Podcast
Questions and Answers
What is the primary goal of the assessing phase in the nursing process?
What is the primary goal of the assessing phase in the nursing process?
Which of the following is NOT a major activity associated with the assessing phase?
Which of the following is NOT a major activity associated with the assessing phase?
In the nursing process, subjective data is defined as data that is:
In the nursing process, subjective data is defined as data that is:
What distinguishes primary data from secondary data in the context of nursing assessments?
What distinguishes primary data from secondary data in the context of nursing assessments?
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Which interviewing approach emphasizes the use of open-ended questions for gathering client information?
Which interviewing approach emphasizes the use of open-ended questions for gathering client information?
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What is the primary goal of the implementation phase in the nursing process?
What is the primary goal of the implementation phase in the nursing process?
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During which phase of the nursing process is the effectiveness of the care plan evaluated?
During which phase of the nursing process is the effectiveness of the care plan evaluated?
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Which characteristic of the nursing process emphasizes its adaptability to various client situations?
Which characteristic of the nursing process emphasizes its adaptability to various client situations?
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What is a key activity in the assessment phase of the nursing process?
What is a key activity in the assessment phase of the nursing process?
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Which of the following best describes the outcome of the planning phase of the nursing process?
Which of the following best describes the outcome of the planning phase of the nursing process?
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What characterizes a problem-focused assessment?
What characterizes a problem-focused assessment?
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Which type of assessment is specifically performed during a psychological crisis?
Which type of assessment is specifically performed during a psychological crisis?
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Which of the following types of data is considered subjective?
Which of the following types of data is considered subjective?
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Which of the following is NOT a source of data in the assessment process?
Which of the following is NOT a source of data in the assessment process?
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What process involves validating client health status data?
What process involves validating client health status data?
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Which of the following would be considered objective data?
Which of the following would be considered objective data?
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During which assessment is data compared to a baseline status?
During which assessment is data compared to a baseline status?
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Which method of data collection involves using observational senses?
Which method of data collection involves using observational senses?
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What is the primary purpose of a non-directive approach in interviewing?
What is the primary purpose of a non-directive approach in interviewing?
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Which type of question is characterized by yes or no answers?
Which type of question is characterized by yes or no answers?
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When is a directive approach particularly useful during an interview?
When is a directive approach particularly useful during an interview?
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What is a characteristic of leading questions?
What is a characteristic of leading questions?
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Which of the following is an example of an open-ended question?
Which of the following is an example of an open-ended question?
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Which type of question would be most appropriate to understand the client’s feelings about an upcoming event?
Which type of question would be most appropriate to understand the client’s feelings about an upcoming event?
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What is the role of neutral questions in an interview?
What is the role of neutral questions in an interview?
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Which question type is NOT typically used in directive interviews?
Which question type is NOT typically used in directive interviews?
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Study Notes
The Nursing Process
- A systematic, rational method for planning and providing nursing care
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Purpose:
- Identify a client's health status
- Identify actual or potential health care problems or needs
- Establish plans to meet the identified needs
- Deliver specific nursing interventions to meet those needs
Components of the Nursing Process
- Assessing: Collecting, organizing, validating, and documenting data.
- Diagnosing: Analyzing and synthesizing data to identify client strengths, health problems, and develop a list of nursing and collaborative problems
- Planning: Determining how to prevent, resolve, or reduce identified client problems, supporting client strengths, implementing nursing interventions in an organized, individualized, and goal-directed manner.
- Implementing: Carrying out and documenting planned nursing interventions.
- Evaluating: Measuring the degree to which goals/outcomes have been achieved, identifying factors influencing goal achievement, and determining whether to continue, modify, or terminate the plan of care
Characteristics of the Nursing Process
- Cyclic and dynamic nature
- Client-centeredness
- Focus on problem-solving and decision-making
- Interpersonal and collaborative style
- Universal applicability
- Utilizes critical thinking and clinical reasoning throughout all phases of the process
Assessment
- A systematic and continuous collection, organization, validation, and documentation of data
- All phases of the nursing process depend on accurate and complete data collection.
Types of Assessment
- Initial Nursing Assessment: Performed within a specified time period, establishes a complete database.
- Problem-Focused Assessment: Ongoing process integrated with care, determines the status of a specific problem.
- Emergency Assessment: Performed during a physiologic or psychological crisis, identifies life-threatening problems.
- Time-Lapsed Assessment: Occurring several months after the initial assessment, compares current status to baseline.
Process of Assessment
- Collecting data: Gathering information about a client's health status, must be systematic and continuous to prevent the omission of significant data.
- Organizing data: Systematically preparing the data collected for analysis, often using a structured format.
- Validating data: Verifying or confirming the accuracy and reliability of data collected, often by comparing with other sources or repeating measurements.
- Documenting data: Recording the collected data accurately, concisely, and in a timely manner in the client's record, using approved terminology and formats.
Collecting Data
- The process of gathering information about a client's health status.
- Should include past history as well as current problems.
- Database: All information about the client, including health history, physical assessment and examination, results of diagnostic and laboratory tests.
Subjective Data
- Symptoms: Covert data apparent only to the person affected, described only by the person.
- Includes sensations, feelings, values, beliefs, attitudes, and personal health status.
Objective Data
- Signs: Overt data detectable by an observer, measurable or tested against an accepted standard.
- Can be seen, heard, felt, or smelled.
- Obtained through observation or physical examination.
Sources of Data
- Primary Source: The client
- Secondary Sources: All other sources of data such as family members, spouses, support people, primary care providers. Should be validated if possible.
Methods of Data Collection
- Observing: Gathering data using the senses (sight, smell, hearing, touch).
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Interviewing: Planned communication or conversation with a purpose.
- Used to identify problems of mutual concern, evaluate change, teach, provide support, provide counseling or therapy.
Approaches to Interviewing
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Directive Approach: Highly structured and elicits specific information.
- The nurse establishes purpose and controls the interview.
- Non-Directive Approach: Rapport building approach where the client controls the subject matter, purpose, and pacing.
Types of Interview Questions
- Closed Questions: Restrictive, yes/no, factual, less effort and information from the client.
- Open-Ended Questions: Specify a broad topic, invite longer answers, get more information from the client, useful for changing topics and eliciting attitudes.
- Neutral Questions: Allow the client to answer without direction or pressure.
- Leading Questions: Direct the client's answers, used in a directive interview approach.
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Description
Explore the systematic approach to nursing care through this quiz on the nursing process. Learn about assessing, diagnosing, planning, implementing, and evaluating patient needs and interventions. Test your understanding of how these components work together to ensure effective care.
