Nursing Process Overview

Questions and Answers

How many deaths were estimated to occur per year related to medical errors in 2015?

400,000

The nursing process provides the foundation for all nursing care.

True

What is the nursing process?

A series of organized steps defined for nurses to provide holistic patient-focused care.

The nursing process consists of _____ steps.

5 Signup and view all the answers

Which of the following are steps in the nursing process? (Select all that apply)

Assessment Signup and view all the answers

What is assessment in nursing?

Gathering information about a patient's psychological, physiological, sociological, and spiritual needs. Signup and view all the answers

How do we collect data in nursing?

Effective communication, including silence, attentiveness, listening, clarifying, and stating observations. Signup and view all the answers

Open-ended questions allow patients to elaborate.

True Signup and view all the answers

Close-ended questions allow for elaboration by the patient.

False Signup and view all the answers

What is subjective data?

What the patient's perception is; what the client tells you. Signup and view all the answers

What is objective data?

Observation or measurement; things the nurse sees, hears, and feels. Signup and view all the answers

What is a nursing diagnosis?

A statement that describes the patient's actual or potential response to a health problem. Signup and view all the answers

What does NANDA stand for?

North American Nursing Diagnosis Association Signup and view all the answers

Describe the goals expected outcomes in nursing.

Patient-centered, realistic, measurable. Signup and view all the answers

What is an intervention in nursing?

What the nurse will do, delegate, and document to achieve established goals. Signup and view all the answers

What is evaluation in nursing?

Measures the patient's response to interventions and progress towards goals. Signup and view all the answers

Why is hygiene important in nursing care?

To promote wellness. Signup and view all the answers

What are activities related to hygiene?

Activities involved in personal grooming and cleanliness, such as bathing and combing hair. Signup and view all the answers

What is the maintenance of personal hygiene?

Promotes comfort, improves self-image, decreases infection and disease. Signup and view all the answers

What is the nurse's role in hygiene?

Assess self-care abilities, provide assistance with ADLs, promote self-care, and delegate care. Signup and view all the answers

What factors influence hygiene and self-care?

Personal preferences, culture, religion/spirituality, and economic status. Signup and view all the answers

What is a factor that would most likely influence the hygiene practice of a homeless client?

The client's living environment. Signup and view all the answers

Study Notes

Medical Errors

Estimated 400,000 deaths annually in 2015 due to medical errors.

Nursing Process

Serves as the foundational framework for all nursing care.
Involves organized steps to deliver holistic, patient-focused care.

Steps of the Nursing Process

Assessment: Gathering comprehensive information about a patient’s condition.
Diagnosis: Identifying actual or potential health responses.
Goals/Expected Outcomes: Establishing patient-centered, realistic, and measurable objectives.
Interventions: Actions taken by nurses to achieve established goals, including delegation and documentation.
Evaluation: Assessment of patient responses to nursing interventions and progress towards goals.

Assessment

Involves collecting data on psychological, physiological, sociological, and spiritual aspects.
Primary sources include direct patient communication; secondary sources can be family, medical records, or nurse observations.

Data Collection Techniques

Effective communication is critical; techniques include attentive listening, clarifying responses, and making observations.
Use of open-ended questions encourages detailed patient responses, while closed-ended questions limit answers to yes or no.

Types of Data

Subjective Data: Information based on patient perceptions and self-reports.
Objective Data: Observable or measurable facts, including vital signs and physical assessments.

Nursing Diagnosis

A statement defining a patient's actual or potential health responses that a registered nurse is competent to treat.
Utilizes the NANDA framework for standardized nursing diagnostic terminology.

Goals and Expected Outcomes

Should be patient-centered, realistic, and measurable.

Interventions

Defined actions by nurses to reach established goals, involve delegation, and comprehensive documentation of care provided.

Evaluation

Continuous reassessment of nursing care plans based on patient responses and changes in condition.

Importance of Hygiene

Essential for promoting wellness, comfort, and improving self-image while reducing infection risk.

General Hygiene Concepts

Encompasses activities related to personal grooming, such as bathing and hair care, contributing to activities of daily living (ADLs).

Personal Hygiene Maintenance

Benefits include enhanced self-image, comfort, and improved infection control.

Nurse's Role in Hygiene

Assess patient self-care abilities and offer assistance with ADLs, while promoting and delegating appropriate hygiene tasks.

Influences on Hygiene Practices

Factors affecting hygiene and self-care include personal preferences, cultural beliefs, economic status, and environmental conditions.
Emphasis on the impact of availability of hygiene facilities, as seen with homeless clients who may lack access to basic hygiene resources.

Physical and Emotional Influences

Cognitive impairments can hinder hygiene practices, while emotional disturbances might lead to neglecting self-care.
Various demographic factors, including age and knowledge level, also significantly impact hygiene and self-care practices.

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Description

This quiz covers essential concepts of the nursing process, including its significance and the impact of medical errors in healthcare. Understand the organized steps that define holistic patient-focused care. Perfect for nursing students and healthcare professionals.