Nursing Process Quiz

A systematic approach used by nurses to provide quality care, involving a six-step problem-solving process.

The first step of the nursing process. It involves gathering information about the patient's health status, including physical, emotional, and social aspects.

The second step of the nursing process. It involves identifying and analyzing the patient's health problems or needs, based on the assessment data.

The third step of the nursing process. It involves setting specific, measurable, achievable, relevant, and time-bound (SMART) goals for the patient.

The fourth step of the nursing process. It involves developing a plan of care to address the identified needs and achieve the desired outcomes. This includes nursing interventions.

The fifth step of the nursing process. It involves putting the plan of care into action. This involves carrying out the planned interventions, providing direct care, and monitoring the patient's progress.

The final step of the nursing process. It involves evaluating the patient's progress and making adjustments to the care plan as needed.

This organization developed standards for nursing practice, including the use of the nursing process.

Statements outlining the duties and responsibilities of psychiatric-mental health nurses.

A nursing approach focused on the unique needs and preferences of each patient.

Collaborative approach to care involving multiple healthcare professionals working together.

Using research and evidence-based practices to guide patient care.

A standardized assessment form used to collect and organize patient data.

The formal process of gathering data about a patient's medical, social, and psychological history.

A federal law that protects patient health information and ensures privacy.

Information gathered from sources other than the patient, like family members or medical records.

The process of evaluating the patient's overall health and addressing potential risks or concerns.

A systematic approach to promoting patient safety and quality care in nursing education.

The six core competencies of QSEN include patient-centered care, teamwork, evidence-based practice, quality improvement, safety, and informatics.

The initial nursing assessment conducted upon a patient's admission to treatment.

The ability of a nurse to assess and interpret a child's behavior and emotions, taking into account developmental differences.

Individuals who provide information about a child's behavior, performance, and conduct.

The systematic collection of data as the patient's condition evolves during treatment.

A complete physical exam is done by an advanced practice psychiatric registered nurse or a physician, but may be deferred depending on the situation.

Gathering vital signs, allergies, past and current medical history to establish a baseline for the patient.

Mental and physical health are intertwined. Certain physical conditions can mimic psychiatric symptoms.

Psychiatric disorders can present with physical symptoms.

Abnormal liver enzyme levels can cause irritability, depression, and lethargy.

Chronic kidney disease can lead to symptoms similar to mental health issues like depression.

Mental Status Examination (MSE) is analogous to a physical examination in general medicine, used to assess an individual's cognitive abilities.

Objective data is information obtained through observation or tests, such as vital signs and physical findings.

Subjective data is information gathered from the patient's perspective, including thoughts, feelings, and experiences.

Gathering information about a patient's support system, education, work history, coping mechanisms, and spiritual beliefs.

A spiritual assessment explores an individual's beliefs, values, and how they find purpose and meaning in life.

Spirituality is an internal search for meaning, hope, and purpose, often independent of religion.

Religion is an external system with defined beliefs, practices, and institutions.

Religious practices can often influence health behaviors, promoting healthy habits or discouraging harmful ones.

Church doctrines sometimes oppose psychiatric treatment or consider mental disorders as spiritual deficiencies.

Children with psychiatric disorders often show signs of regression: returning to earlier developmental stages. Example: A thumb-sucking older child.

Observation and interview are used to assess children's mental health. Observing their play is crucial, as it allows them to express emotions and thoughts safely.

Adolescents often prioritize confidentiality and might fear disclosure to parents. This can be challenging in a healthcare setting.

While parents consent to treatment, respecting adolescent privacy is crucial. Nurses must navigate a balance between legal and ethical boundaries.

Clear communication about information sharing is essential with adolescents and their families. Parents should be aware of what information is shared, with whom, and when.

Threats of suicide, homicide, abuse, or behaviors posing a risk to the patient or others should be reported to professionals and parents alike.

Identifying risk factors is a crucial aspect of adolescent assessment. The HEADSSS interview tool can be useful for this purpose.

Older adults experience decline in sensory functions and brain activity, but this varies from person to person. Avoid stereotyping about physical and mental limitations.

Nurses should assess older adults for physical limitations, such as sensory, motor, or medical issues, as these can influence their mental state and well-being.

Identify and accommodate physical deficits to ensure older adults participate in their care comfortably. Avoid speaking loudly unless necessary.

Understanding diverse cultural and social factors affecting health and illness is crucial for providing culturally competent care.

Language barriers can hinder communication and impact care quality. Interpreters and translators are essential for effective communication.

Healthcare providers with federal funding must provide interpreters and translators free of charge to limited English proficient patients.

