The Nursing Process FA DAVIS

What is the nursing process?

A critical thinking, problem-solving model nurses use to guide patient care

Diagnosis

Analyze assessment data to focus on client's priority needs. (Thinking phase)

The diagnosis step of the nursing process includes which activity?

Analyzing data

Mary is a 17 year old diagnosed with a brain tumor, who has recently begun chemo. The nurse asked her how being hospitalized is impacting her senior year of high school. Which step is this in the nursing process?

Assessment

Mr. Patel was recently started on a new hypertension medication. During a home visit, the nurse asks what Mr. Patel has eaten in the last 24 hours. Which step of the nursing process does this represent?

Assessment

What does ADPIE stand for?

Assessment, Diagnosis, Planning, Implementation, and Evaluation

Planning

Creating an individualized map to attain specific patient goals and outcomes (PLAN OF CARE)

Adrian, a nurse, reflects on her client's admission information, including physical assessment and related family concerns. She considers all information to reach conclusions. Which step of the nursing process does this represent?

Diagnosis

The nurse is caring for Ms.Lee, a client who does not speak English. The nurse learns from the patients family that Ms. Lee has specific religious needs that she cannot address because of the hospital routine. Adjustments are made in the plan of care besef on this information. Which step of the nursing process does this represent?

Evaluation

Upon discharge, the nurse realizes that all care goals were met. The documentation is updated to reflect this. Which step of the nursing process does this represent?

Evaluation

Assessment

Gathering data on the client's physical, psychological, sociocultural, developmental, and spiritual needs

Which statement or command made by the nurse is an example of the evaluation phase of the nursing process?

I wish Mr. Sullivan were able to walk the length of the hallway by now, but he is not meeting the goal."

Delegation is part of which nursing process?

Implementation

Mrs. Clancy is a nursing home patient at risk for falls. The head nurse asks one of the unlicensed assistive personnel to assist Mrs. Clancy to the dining hall and help her prepare her dinner. Which step of the nursing process does this represent?

Implementation

Mr. Thompson had surgery yesterday for a hernia repair. His pain is significant. The nurse delivers an injection of pain medicine 30 minutes before Mr. Thompson needs to ambulate in the hall. Which step of the nursing process does this represent?

Implementation (action phase)

What is ADPIE used for?

It is used to create a client focused, individualized plan of care

Rodalind, a nurse, considered the most recent evidence-based policy on care of the patient with pneumonia while identifying patients needs. Which step of the nursing process does this represent?

Planning interventions

Which step includes current best practices?

Planning interventions

Mrs. Waters fell in her room at the care center and fortunately was not injured. Documented in her chart was "no further falls will occur while in the care center." Which step of the nursing process does this represent?

Planning outcomes

Short term and long term goals are part of which step in the nursing process?

Planning outcomes

The nurse Linda identifies some concerns about her patients financial situation and ability to pay the hospital bill. She approaches the healthcare provider to request that a social worker meet with the client prior to discharge. Which step of the nursing process does this represent?

Planning outcomes

Which type of planning should start from the beginning of admission?

Planning outcomes

The nurse is performing an assessment on a client. What should be included in this process?

Religious and spiritual needs

Implementation

Specific nursing interventions to meet patient goals and outcomes

Evaluation

The nurse critiques and revises the care plan as needed

Which statement is correct about critical thinking and the nursing process?

The nursing process is a critical-thinking, problem-solving model.

Which of the following about the nursing process is true?

Works alongside an individualized plan of care