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Questions and Answers
What is the initial step in the nursing process during the assessment phase?
Health deficits can stem from which of the following?
Which action is NOT part of the implementation/intervention phase of the nursing process?
Which example best illustrates a foreseeable crisis?
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In the planning step of the nursing process, what is the primary focus?
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Which is an example of a health threat as defined in the content?
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What involves revising plans as necessary?
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What should be done first in the nursing process when implementing care?
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Study Notes
The Nursing Process
- The nursing process is a systematic method of providing care for clients, involves five steps: assessment, planning, implementation, intervention, and evaluation.
Assessment
- Collect data from all possible sources.
- Identify problems.
- Analyze and interpret data.
- Initiate contact.
- Demonstrate caring attitudes.
- Develop mutual trust and confidence.
Categories of Health Problems
- Health problems may be classified into three categories: health deficit, health threat, and foreseeable crisis.
Health Deficit
- A gap between actual and achievable health status.
- Instances of failure in health maintenance.
- Examples:
- Illness states, diagnosed or undiagnosed.
- Failure to thrive/develop.
- Disability.
- Transient (aphasia or temporary paralysis after a CVA)
- Permanent (leg amputation secondary to diabetes, blindness from measles, lameness from polio)
Health Threat
- Conditions that are conducive to disease, accident, or failure to realize one's potential.
- Examples:
- Family history of hereditary disease.
- Threat of cross infection.
- Accident hazards.
- Faulty eating habits.
- Poor environmental sanitation.
- Unhealthy lifestyle/personal habits.
Foreseeable Crisis
- Anticipated periods of unusual demand on the individual or family in terms of adjustment/family resources.
- Examples:
- Marriage.
- Pregnancy.
- Parenthood.
- Divorce or separation.
- Loss of job.
- Menopause.
- Death.
Planning
- Formulating steps to be undertaken to achieve desired end.
- Steps:
- Prioritize needs.
- Establish goals based on needs and capabilities
- Construct action and operation plans.
- Devise evaluation parameters.
- Revise plans as needed
Implementation/Intervention
- Translating care plan into action.
- Steps:
- Put nursing plan to action.
- Coordinate care/services.
- Utilize community resources.
- Delegate and supervise.
- Monitor health services provided.
- Provide health education and training.
- Document responses to nursing action.
Evaluation
- Process of making judgments as to the extent the objectives are met.
- Steps:
- Care outcomes.
- Performance appraisal.
- Estimate cost-benefit ratio.
- Assessment problems.
- Identify needed alterations.
- Revise plans as necessary.
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Description
This quiz covers the fundamentals of the nursing process, exploring its five key steps: assessment, planning, implementation, intervention, and evaluation. Additionally, it delves into categorizing health problems, including health deficits and threats. Test your knowledge on the systematic approach to nursing care.
