Nursing Process

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Author:
kimberlyjennery
ID:
242738
Filename:
Nursing Process
Updated:
2013-10-26 22:59:55
Tags:
nursing process ccc nurs210 exam4
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Description:
Fiddly bits from the CCC NURS210 Nursing Process topic
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  1. What is the definition of a nursing diagnosis?
    A clinical judgment about individual, family, or community responses to actual and potential health problems or life processes.
  2. What are the 4 types of nursing diagnoses?
    • Actual nursing diagnoses
    • "risk for" nursing diagnoses
    • wellness nursing diagnoses (pt healthy, want to keep that way)
    • collaborative problems
  3. What are the five components in writing a nursing diagnoses?
    • Label
    • definition
    • defining characteristics
    • related factors
    • risk factors
  4. What are some example nursing diagnoses?
    • •Constipation related to inadequate fluid intake
    • •Ineffective individual coping related to fear of medical diagnosis
    • •Risk for impaired skin integrity related to immobility
  5. What are the two high-level steps in the planning process?
    • 1. establish priorities
    •   - threats to physiological integrity
    •   - the health care setting
    •   - client's perception of need
    •   - client's self-care ability
    • 2. establish outcomes
    •   - defining outcomes: measurable and realistic
    •   - types of outcomes: nursing-sensitive client outcome
    •   - nursing outcomes classification (NOC) system
  6. What are the 7 features of a proper goal and expected outcome?
    • client-centered
    • singular goal or outcome
    • observable
    • measurable
    • time-limited
    • mutual factors
    • realistic
  7. What are the nursing skills of intervention?
    • teaching
    • collaborating
    • managing (you can delegate activity, but not accountability)
    • coordinating
    • monitoring
    • assisting
    • supporting
    • protecting
    • sustaining
  8. What are the four types of interventions?
    • direct care nursing intervention
    • indirect care nursing intervention
    • nurse-initiated intervention
    • physician-initiated intervention
  9. What are the 6 elements of an intervention?
    • who (provides the care)
    • what (the care required to meet the need)
    • where (home, hospital, or clinic)
    • when (time delivered/sequence of events)
    • why (rationale)
    • how (method; individualizes a client's care(
  10. What are common core interventions found in the Nursing Intervention Classification (NIC) system?
    • active listening
    • emotional support
    • infection control and protection
    • vital signs monitoring
    • medication management
  11. Name 3 nursing implementation skills
    • cognitive
    • interpersonal
    • psychomotor
  12. What are the three possible evaluations of nursing outcomes?
    • goals met
    • goals partially met
    • goals not met

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