NURS 110 - Exam 3 Nursing Process
(ADPIE)
a critical thinking 5 step process; the fundamental blueprint for how to care for patients -
ANS-nursing process
5 steps of the nursing process - ANS-assess
diagnose
plan
implement
evaluate
step that gathers information about the patient's condition; the deliberate and systematic
collection of information about a patient to determine the patient's current and past health and
functional status and his or her present coping patterns - ANS-assess
step that identifies the patient's problems - ANS-diagnose
step that sets goals of care and desired outcomes and identify appropriate nursing actions -
ANS-plan
step that performs the nursing actions identified in planning - ANS-implement
step that determines if goals and expected outcomes are achieved - ANS-evaluate
two steps of assessment - ANS-1. collection of info from a primary source (patient) and
secondary sources (family, friends, health professionals, and the medical record)
2. the interpretation and validation (analysis) of data to ensure a complete database
4 things that influence critical thinking in assessment - ANS-experience, knowledge, standards,
and attitudes
A leading cause of error in clinical decision making is __ during the assessment phase -
ANS-collection of inaccurate or incomplete data
what kind of information is gathered during the assessment step - ANS-physical, physiological,
psychological, sociological, spiritual status
, Connecting with a patient by showing interest in problems and concerns allows for what during
assessment step - ANS-better interpretation and understanding of the patient's illness and their
perceptions of it
sources for patient data - ANS-patient
family
chart
observations
lab values
x-rays
health care team
types of assessment (3) - ANS-patient-centered interview during nursing health history
physical exam
periodic assessments you make during rounding or administering care
information that you obtain through the use of the senses - ANS-cue
your judgment or interpretation of cues - ANS-inference
questions to ask yourself during assessment - ANS-Is this information relevant?
Do I need to assess anything else?
What supporting data sources do I need to check?
Have I assessed the client's knowledge and perception of these findings?
patient's verbal descriptions of their health problems is what kind of data - ANS-subjective
observations or measurements of a patient's health status is what kind of data - ANS-objective
data about the patient's current level of wellness - ANS-nursing health history
components of the nursing health history - ANS-biographical information
reason for seeking health care
health history
psychosocial history
patient expectations
present illness or health concerns
family history
spiritual health
review of systems
diagnostic and lab data
patient expectations
interpreting and validating assessment data
(ADPIE)
a critical thinking 5 step process; the fundamental blueprint for how to care for patients -
ANS-nursing process
5 steps of the nursing process - ANS-assess
diagnose
plan
implement
evaluate
step that gathers information about the patient's condition; the deliberate and systematic
collection of information about a patient to determine the patient's current and past health and
functional status and his or her present coping patterns - ANS-assess
step that identifies the patient's problems - ANS-diagnose
step that sets goals of care and desired outcomes and identify appropriate nursing actions -
ANS-plan
step that performs the nursing actions identified in planning - ANS-implement
step that determines if goals and expected outcomes are achieved - ANS-evaluate
two steps of assessment - ANS-1. collection of info from a primary source (patient) and
secondary sources (family, friends, health professionals, and the medical record)
2. the interpretation and validation (analysis) of data to ensure a complete database
4 things that influence critical thinking in assessment - ANS-experience, knowledge, standards,
and attitudes
A leading cause of error in clinical decision making is __ during the assessment phase -
ANS-collection of inaccurate or incomplete data
what kind of information is gathered during the assessment step - ANS-physical, physiological,
psychological, sociological, spiritual status
, Connecting with a patient by showing interest in problems and concerns allows for what during
assessment step - ANS-better interpretation and understanding of the patient's illness and their
perceptions of it
sources for patient data - ANS-patient
family
chart
observations
lab values
x-rays
health care team
types of assessment (3) - ANS-patient-centered interview during nursing health history
physical exam
periodic assessments you make during rounding or administering care
information that you obtain through the use of the senses - ANS-cue
your judgment or interpretation of cues - ANS-inference
questions to ask yourself during assessment - ANS-Is this information relevant?
Do I need to assess anything else?
What supporting data sources do I need to check?
Have I assessed the client's knowledge and perception of these findings?
patient's verbal descriptions of their health problems is what kind of data - ANS-subjective
observations or measurements of a patient's health status is what kind of data - ANS-objective
data about the patient's current level of wellness - ANS-nursing health history
components of the nursing health history - ANS-biographical information
reason for seeking health care
health history
psychosocial history
patient expectations
present illness or health concerns
family history
spiritual health
review of systems
diagnostic and lab data
patient expectations
interpreting and validating assessment data
