Nursing Process Review Flashcards

Questions and Answers

In which step of the nursing process does the nurse provide nursing care interventions to patients?

Evaluation

Assessment

Implementation (correct)

Planning

How is a clinical guideline or protocol defined?

Guideline to follow that replaces the nursing care plan.

Document that assists the clinician in making decisions and choosing interventions for specific health care problems or conditions. (correct)

Prescriptive order form that individualizes the plan of care.

Hospital policy designating each nurse's duty according to standards of care and a code of ethics.

What should the nurse do after assessing the patient, identifying the need for headache relief, and confirming the patient hasn't taken Tylenol in the past 4 hours?

Notifies the health care provider to obtain a verbal order.

Performs a pain assessment only after administering the Tylenol.

Directs the nursing assistant to give the Tylenol.

Administers the Tylenol. (correct)

Before implementing any intervention, the nurse uses critical thinking to determine what?

<p>Whether an intervention is correct and appropriate for the given situation.</p> Signup and view all the answers

What is the priority nursing intervention for a patient recovering from a leg fracture who rates their pain as 7 on a scale of 0 to 10?

<p>Administer pain medication.</p> Signup and view all the answers

Study Notes

Nursing Process Overview

The nursing process consists of five steps: Assessment, Planning, Implementation, Evaluation, and Diagnosis.
Implementation is the phase where nursing care interventions are provided to patients.

Clinical Guidelines

Clinical guidelines or protocols assist clinicians in decision-making and intervention selection for specific health problems.
They do not replace nursing care plans and differ from hospital policies and prescriptive orders.

Standing Orders

Standing orders are preprinted documents for conducting routine therapies and monitoring guidelines.
Nurses can administer medications under standing orders if appropriate assessments are made, without notifying the health care provider again.

Critical Thinking in Nursing

Critical thinking is essential before implementing any nursing intervention, ensuring it is appropriate for the clinical situation.
Ongoing assessment of patients is crucial due to the rapid changes in patient conditions.

Nursing Interventions and Patient Mobility

Providing assistance to patients, such as assisting with ambulation, is a primary nursing intervention.
Goals should be established for patients, such as ambulating with crutches correctly, based on nursing diagnoses like impaired physical mobility.

Pain Management Priority

For patients with pain, priority nursing interventions may involve administering pain medication before engaging them in activities such as walking.
Understanding the patient's pain levels and limitations is critical for effective care management.

Description

Test your knowledge of the nursing process with these flashcards. Specifically focus on the implementation phase along with the other phases of nursing care. Ideal for nursing students preparing for exams or reviews.