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TFN
Nursing Theory in Clinical Practice, Research & Education
| Question | Answer |
|---|---|
| What is Nursing Process? | 1) provides order & direction to nursing care 2) a tool used by practicing nurses to make decisions & to predict & evaluate the results of nursing actions 3) can provide a means for evaluating the quality of nursing care given & thus be used in demonstrat |
| What are the 6 Phases of Nursing Process? | 1) Assessment 2) Nursing Diagnosis 3) Outcome Identification 4) Planning 5) Implementation 6) Evaluation |
| What is Assessment in Nursing Process? | the 1st phase in NP; is the sytematice & orderly analysis of data about the past/present health status of the client/patient for the purpose of making the nursing diagnosis. |
| What are the assessment guidelines? | 1) Biographical & Demographic data 2) Health History including family 3) Subjective & Objective data about current health status 4) Generic or Folk treatments 5) Social, Cultural, Spiritual & Environmental data 6) Behaviors |
| What is Nursing Diagnosis in NP? | 2nd phase in NP, (Nanda) a clinical judgment about individual family or community responses to actual or potential health problems; statement identifies an actual or potential health problem or area of concern that may be amenable to nursing actions. |
| How should Nursing Diagnosis be ranked & based on? | Nursing Diagnosis are IDENTIFIED and they should be RANKED IN ORDER OF PRIORITY based on input from both the client and the nurse. |
| What is Outcome Identification? | 3rd phase in NP; the nurse & client set realistic & measurable expected outcomes, w/c are derived from the diagnosis; the client & his/her family should be consulted before formulating the client's outcome, w/c should be realistic & attainable. |
| What is Planning in NP? (2) | 4th phase; can be described as the determination of what can be done to assist the client & reflects nursing actions; involves the devlpt of strategies to attain specific expected outcomes to resolve actual or potential health problems. |
| What is Planning in NP? (1) | deals to both actual/potential problems & for reaching identified outcomes in an orderly fashion; provide means for organization, giving direction/meaning to the nursing actions used in helping the client/family to resolve health problems. |
| What is Implemetation? | 5th phase in the NP; occurs when the nurse implements the actions identified in the previous phase; putting the plan into action; other terms used: ACTION or INTERVENTION. |
| What is the difference between IMPLEMETATION and INTERVENTION? | IMPLEMENTATION refers to putting a plan into action. INTERVENTION speaks to involvement in the affairs of another, a coming between the other and a problematic situation. |
| When do Implementatin begins? | it begins when the nurse selects those actions most suitable to achieve the identified outcomes. |
| What are the 7 categories of Nursing actions? (CCampbell) | 1) assertive 2) hygienic 3) rehabilitative 4) supportive 5) preventive 6) observation 7) educative |
| What do nurses need to be clear about in their functions in doing nursing actions? | 1) dependent 2) independent 3) interdependent |
| What is important to consider in planning Nursing actions? | it is important to consider the CLUSTER of CONSEQUENCES of both POSITIVE & NEGATIVE VALUE that can be EXPECTED to OCCUR with and following each action. |
| What is Evaluation in NP? | 6th and final NP; the clients progress toward attainment of outcomes are evaluated; the key to appropriate evaluation of nurse-client actions lies in the planning phase of the nursing process; it may lead to REASSESSMENT. |
| What are the 5 steps that Evaluation should consist of? (Wilkinson) | 1) Review 2) Collect 3) Compare 4) Record 5) Relate |
| What should REVIEW consist of in Evaluation? | the stated (predicted)outcome |
| What should COLLECT consist of in Evaluation? | data about the clients responses to nursing interventions |
| What should COMPARE consist of in Evaluation? | the actual outcomes to predicted outcomes & decide if goals have been met. |
| What should RECORD consist of in Evaluation? | the conclusion |
| What should RELATE consist of in Evaluation? | nursing plans & intervention to client outcomes |
| What are the 2 types of Evaluation? | 1) Structure evaluation 2) Process evaluation |
| What is Structure evaluation? | relates to such things as appropriate equipment to assess the client or to carry out the plan & to record evaluation conclusions. |
| What is Process evaluation? | focuses on the activities of the nurse, can be done during each phase of the nursing process, or it may be carried out at the end of the process. |
Created by:
mikay
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