Overview of the Nursing Process-Sherpath
A nurse is preparing a presentation to the unit on ANA, the organization that identified the five steps of the nursing process. What does ANA stands for?
American Nurses Association.
The _____________ characteristic of the nursing process describes when nurses ask questions and demonstrate the use of critical thinking for each step.
Analytical.
Which step of the nursing process does a nurse use when finding blood pressure of 180/75, a heart rate of 90, and a patient complaint of chest pain?
Assessment.
How are the steps of the nursing process utilized?
-Diagnose needs and plan goals. -Assess individuals, families, and communities. -Identify outcome criteria and implement interventions. -Identify specific nursing interventions.
Which actions demonstrate a nurse utilizing critical thinking when her patient complains of increased pain at the surgical site?
-The nurse verifies that no pain medications were ordered and calls provider on call for pain medications. -The nurse uses non-pharmaceutical treatment of focused deep breaths to relieve pain for patient. -The nurse assesses vital signs and checks to see when patient was last medicated for pain. -The nurse assesses the surgical site to determine the cause of the increased pain.
A patient comes to the emergency department complaining of fever and diarrhea. What should the nurse ask the patient first?
"What is the severity and duration of your fever and diarrhea?"
What analytical questions are asked at each step in the nursing process?
-"Is the data collection thorough and accurate?" -"Have all underlying factors been addressed in the care plan?" -"Could interventions impact the patient negatively?"
The nursing process includes
5 steps.
The _________characteristic of the nursing process is that nursing care plans can be developed for patients in any care setting, as well as for targeted populations and communities.
Adaptable.
What does the term "dynamic nature" of the nursing process refer to?
Change over time in response to the patient's needs.
What is the primary purpose of the nursing diagnosis?
Communicating patient needs.
What nursing skill is essential when utilizing the nursing process?
Critical thinking.
What is a part of the assessment process?
Data collection.
A nurse educator is reviewing the steps of the nursing process with the class. While reviewing a case study, the educator asks the students to determine which part of the process a nurse uses when establishing short- and long-term goals with the patient. How should the students respond?
During the planning step of the nursing process, the nurse prioritizes the nursing diagnoses and identifies short- and long-term goals that are realistic, measurable, and patient-focused, with specific outcome identification for evaluation purposes.
The five steps that make up the nursing process allow it to be:
Dynamic.
Which characteristic of the nursing process refers to changes over time in response to patients' individual needs?
Dynamic.
A patient reports that his pain level is now 6 out of 10. The patient's goal for a pain level of 3-4 out of 10 is not met. Which step of the nursing process does this statement reflect?
Evaluation.
Which step is a part of the nursing process?
Evaluation.
Stella Jones, RN, reassesses a patient one hour after giving morphine for the patient's pain. The patient states that she is still in horrible pain, eliciting a response of 8 out of 10. What would be the most appropriate intervention?
Give additional breakthrough pain medication.
Who first pioneered the term "nursing process?"
Lydia Hall.
Which statement illustrates the collaborative characteristic of the nursing process?
Nurses may incorporate actions by the patient or family to address patient goals.
Which method was developed to advance the nursing profession and how nurses provide care to all patients?
Nursing process.
Which subcategory of planning is recognized by professionals and educators as part of the traditional five-step nursing process?
Outcome identification.
Which option exemplifies a short-term goal the nurse may identify during the planning step of the nursing process?
Patient verbalizes a pain level of 4 or 5, out of 10, within 2 hours of receiving prescribed pain medication.
Which term describes the nurse prioritizing the diagnoses and identifying goals that are realistic, measurable, and patient-focused with specific outcomes?
Planning.
Which best describes the diagnosis step of the nursing process?
The nurse analyzes, validates, and clusters patient data to identify patient problems. Patient data clusters are stated in standardized language, which provides clarity and universal understanding by all health care providers.
