NFDN 1001 – FINAL STUDY GUIDE
Nursing Process - Answers - A framework through which one aims to identify, diagnose,
and treat actual and potential health issues and challenges of clients from a holistic
perspective
What does the Nursing Process do? - Answers - -Framework for meeting needs of the
client
-Focus the nurse's attention on the given health situation, resulting in a holistic plan of
care
-Organized and systematic method of problem solving which leads to safer patient care
-Actively involves the client
-You, as the nurse, will have autonomy over your practice=greater job satisfaction
5 Steps of the Nursing Process - Answers - 1.Assessment
2.Nursing Diagnosis
3.Planning
4.Implementation
5.Evaluation
Assessment - Answers - -Beginning of providing patient-centered care
-Entails gathering data and compiling a health history (patient interview, physical exam,
analysis of diagnostic and lab results, health record and research)
-Collaboration with patient, family and health-care team
-Provides a holistic perspective of the patient's past and current health status
-Ongoing process used every time nurses interact with a patient
Four types of assessment - Answers - -Initial (Complete)
-Focused
-Time-lapsed (Follow-up/ongoing)
-Emergency
Types of data in an Assessment - Answers - Subjective and Objective
Sources of Data in an Assessment - Answers - -Patient of family
-Interdisciplinary team
-Medical chart
-Research
-Literature
Types of questions used in an interview - Answers - Closed-ended and Open-ended
Nursing Judgement - Answers - Refers to the process nurses use to critically evaluate
and interpret patient data and then make informed decisions about their patient's care
, What is the first, second and third level of nursing judgement? - Answers - 1.
Emergencies (ABCV)
2. Mental status change, acute pain, abnormal lab values
3. Not already addressed, family issues, knowledge deficit
Nursing Diagnosis - Answers - -Analyze the assessment data
-Form diagnostic conclusions that determine the nursing care a client receives
-Clinical judgements about the "Client" in response to actual or potential health
problems
-Example: At risk for unstable blood sugars related to knowledge deficit
-Listing what is wrong
Medical Diagnosis - Answers - -Disease specific based on physical signs and
symptoms, medical history, results of diagnostic test
-example: Diabetes, cancer, hypertension
NANDA - Answers - -North American Nursing Diagnosis Association
-It's purpose: to develop, refine and promote a taxonomy of nursing diagnostic language
that can be used by all professional nurses
-Defined a nursing diagnosis as a clinical judgement about a "client" in response to
actual or potential health problem or life processes
-Provides the basis for selecting nursing interventions
-Focuses on client-centered problems instead of "tasks" of nursing practice
NANDA Categories - Answers - -Health Promotion
-Nutrition
-Elimination & Exchange
-Activity & Rest
-Sexuality
-Comfort
-Growth & Development
etc.
Types of Nursing Diagnosis - Answers - -Actual
-Potential/Risk
-Wellness/Health Promotion
Actual - Answers - -Describes responses to health conditions/life processes that exist at
the PRESENT time
-Has 3 parts: NANDA, label, related too, evidence
-Example: Anxiety, diet, weight
-Label: Related to: as evidenced by (AEB)
Risk/Potential - Answers - -Describes a problem or situation that could be prevented
with interventions from the nurse
Nursing Process - Answers - A framework through which one aims to identify, diagnose,
and treat actual and potential health issues and challenges of clients from a holistic
perspective
What does the Nursing Process do? - Answers - -Framework for meeting needs of the
client
-Focus the nurse's attention on the given health situation, resulting in a holistic plan of
care
-Organized and systematic method of problem solving which leads to safer patient care
-Actively involves the client
-You, as the nurse, will have autonomy over your practice=greater job satisfaction
5 Steps of the Nursing Process - Answers - 1.Assessment
2.Nursing Diagnosis
3.Planning
4.Implementation
5.Evaluation
Assessment - Answers - -Beginning of providing patient-centered care
-Entails gathering data and compiling a health history (patient interview, physical exam,
analysis of diagnostic and lab results, health record and research)
-Collaboration with patient, family and health-care team
-Provides a holistic perspective of the patient's past and current health status
-Ongoing process used every time nurses interact with a patient
Four types of assessment - Answers - -Initial (Complete)
-Focused
-Time-lapsed (Follow-up/ongoing)
-Emergency
Types of data in an Assessment - Answers - Subjective and Objective
Sources of Data in an Assessment - Answers - -Patient of family
-Interdisciplinary team
-Medical chart
-Research
-Literature
Types of questions used in an interview - Answers - Closed-ended and Open-ended
Nursing Judgement - Answers - Refers to the process nurses use to critically evaluate
and interpret patient data and then make informed decisions about their patient's care
, What is the first, second and third level of nursing judgement? - Answers - 1.
Emergencies (ABCV)
2. Mental status change, acute pain, abnormal lab values
3. Not already addressed, family issues, knowledge deficit
Nursing Diagnosis - Answers - -Analyze the assessment data
-Form diagnostic conclusions that determine the nursing care a client receives
-Clinical judgements about the "Client" in response to actual or potential health
problems
-Example: At risk for unstable blood sugars related to knowledge deficit
-Listing what is wrong
Medical Diagnosis - Answers - -Disease specific based on physical signs and
symptoms, medical history, results of diagnostic test
-example: Diabetes, cancer, hypertension
NANDA - Answers - -North American Nursing Diagnosis Association
-It's purpose: to develop, refine and promote a taxonomy of nursing diagnostic language
that can be used by all professional nurses
-Defined a nursing diagnosis as a clinical judgement about a "client" in response to
actual or potential health problem or life processes
-Provides the basis for selecting nursing interventions
-Focuses on client-centered problems instead of "tasks" of nursing practice
NANDA Categories - Answers - -Health Promotion
-Nutrition
-Elimination & Exchange
-Activity & Rest
-Sexuality
-Comfort
-Growth & Development
etc.
Types of Nursing Diagnosis - Answers - -Actual
-Potential/Risk
-Wellness/Health Promotion
Actual - Answers - -Describes responses to health conditions/life processes that exist at
the PRESENT time
-Has 3 parts: NANDA, label, related too, evidence
-Example: Anxiety, diet, weight
-Label: Related to: as evidenced by (AEB)
Risk/Potential - Answers - -Describes a problem or situation that could be prevented
with interventions from the nurse
