Professional Documents
Culture Documents
Handout Nrs Process
Handout Nrs Process
I.
Introduction
a. The nursing process is a __________________________ method of providing
_____________ to clients
b. Allows nurses to ___________________________________ plans and activities to
i. _____________________
ii. Other _________________ care professionals
iii. _______________________
II.
Overview
a. Process: A series of ________________ or acts that lead to accomplishment of some
_________________________ or _____________________.
b. Purpose of to provide client care that is
i. __________________________
ii. __________________________
iii. __________________________
iv. __________________________
c. Consists of _____________# steps
i. _____________________________
ii. _____________________________
iii. _____________________________
iv. _____________________________
v. _____________________________
d. _____________ on each other. Not ___________________
III.
IV.
Assessment
a. Step # __________
b. Involves
i. __________________ data
ii. __________________ data
iii. Organizing ________________
iv. Interpreting the _______________
v. ______________________ the data
c. Purpose: _______________________ collection
d. Types of assessment
i. Comprehensive
1. Base_____________________
2. ___________________ & psychosocial
ii. Focused Assessment
1. ________________ in scope
2. Screening for a _________________ problem
3. ______________ stay
iii. Ongoing assessment
1. Follow - _____________
2. Monitoring and _________________ related to a specific problem
e. Sources of Data
i. Primary source
1. ___________________________________________________
ii. Secondary sources
1. ____________________________________________________
f. Types of data
i. Subjective
1. Data from the ________________ point of view
2
VI.
Diagnosis
a. Step # __________________
b. A clinical _____________________about individual, family or community responses
to actual or potential health problems/ life processes. A nursing diagnosis provides the
basis for selection of nursing ___________________to achieve outcomes for which the
nurse is accountable.
Medical Diagnosis
Identifies conditions the ______________ is
Nursing Diagnosis
Identifies situations the ________________ is
processes
Remains ____________ until a cure is effected
Nursing diagnosis
Activity intolerance
Cerebrovascular accident
Pain
Appendectomy
Amputation
Strep throat
VII.
Planning
a. Step # ____________
b. Type of planning
i. ___________________ planning
ii. ___________________ planning
iii. ___________________ planning
c. Goals
i. Short term ___________________________________________
ii. Long term: __________________________________________
d. Developing specific nursing interventions
i. Independent nursing interventions; _____________________________
ii. Interdependent nursing interventions: ___________________________
iii. Dependent nursing interventions: ______________________________
e. Prioritizing the nursing process: Maslows hierarchy of needs
i. _________________________________
ii. _________________________________
iii. _________________________________
iv. _________________________________
v. _________________________________
VIII.
Implementation
a. Step #______________
b. Execute!
c. Delegation
IX.
Evaluation
a. Step # _______________________
b. Determine whether the clients _______________________ have been met, partially met
or not met
X.