.
- Determining the goals of care.
- Identifying and implementing nursing interventions.
- Evaluating the effectiveness of nursing care.
Nursing Process Steps
- Assessment
- Diagnosis
- Planning
- Implementation
- Evaluation
Assessment
- Assessment involves collecting, organizing, validating, and documenting data.
Collecting Data
- Data are grouped as subjective and objective.
- Subjective Data: Data expressed verbally by the patient and the family
- Objective Data: Data collected through physical assessment, diagnostic procedures, and laboratory results.
Data Collection Methods
- Observation
- Interview
- Physics Assessment through:
- Inspection (observation).
- Auscultation (hearing).
- Palpation (manual examination).
- Percussion (hitting with fingers).
- Olfaxation (by smelling)
Data sources
- Healthy/sick individual.
- Family member.
- Support people.
- Patient records.
- Other health professionals.
- Diagnosis and laboratory results.
- Previous records.
- Recording formats whether written or computerized are used to organize data.
- The data collected are recorded with a data collection form.
- To ensure complete, real, and correct data. Data records must be accurate, timely, and include information on the patient's health status. The collected data should be validated by the nurse
- Documentation should be recorded realistically and without interpretation by the nurse.
Diagnosis
- Nursing diagnosis describes a plan for the patient’s actual and potential response to a health problem.
- Nurses analyze diagnostic data to determine nursing diagnosis (ANA, 1991).
Types of Nursing Diagnosis
- Actual (problem-focused) nursing diagnoses relate to a patient's problems with existing signs and symptoms.
- Risk (potential) nursing diagnoses are possible to happen for the patient.
- Health promotion/wellness nursing diagnoses can help improve the health of a patient.
Nursing Diagnosis Components
- Identification of the problem.
- Determination of etiology (cause of the problem/related factors).
- Identification of symptoms.
- There are no signs or symptoms for risk diagnosis.
Documentation of Nursing Diagnosis
- List nursing diagnosis in order of priority.
- Actual diagnoses are handled first, and then risk diagnoses should be handled.
Planning
- Planning is a conscious and systematic phase of the nursing process including decision-making and problem-solving.
- Determine necessary interventions to prevent, reduce, or eliminate the patient's health problems.
Planning Process
- Determine priorities.
- Determine goals/desired outcomes of patient care.
- Selection of initiatives.
- Write a care plan.
Implementing
- Implementation is the phase is the implementation of the care plan to achieve the goal given in the care plan.
- The implementation phase is known as the delivery of care.
- Providing care safely and effectively depends on professional knowledge, experience, and positive interpersonal relationships.
- All applications made are recorded.
Evaluating
- Evaluation is the most important stage in the nursing process
- Evaluate whether the goals were reached or not. If not, the problem is handled and new interventions are planned. The entire nursing care process begins again.
Reasons where goals cannot be achieved
- Lack of data
- Choosing an inappropriate diagnosis
- Unrealistic goals
- Wrong method choice
- Incomplete implementation of planned initiatives
- Unexpected changes in the patient's condition may include
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Description
Explore key aspects of the nursing process, its cyclical nature, and its impact on patient care. Understand benefits of the nursing process, as well as how it contributes to the professional growth of nurses.
