Term
| Name the phases of the nursing process |
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Definition
| Assessment, diagnosis, planning, implementing, evaluation--A method for organizing and delivering care. |
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Term
| Identify major characteristics of the nursing process. |
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Definition
| Cyclic & dynamic nature; client centeredness; focus on problem-solving & decision-making; interpersonal & collaborative style; universal applicability; use of critical thinking |
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Term
| Identify the purpose of assessing. |
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Definition
| Establish a database about the client's response to health concerns or illness |
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Term
| Identify the four major activities associated with the assessing phase. |
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Definition
| Data collection, comprehensive assessment, Cluster data, analyze data |
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Term
| Identify 3 methods of data collection and give examples of how each is useful. |
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Definition
| Observing (vision, smell, hearing, touch), interviewing (id problems of mutual concern, eval change, teach, provide support, provide counseling or therapy), examining-physical (blood pressure, pulses, heart & lung sounds, skin temp & moisture, muscle strength) |
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Term
| Compare directive and non-directive approaches to interviewing. |
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Definition
| Directive: establishes purpose, controls the interview, used to gather and give info when limited on time; non-directive: rapport-building, client controls the purpose, subject matter & pacing; combination of both approaches most appropriate |
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Term
| Describe important aspects of the interview setting |
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Definition
| time, place, seating arrangements, distance, language |
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Term
| Contrast various frameworks used for nursing assessment. |
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Definition
| Gordon's functional health pattern framework, orem's self-care model, Ray's adaption model; Wellness models; Nonnursing models: body systems model, Maslow's Hierarchy of Needs, developmental theories |
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Term
| Assessment phase of the nursing process. |
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Definition
| Data collection, comprehensive assessment (physical exam, health history, psychosocial/cultural/spiritual assessment, lab and diagnostic test results), Cluster data, Analyze data (No, potential or actual problem) |
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Term
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Definition
| Analyzing and synthesizing data, Goals (identify client strengths, identify health problems that can be prevented or resolved, develop a list of nursing & collaborative problems) |
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Term
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Definition
| Determining how to prevent, reduce or resolve identified priority client problems, how to support client strengths, how to implement nursing interventions, & goals |
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Term
| Nursing intervention; Implementing |
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Definition
| Carrying out (or delegating) and documenting planned nursing interventions; Goal: assist client to meet desired goals/outcomes, promote wellness, prevent illness and disease, restore health, facilitate coping w/altered function.) |
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Term
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Definition
| measuring the degree to which goals/outcomes have been achieved; identifying factors that positively or negatively influence goal achievement; Goal: determine whether to continue, modify, or terminate the plan of care |
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Term
| Discuss the 2 types of assessment data and the differences between them. |
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Definition
| Subjective: client's perception r/t the health problem- covert data, symptoms; Objective: observation or measurement made by the data collector- signs or overt data |
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Term
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Definition
| Client, family, health care team member, medical records, other records, literature review |
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Term
| What are characteristics of a closed ended question? |
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Definition
| Restrictive (Yes/No, factual); Less effort and info from client; "What medications did you take?"; "Are you having pain now?" |
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Term
| What are the characteristics of an open ended question? |
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Definition
| specify broad topic to discuss; invite longer answers; get more info from client; useful to change topics and elicit attitudes; "how have you been feeling lately?" |
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