Skills 3rd Edition TEST BANK By Marti Burton; David Smith
Nursing Process - ANSWER:A systematic, person centered, goal-oriented method of
caring that provides a framework for nursing practice.
Holistic Care - ANSWER:includes physical, emotional, spiritual, psychological, and
intellectual aspects. All are connected and function as a whole.
The five steps of the nursing process: - ANSWER:1. Assessment
2. Nursing diagnosis
3. Planning
4. Implementation
5. Evaluation
Assessing - ANSWER:Collecting, validating, and communicating patient data.
The collection of patient data is a vital step in the nursing process because the
remaining steps depend on ___________ , ________ , ___________ , and
___________ data. - ANSWER:complete, accurate, factual, relevant.
Database - ANSWER:information obtained with the initial interview and physical
exam. It is continually validated and updated.
Diagnosing - ANSWER:analysis of client data that shows actual or potential health
problems, factors that contribute to or cause problems and strengths and coping
patterns of client (to identify patients strengths and weaknesses.)
Planning - ANSWER:establishment of client goals/outcomes by nurse that prevent,
reduce or resolve problems identified in nursing diagnosis and determines related
nursing interventions.
Actions of the nurse should be in partnership with the _____________ and patient's
________ too. - ANSWER:patient, family
Implementing - ANSWER:Nursing actions planned in the previous step are carried
out (carrying out the plan).
The purpose of the implementing stage: - ANSWER:to assist the patient in achieving
valued health outcomes, promote health, prevent disease and illness, restore health
and facilitate coping with altered functioning.
Evaluating - ANSWER:Measures extent to which client goals have been met.
, Actions of the nurse during the evaluating stage: - ANSWER:- Terminate the plan of
care when each expected outcome is achieved.
- Measure how well the patient has achieved outcome.
- Continue the plan of care if more time is needed to achieve the outcomes.
Acronym for nursing process: - ANSWER:ADPIE
Describe the systematic characteristic of the nursing process. - ANSWER:- directs
each step of the nursing care in a sequential, ordered manner.
- each activity depends on accuracy that precedes it and influenced actions that
follow it.
Describe the dynamic characteristic of the nursing process. - ANSWER:- steps
overlap.
- all 5 can occur at the same rime
Human being is always at the _______ of nursing. - ANSWER:heart
What are the stepping stones of Maslow's basic human needs in order? - ANSWER:1.
Physiologic
2. Safety and Security
3. Love and Belonging
4. Self Esteem
5. Self Actualization
Examples of Physiologic. - ANSWER:(most essential, highest priority) physical activity,
temperature, airway, elimination, O2, breathing, circulation, food, rest, h20, sexual
activity.
Ex. of Safety and Security. - ANSWER:Medication Administration, safe transfer, lower
bed, sterile technique, hand hygiene.
Ex. of Love and Belonging - ANSWER:Support system, family support, friends
Ex. of Self Esteem - ANSWER:Feel good about self, self pride.
Ex. of Self Actualization - ANSWER:Fully accept self, respect others, happy.
Medical Assessment - ANSWER:target data that points toward disease.
Nursing Assessment - ANSWER:focus on patient's responses to health problems.
The 2 steps of assessment - ANSWER:1. Collection and verification of data from
multiple sources.
2. Analysis of the data
Subjective Data - ANSWER:patient information, what the patient tells you.