The common thread uniting different types of nurses who work in varied areas is the nursing process—the essential core of practice for the registered nurse to deliver holistic, patient-focused care.
Assessment
An RN uses a systematic, dynamic way to collect and analyze data about a client, the first step in delivering nursing care. Assessment includes not only physiological data, but also psychological, sociocultural, spiritual, economic, and life-style
factors as well. For example, a nurse’s assessment of a hospitalized patient in pain includes not only the physical causes and manifestations of pain, but the patient’s response—an inability to get out of bed, refusal to eat, withdrawal from family members, anger directed at hospital staff, fear, or request for more pain mediation.
Diagnosis
The nursing diagnosis is the nurse’s clinical judgment about the client’s response to actual or potential health conditions
or needs. The diagnosis reflects not only that the patient is in pain, but that the pain has caused other problems such as anxiety, poor nutrition, and conflict within the family, or has the potential to cause complications—for example, respiratory infection is a potential hazard to an immobilized patient. The diagnosis is the basis for the nurse’s care plan.
Outcomes / Planning
Based on the assessment and diagnosis, the nurse sets measurable and achievable short- and
long-range goals for this patient that might include moving from bed to chair at least three times per day; maintaining adequate nutrition by eating smaller, more frequent meals; resolving conflict through counseling, or managing pain through adequate medication. Assessment data, diagnosis, and goals are written in the patient’s care plan so that nurses as well as other health professionals caring for the patient have access to it.
Implementation
Nursing care is
implemented according to the care plan, so continuity of care for the patient during hospitalization and in preparation for discharge needs to be assured. Care is documented in the patient’s record.
Evaluation
Both the patient’s status and the effectiveness of the nursing care must be continuously evaluated, and the care plan modified as needed.
16 Questions | By Alilaws88 | Last updated: Mar 21, 2022 | Total Attempts: 1283
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Nurses apply critical thinking in the process of solving the problems of patients and decision-making as well as clinical skills. The quiz below is derived from Foundations of Nursing by Christensen and Kockrow, page 121-137, and centered on the connection between the nursing process and critical thinking. Do give it a shot and see just how much you know. All the best!
1.
Which of the following statements describe a well-written patient outcome statement? Select all that apply.
A.
Uses a measurable verb
B.
Focuses on the completion of nursing interventions
C.
Does not interfere with the medical care plan
D.
Includes a time frame for patient reevaluation
2.
A common framework that helps guide the prioritization of nursing tasks during the process of planning
A.
Ericsson's psychosocial development
B.
Maslow's hierarchy
C.
Glasgow Scale
D.
Bernoulli principle
3.
Nursing interventions
A.
Depend on the tasks delegated by the nursing supervisor
B.
A sequence of prioritized tasks that describe a nurse's job
C.
Activities that promote the achievement of the desired patient outcome
D.
An act of taking care of the sick
4.
Which of the following is not a Physician Prescribed intervention?
A.
Ordering diagnostic tests
B.
Drug administration
C.
Performing wound care
D.
Elevating an edematous leg
5.
Which of the following is not a nurse-prescribed intervention?
A.
Turning the patient every two hours
B.
Providing a back massage
C.
Offering a vitamin supplement
D.
Monitoring a patient for complications
6.
Which of the following statements about the nursing process is true.
A.
A nursing process is written together with a nursing care plan
B.
A nursing care plan is a product of the nursing process
C.
Both the nursing process and the nursing care plan are purely critical thinking strategies
D.
The nursing process is not an accurate clinical theory
7.
IN which of the following scenarios would a standardized nursing care plan be appropriate?
A.
Trauma center
B.
Center for infection control
C.
Intensive care unit
D.
Maternity floor without a single Cesarean delivery
8.
Prioritization of tasks belongs to which phase of the Nursing Process?
A.
Assessment
B.
Diagnosis
C.
Planning
D.
Implementation
E.
Evaluation
9.
Documentation is a vital component of which phase of the nursing process?
A.
Assessment
B.
Diagnosis
C.
Planning
D.
Implementation
E.
Evaluation
10.
Validation of patient outcome and goals
A.
Assessment
B.
Planning
C.
Intervention
D.
Evaluation
11.
Evidence based practice
A.
Past educational knowledge
B.
Theoretical research
C.
Expertise of specialists
D.
Integration of research and clinical experience
12.
Which of the following is not considered a standardized language in nursing?
A.
NIC
B.
ANA
C.
NOC
D.
NANDA
13.
Variance
A.
A research method
B.
Patient does not achieve expected outcome
C.
Similar to zoning
D.
Not the same
14.
Which of the following is not the role of the LPN/LVN in the nursing process?
A.
Suggest interventions
B.
Gather further data to confirm problems
C.
Discuss details of the disease as part of patient education
D.
Observe and report signficant cues
15.
Which of the following are functions of managed care? Select all that apply.
A.
Provides control over health care services
B.
Standardized diagnosis and treatment
C.
Control Cost
D.
Primary resource for patient advocacy
16.
Clinical pathway
A.
Nursing career development plan
B.
Multidisciplinary action
C.
A concept map for care plans
D.
Specific location in a healthcare facility
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