Podcast Beta
Questions and Answers
Which of the following is NOT a component of the nursing process?
Who is considered the primary source of client data in the nursing process?
What is the purpose of nursing diagnosis?
Which organization publishes the NANDA-I diagnosis list?
Signup and view all the answers
Who is responsible for analyzing data and identifying health problems in the nursing process?
Signup and view all the answers
Which of the following is an example of a nursing diagnosis?
Signup and view all the answers
What does the nurse do during the planning phase of the nursing process?
Signup and view all the answers
What is a goal in the context of the nursing process?
Signup and view all the answers
Which of the following is NOT a secondary source of client data in the nursing process?
Signup and view all the answers
What does ADPIE stand for in the nursing process?
Signup and view all the answers
Which system does the term 'gastrointestinal' refer to?
Signup and view all the answers
Which term refers to the absence or lack of heart rate?
Signup and view all the answers
Which term refers to excessive or above normal pressure or stretching?
Signup and view all the answers
What does the term 'urinary' refer to?
Signup and view all the answers
What does the prefix 'Hypo-' mean?
Signup and view all the answers
What does the suffix '-pnea' refer to?
Signup and view all the answers
What does the term 'vital signs' provide data about?
Signup and view all the answers
What does the prefix 'Tachy-' mean?
Signup and view all the answers
What does the term 'mobility' refer to?
Signup and view all the answers
What does the term 'baseline measurements' refer to?
Signup and view all the answers
Which one of these is true about nursing goals?
Signup and view all the answers
Which one of these is an example of a short-term goal?
Signup and view all the answers
Which one of these is an example of a long-term goal?
Signup and view all the answers
Which one of these is not a characteristic of a SMART goal?
Signup and view all the answers
During which phase of the nursing process are nursing interventions performed?
Signup and view all the answers
When is a physical assessment typically performed?
Signup and view all the answers
What is the role of an LPN in physical assessment?
Signup and view all the answers
What is the difference between signs and symptoms in a physical assessment?
Signup and view all the answers
Which technique is used to listen to body organs for abnormal sounds?
Signup and view all the answers
What is the purpose of a head-to-toe/system review in a physical assessment?
Signup and view all the answers
What is the primary source of client data in the nursing process?
Signup and view all the answers
What is the NANDA-I diagnosis list?
Signup and view all the answers
Who is responsible for analyzing data and identifying health problems in the nursing process?
Signup and view all the answers
What is an example of a nursing diagnosis?
Signup and view all the answers
What does the nurse do during the planning phase of the nursing process?
Signup and view all the answers
What is the purpose of a nursing diagnosis?
Signup and view all the answers
What does the term 'mobility' refer to?
Signup and view all the answers
Which organization publishes the NANDA-I diagnosis list?
Signup and view all the answers
What does the term 'vital signs' provide data about?
Signup and view all the answers
What is a goal in the context of the nursing process?
Signup and view all the answers
Which one of these is NOT a category that goals fall within?
Signup and view all the answers
When is a physical assessment typically performed?
Signup and view all the answers
What does the term 'auscultation' refer to in a physical assessment?
Signup and view all the answers
What does the term 'palpation' refer to in a physical assessment?
Signup and view all the answers
What does the term 'percussion' refer to in a physical assessment?
Signup and view all the answers
What does the term 'olfaction' refer to in a physical assessment?
Signup and view all the answers
What does the term 'level of consciousness' refer to in a neurological assessment?
Signup and view all the answers
What does the term 'apical pulse' refer to in a cardiovascular assessment?
Signup and view all the answers
What does the term 'tachypnea' refer to in respiratory assessment?
Signup and view all the answers
What does the term 'baseline measurements' refer to in a physical assessment?
Signup and view all the answers
Which one of these is a component of the gastrointestinal assessment?
Signup and view all the answers
What does the prefix 'Brady-' refer to?
Signup and view all the answers
What is the purpose of measuring vital signs?
Signup and view all the answers
What does the term 'mobility' refer to?
Signup and view all the answers
What does the suffix '-cardia' refer to?
Signup and view all the answers
What does the prefix 'Hyper-' mean?
Signup and view all the answers
What does the term 'baseline measurements' refer to?
Signup and view all the answers
What does the term 'urinary' refer to?
Signup and view all the answers
What does the prefix 'A-' mean?
Signup and view all the answers
What does the term 'tachy-' mean?
Signup and view all the answers
Which of the following is NOT a component of the nursing process?
Signup and view all the answers
What is the purpose of a nursing diagnosis?
Signup and view all the answers
What does the term 'apical pulse' refer to in a cardiovascular assessment?
Signup and view all the answers
What does the term 'tachypnea' refer to in respiratory assessment?
Signup and view all the answers
When is a physical assessment typically performed?
Signup and view all the answers
Which organization publishes the NANDA-I diagnosis list?
Signup and view all the answers
What is the purpose of measuring vital signs?
Signup and view all the answers
What does the term 'tissue ischemia' refer to?
Signup and view all the answers
What is the primary source of client data in the nursing process?
Signup and view all the answers
What is an example of a nursing diagnosis?
Signup and view all the answers
Which one of these is an example of a gastrointestinal assessment?
Signup and view all the answers
What does the suffix '-pnea' refer to in a physical assessment?
Signup and view all the answers
What does the prefix 'Hypo-' mean?
Signup and view all the answers
What does the term 'mobility' refer to in patient assessment?
Signup and view all the answers
What is the purpose of measuring vital signs?
Signup and view all the answers
Study Notes
Nursing Process - ADPIE
- The nursing process consists of five components: Assessment, Diagnosis, Planning, Implementation, and Evaluation (ADPIE).
- Assessment involves collecting data from the client as well as other sources such as physical assessments, history and physical from physicians, lab and diagnostic test results, and information from other health personnel.
- Nursing diagnosis is determined after analyzing the collected data and involves identifying actual or potential health problems that can be addressed through nursing interventions.
- Nursing diagnoses are not the same as medical diagnoses and are updated every two years based on evidence-based practices by the North American Nursing Diagnosis Association International (NANDA-I).
- An example of a nursing diagnosis is "Impaired Physical Mobility related to decreased muscle control as evidenced by inability to control lower extremities."
- Planning involves generating a care plan with desired client goals, which are measurable and observable behaviors that the client should demonstrate after nursing interventions.
- Care plans include short-term goals that can be achieved within hours, days, or weeks, and long-term goals that consider the long-lasting impact of illness or disease.
- Setting SMART goals (Specific, Measurable, Achievable, Realistic, Timely) is important in the planning phase.
- Implementation is the phase where the established care plan is put into action, and nursing interventions are performed, including physical interventions, counseling, education, delegation, and supervision.
- Evaluation involves determining the client's progress towards goal achievement and the effectiveness of the nursing care plan.
- If a goal is not met, a new care plan must be generated to address any unsuccessful components.
- Physical assessment is an important part of data collection, which includes a comprehensive assessment of the whole person and focused assessments of specific body systems.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge of the nursing process components with this quiz on assessment, diagnosis, planning, interventions, and evaluation. Learn about the different sources of client data and how to conduct a thorough nursing physical assessment.