Questions and CORRECT Answers
The First Part of the Nursing Process Assessment
The second part of the nursing process Nursing Diagnosis
the third part of the nursing process planning with goals and outcomes
the fourth part of the nursing process implementation with patient education
the fifth part of the nursing process evaluation
Assessment •Data collection, review, and analysis
• Medication profile
• Any and all drug use
• Prescriptions
• Over-the-counter medications
• Vitamins, herbs, and supplements
• Compliance and adherence
Nurse Diagnosis in Drug therapy used to communicate and share information about the patient and the patient
experience.
related to drug therapy include:
• Deficient knowledge
• Risk for injury
• Nonadherence (Noncompliance)
Criteria to develop a nursing diagnosis • Patient response to illness, injury, or significant change
• Factors related to the response ("related to")
• Listing of cues, clues, evidence, or other data that support the nurse's claim for
the diagnosis ("as evidenced by")
Planning Identification of goals and outcome criteria
Goals Objective, measurable, and realistic with an established time period for
achievement of the outcomes that are specifically stated in the outcome criteria
Outcome Criteria Concrete descriptions of patient goals
, Implementation Initiation and completion of specific nursing actions as defined by the nursing
diagnoses, goals, and outcome criteria
Independent, collaborative, and dependent
The phase where the six rights of medications is used Implementation
The Six rights of medication Right drug
Right dose
Right time
Right route
Right patient
Right documentation
Evaluation Ongoing part of the nursing process
• Determining the status of the goals and outcomes of care
• Monitoring the patient's response to drug therapy
• Expected and unexpected responses
• Clear, concise documentation
Compliance Implementation or fulfillment of a prescriber's or caregiver's prescribed course of
treatment or therapeutic plan by a patient.
Medication Error Any preventable adverse drug event involving inappropriate medication use by a
patient or health care professional; it may or may not cause the patient harm.
Noncompliance An informed decision on the part of the patient not to adhere to or follow a
therapeutic plan or suggestion.
Adherence acknowledges the consideration/acceptance of patient/family/caregiver
participation in use of the nursing process.
Nursing Process An organizational framework for the practice of nursing. It encompasses all steps
taken by the nurse in caring for a patient: assessment, nursing diagnoses, planning
(with goals and outcome criteria), implementation of the plan (with patient
teaching), and evaluation.
Outcomes Descriptions of specific patient behaviors or responses that demonstrate meeting
of or achievement of behaviors related to each nursing diagnosis. These
statements are specific while framed in behavioral terms and are measurable.
Prescriber Any healthcare professional licensed by the appropriate regulatory board to
prescribe medications