Using untrained interpreters like family members may seem convenient but poses significant risks due to inaccuracy, bias, and confidentiality issues.

The psychiatric-mental health nursing assessment aims to build rapport, understand the patient's concerns, review their physical health, assess safety risks, perform a mental status exam, evaluate psychosocial factors, set treatment goals, create a plan of care, and document findings.

A specialized role of advanced practice registered nurses (APRNs) involving providing expert advice and guidance to other nurses and healthcare professionals to improve care and decision-making.

A key advanced practice role where APRNs are authorized by law to prescribe medications for patients in collaboration with them based on evidence-based practices.

An advanced practice skill where APRNs can provide various forms of therapy to individuals, couples, groups or families using proven therapeutic techniques and building a strong therapeutic relationship.

A crucial step in the nursing process, involving systematically evaluating a patient's progress towards achieving their goals and making adjustments based on evidence-based practices.

Medical records are legal documents and must maintain accurate and detailed records of all patient care interactions, documenting any changes, informed consents for medications and treatments, patient concerns, adverse incidents, and any other relevant information.

A more accurate and respectful alternative to 'noncompliant', it acknowledges that patients may have barriers to following their treatment plan, encouraging healthcare providers to explore these barriers and work with patients to address them.

A method of delivering patient-centered care that combines clinical skills with clinically relevant research.

A specialized area of nursing that focuses on the care of individuals with mental health conditions.

A set of standards outlining the specific roles and responsibilities of registered nurses in psychiatric-mental health care.

The fifth step of the nursing process, where the registered nurse implements the care plan developed for the patient.

A collaboration between the nurse and patient where the patient is empowered to participate in their treatment plan.

The use of interventions that have been supported by research evidence to improve patient outcomes.

The process of coordinating care among various healthcare professionals involved in the patient's treatment.

Educating and empowering patients to improve their health and well-being.

Interventions that use medication, biological therapies, and complementary approaches to improve the patient's health.

A therapeutic environment designed to support the patient's recovery through structure, physical space, and social interactions.

The use of the therapeutic relationship to support and guide individuals on their recovery journey.

A process of setting clear, measurable goals for the patient's recovery.

The process of gathering information about the patient's health status.

A classification system used to create and organize information within healthcare systems, especially for eHealth, statistical reporting, and education.

A statement summarizing a patient's health problem or need, consisting of a problem (patient's state), a probable cause linked with 'related to', and supporting data with 'as evidenced by'.

A professional who is trained to provide advanced mental health care, including psychotherapy and medication prescribed authority.

A professional who has passed a state board exam and is trained to provide basic-level nursing care.

A type of nursing diagnosis that identifies a present adverse human response to a health condition or life process. It includes a problem, probable cause, and supporting data.

A type of nursing diagnosis that points to a high probability of developing a problem or response. It includes a problem and supporting data, but no cause.

The expected outcomes for a patient that reflect the maximum level of health they can reach through nursing interventions. These outcomes guide the nursing process.

Prioritizing nursing diagnoses based on Maslow's Hierarchy of Needs, addressing physiological needs and safety first, then moving up to higher-order needs.

Interventions should be safe for the patient, staff, and others involved in the care process.

Interventions should fit with the patient's individual goals, cultural values, and other therapies they are receiving.

Interventions should be realistic and tailored to the individual patient's capabilities, resources, and goals.

A plan that outlines strategies and alternatives to help patients achieve their expected outcomes. Developed after assessment and diagnosis.

Measurable goals set for each nursing diagnosis, outlining specific targets for improvement based on patient needs.

Actions taken by nurses to address a patient's identified needs and achieve their goals, based on the plan of care.

A clinical judgment about a patient's response to actual or potential health problems. It outlines the specific nursing care needed.

A formal group of nursing professionals who have developed, researched, and refined a taxonomy of nursing diagnoses, used worldwide.

The International Classification of Diseases, a widely used system for diagnosing all types of diseases and disorders, published by the World Health Organization (WHO).

A global classification system for nursing practice that includes nursing diagnoses, interventions, and outcomes; published by the International Council of Nurses.

Information gathered from electronic medical records, emergency department records, police reports, and previous medical records to validate and enhance the assessment.

Standardized rating scales that are used for psychiatric evaluation and monitoring to highlight key areas in assessment.

A cultural assessment that involves understanding the patient's language, cultural background, family dynamics, and attitudes toward mental illness.

A component of cultural assessment that explores how the patient's illness is viewed within their culture and the influence of cultural practices on their care.

Involving the patient in summarizing and reviewing the assessment data to ensure understanding and clarity.

Providing information about the next steps in the patient's care plan, including potential referrals to other healthcare professionals.