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Flashcards in Nursing Process Deck (52)
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0
Q

North American Nursing Diagnosis Association (NANDA)

A

1982

1
Q

Lydia hall introduced the term “nursing process”

A

1955

2
Q

What are the components of the nursing process?

A
Assessing 
Diagnosing 
Planning 
Implementing 
Evaluating 
AD-PIE
3
Q

Promotes continuity of care; patient centered care; individualized; participation of the family and patient.

A

Patient benefits

4
Q

Improves professional growth; allows nurse to be innovative and creative; more effective care, allows collaboration with other team members.

A

Nurse benefits

5
Q

Defines our scope of practice; defines our role to the consumer; defines what we do; it’s a basic standard with joint commission.

A

Profession benefits

6
Q

1st step: deliberate systematic collection of data, holistic approach; utilizes therapeutic communication

A

Assessing

7
Q

Covert

A

Patients perception

8
Q

Overt

A

Observations or measurements

9
Q

Ensures accuracy of information

A

Data validation

10
Q

Cues and interpretation

A

Data interpretation

11
Q

Data acquired through one of the 5 senses including subjective and objective data

A

Cues

12
Q

Nurses judgement or interpretation of cues; always subjective

A

Inferences

13
Q

2nd step: nanda

A

Diagnosis

14
Q

Physiological problems that nurses monitor and collaborate with medicine for co-treatment

A

Collaborative problems

15
Q

3rd step: 3 components; prioritize the nursing diagnosis, develop patient goals, plan nursing interventions

A

Planning

16
Q

Components of an an expected outcome: SVQT

A

Subject
Verb
Qualifier
Time frame

17
Q

Nurse prescribed

A

Independent

18
Q

Physician prescribed

A

Dependent

19
Q

Physicians and nurses

A

Collaborative

20
Q

What are the 4 types of

Independent nursing interventions

A

Cognitive
Interpersonal
Technical
Monitoring

21
Q

Teach/educate, related to knowledge to ADLs, supervise family performance, improve feedback

A

Cognitive

22
Q

Use therapeutic communication, set limits, provide opportunity to examine values and attitudes, provide spiritual support

A

Interpersonal

23
Q

Provides basic hygiene, perform routine nursing, activities, provides independent and dependent treatment assist with ADLs

A

Technical

24
Q

Ongoing assessment

A

Monitoring

25
Q

4th step: carrying out the proposed plan of care to resolve the problem; NIs are based on sound rationale

A

Implementing

26
Q

5th step: determine the patients response to NIs and the extent which the EOs have been achieved

A

Evaluating

27
Q

What is included in patient preparation?

A
Patient scheduling 
Patient teaching 
Informed consent 
Physical preparation 
Collection of supplies
28
Q

What are the responsibilities of the nurse during testing?

A

Patient assessment
Patient support
Patient positioning

29
Q

What are the responsibilities after testing

A
Patient assessment 
Specimen collection 
Documentation 
Patient and family support
Individualized care based on data
30
Q

What is the purpose of patient teaching?

A

Promote health
Prevent illness/injury
Restore health
Adapt to altered health

31
Q

What is the teaching process?

A
Collect data
Determine learning need
Prepare teaching plan
Implement teaching strategies 
Evaluate learning 
CD-PIE
32
Q

Requirement or desire to know information

A

Learning need

33
Q

Desire to learn or act on the learning

A

Compliance

34
Q

Commitment to new knowledge/integrate into lifestyle

A

Adherence

35
Q

Teaching adults/learn based on need to know

A

Andragogy

36
Q

Teaching children

A

Pedagogy

37
Q

Teaching older adults/takes longer to process information

A

Geragogy

38
Q

Manipulate environment for intended purpose; stimulus Pavlovs Dog

A

Behaviorism

39
Q

Learning is a complex thinking process

A

Cognitivism

40
Q

Learning occurs in all 3 domains

A

Cognitive
Affective
Psychomotor

41
Q

Thinking or intellectual level

A

Cognitive

42
Q

Feelings or emotional level

A

Affective

43
Q

Skill or motor level

A

Psychomotor

44
Q

Teaches from simple to complex; refers to rational thought; the best way to learn is through written test

A

Cognitive

45
Q

The hardest domain to teach in; difficult to measure learning in this domain

A

Affective

46
Q

Needs to be hands on and demonstrate back

A

Psychomotor

47
Q

Learning is self motivated, self initiated, and self evaluated; nursing uses this

A

Humanism

48
Q

1 in 5 people read at a 5th grade level or below

A

Literacy level

49
Q

8 out of 10 users have searched for health information online

A

Internet access to healthcare

50
Q

Individual

A

Psychomotor

51
Q

Small group

A

Cognitive and effective