The Nursing Process Study Guide

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12 Terms

1
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What is the purpose of the Assessment step in the nursing process?

To gather comprehensive data about the patient’s physical, psychological, sociocultural, spiritual, and lifestyle health.

2
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What are the two types of data collected during the Assessment?

Objective data (observable & measurable signs) and Subjective data (what the patient says or feels).

3
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What does NANDA-I stand for?

North American Nursing Diagnosis Association International.

4
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What does a SMART goal include?

Specific, Measurable, Achievable, Relevant, and Time-bound.

5
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What is the primary purpose of the Implementation step in the nursing process?

To carry out the nursing interventions outlined in the care plan.

6
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What should a nurse do before intervening during the Implementation phase?

Always reassess the patient before intervening.

7
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What does the Evaluation step assess?

The outcomes of interventions to determine if patient goals were met.

8
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What is indicated if a patient's pain level has not decreased as expected?

Reassess medications and update the care plan.

9
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What does the mnemonic ADPIE stand for in the nursing process?

Assessment, Diagnosis, Planning, Implementation, Evaluation.

10
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Why is documenting every step of the nursing process important?

It protects both the nurse and the patient by ensuring legal and ethical standards are met.

11
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What is a key tip for gathering data during the Assessment phase?

Use open-ended questions to gather more information.

12
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What characterizes the nursing process?

It is cyclical, not linear; if goals aren’t met, reassess and return to Step 1.