10th Edition by Carrol Collier
Nursing Process - ANSWER:Provides a common strand that unites all nurses in their
relationship-centered care.
It identifies how to safely help the patient reach desired outcomes.
Dependent Role - ANSWER:The licensed practical nurse functions with supervision in
a dependent role to the RN and Dr.
Important outcome of the Nursing Process. - ANSWER:Provide a structure of thinking
before acting as well as implementing a communication process.
1977 - ANSWER:Year the ANA American Nurses Association published the standards
of nursing practice.
Steps of the Nursing process - ANSWER:1. Assessment - collecting data.
2. Nursing Diagnosis (RN).
3. Planning.
4. Implementation.
5. Evaluation of Nursing care.
6. Include the patient in planning.
Assisting - ANSWER:LPN's role to RN's
Data Collection - ANSWER:A systematic gathering and reviewing of information
about the patient.
Commuicated to the whole patient care team.
Planning - ANSWER:Involves assisting RN with developing a nursing diagnosis,
intervention, and implementation.
Implementation - ANSWER:Part of the Nursing process that requires nursing care to
accomplish established patient goals.
Evaluation - ANSWER:Nursing process that compares the actual outcomes with the
expected outcomes.
Relationship that LPN's have with the health team. - ANSWER:Interdependent
Data Collected in a nursing process by LPN - ANSWER:Patient's vital signs.
Checking therapeutic responses to medication.
Symptoms.
Who defined the Nursing Diagnosis? - ANSWER:International Journal of Nursing
Terminologies and Classifications, in 2008.
, Nursing Diagnosis - ANSWER:A clinical judgement about individual, family, or
community responses to actual or potential health problems/processes.
Nursing Diagnosis - ANSWER:Provides the basis for selection of nursing interventions
to achieve desired outcomes.
NANDA - I - ANSWER:North American Nursing Diagnosis Association International
Developed a common language for nurses to communicate (taxonomy).
Subjective information - ANSWER:Info based on the patient's opinion or symptoms.
IE: Physical discomfort, Anxiety, Mental stress
Immeasurable values. "I feel hot".
Objective Information - ANSWER:Solid, measurable, quantifiable data.
Info obtained from a physical assessment.
Verifying Information - ANSWER:An important step in thinking critically.
Comparing data to the exisitng medical records.
Nursing process does not involve ____________________ the patient's behaviors,
values, or decisions. - ANSWER:Judgement
Barriers to collecting accurate data - ANSWER:1. Insufficient time.
2. Lack of communication. IE: foreign language, speech impaired or comatose
patient.
3. Distractions in the healthcare setting.
_________________ hierarchy is used when nurses prioritze patient needs. -
ANSWER:Maslow's
Goals vs. Outcomes - ANSWER:__________ States a general intent about what is
being accomplished.
_________________ describe a specific result that can be observed at some point.
Nursing outcomes must include - ANSWER:1. Realistic, attainable patient goals.
2. Measurable.
3. Have a set time frame.
Interventions - ANSWER:Identifies specifically what the nurse will do to assist the
patient to reach their goal.
AKA Nursing Approach, Nursing Action, or Nursing Care - ANSWER:Nursing
Interventions
Types of care plans - ANSWER:1. Individualized care plan (1 patient).
2. Standardized care plan.