Nursing orders are for treatments and medication written by a medical doctor or other health care provider with prescriptive authority.

Clinical judgment about individual, family, or community responses to actual or potential health problems/life processes

A nursing diagnosis is provided by the RN and defined by the International Journal of Nursing Terminologies and Classifications.

Subjective data are based on the patient’s report or opinion.

“I feel like I can’t catch my breath” is an example of subjective data.

Subjective data are based on the patient’s report. Planning data and reassessment data are not used as data classifications.

Objective data are sometimes called signs. Objective data can be verified.

Shortness of breath is considered the highest priority as it threatens survival.

The priority problem in Maslow’s Hierarchy of Needs is one that is potentially life-threatening.

Short-term goals are more specific and realistic compared to long-term goals.

Short-term goals can usually be accomplished within hours or days.

This ensures a consistent and adequate intake of fluids.

For insufficient intake of oral fluids, the best outcome statement is providing the patient with 100 mL of fluid hourly.

Stating that the patient will request fluids when thirsty may not result in the desired intake.

An outcome may be attained by stating the problem in positive terms. It is always a statement of what the patient will do.

Data collection, with comparison of actual and desired patient outcomes, is the focus of the evaluation phase.

The primary purpose of the evaluation phase of the nursing process is to compare actual patient outcomes with desired outcomes.

The nursing diagnosis is not required by the LPN/LVN to set goals and outcomes, implement nursing interventions, or participate in data collection.

The LPN/LVN uses the nursing diagnosis as the reference point for identifying patient problems that require intervention.

LPN/LVN participates most independently in data collection and implementation phases.

The phases of the nursing process in which the LPN/LVN participates with the greatest degree of independence are data collection and implementation.

Goal setting, evaluation, and planning require interdependence with the RN.

The LPN/LVN curriculum emphasizes independence in data collection and nursing interventions.

The RN is responsible for determining the nursing care plan.

The LPN/LVN should not independently modify the nursing care plan.

Priorities may change rapidly, depending on the patient’s condition.

Patient status changes are a priority in nursing interventions.

The nurse will help the patient ambulate the length of the hall twice daily.

An appropriate outcome for a patient with total knee replacement.

Patient-centered, realistic, measurable, and time-referenced

Elements of a well-written patient outcome

Standardizes, defines, and assists nurses in choosing appropriate nursing interventions

Purpose of Nursing Interventions Classification (NIC)

Best translation for nursing diagnosis of pain associated with walking due to knee injury

Data are collected whenever the nurse and patient interact.

Data collection occurs during each patient contact.

Assessment is the sole responsibility of the registered nurse.

The sole responsibility of the registered nurse in the nursing process.

Data collection is the step involving systematic gathering and review of patient information.

Step of the nursing process involving gathering and reviewing patient information.

An LPN/LVN is assisting the RN in the development of goals and interventions for a patient’s plan of care.

A nurse compares a patient’s outcomes of nursing care to the expected outcomes and communicates these findings to the health care team.

A nurse reviews a patient’s care plan and assists the patient to accomplish a goal to ambulate at least three times a day.

Subjective information is often referred to as symptoms and is difficult to measure.

Subjective information is based on the patient’s opinion and includes feelings of physical discomfort, anxiety, and mental stress.

Objective data is obtained through physical assessment and includes cues like check, observe, monitor, weigh, measure, and smell.

Objective information includes data that the nurse can verify, known as signs.

This is an example of subjective data.

The patient complains of excruciating, crushing chest pain.

This is an example of objective data.

The patient is short of breath and coughs up green sputum.

This is an example of subjective data.

The patient complains of anxiety.

This is an example of objective data.

The patient has a heart rate of 85 beats per minute and has a sinus rhythm.

These terms indicate that the data can be verified and are not based on the patient's opinion.

Objective data collection involves terms like check, observe, monitor, weigh, measure, and smell.

Respectful distancing, which involves calling the patient by title and surname, is not a barrier.

Barriers to data collection include inadequate assessment skills, presence of distractions, and inability to speak the language.

Addressing the patient with familiarity and repeating questions are not recommended strategies.

Strategies to facilitate patient data collection include ensuring the patient knows who you are and clarifying what you do not understand.

Orienting the patient to your role and clarifying what is not understood helps in data collection.

Use of good communication strategies facilitates data collection.

Using terms of endearment is disrespectful and suggests no one listens to the patient.

Addressing the patient with familiarity can create a barrier to communication.

They help identify patient problems, foster evidence-based judgments, and improve communication between RN and LPN.

Reasons for including nursing process and critical thinking in LPN/LVN curriculum.

LPN/LVNs have an interdependent relationship with other health team members and act more independently in data collection and implementation phases.

Role of LPN/LVN in the nursing process.

They implement orders for treatments and medications and contribute by collecting and sharing data for RN planning and evaluation.

LPN/LVN responsibilities in patient care.

Subjective data is based on the patient’s opinion and includes symptoms that are difficult to measure.

Examples of subjective data include feelings of physical discomfort, anxiety, and mental stress.

Objective data is also known as signs and includes measurable information like vital signs, height, and weight.

Objective data includes information that can be verified by the nurse.

These terms are associated with objective data collection.

The terms check, observe, monitor, weigh, measure, and smell are associated with which type of data?

This is subjective data.

A patient states, “I feel a sense of impending doom.”

This is objective data.

A patient has an offensive body odor.

Nursing Process Flashcards Flashcards

Student preview

55 questions

Show all answers

1.

FLASHCARD QUESTION

Front

Nursing diagnosis

Back

Phase of the nursing process that is the sole responsibility of the registered nurse

2.

FLASHCARD QUESTION

Front

It identifies the patient’s problems.

Back

Knowing the nursing diagnosis assists the LPN/LVN by identifying the patient’s problems

3.

FLASHCARD QUESTION

Front

To resolve patient problems

Back

Primary reason that LPN/LVNs are taught to use the nursing process

4.

FLASHCARD QUESTION

Front

Collect data about the patient.

Back

During the assessment phase of the nursing process, the LPN/LVN is expected to collect data about the patient.

5.

FLASHCARD QUESTION

Front

Implementation.

Back

The phase of the nursing process that involves carrying out the care plan is called Implementation.

6.

FLASHCARD QUESTION

Front

Implementation.

Back

Demonstrating to a new mother how to safely bathe her infant is an example of the Implementation phase of the nursing process.

7.

FLASHCARD QUESTION

Front

Outcome criteria

Back

The process of determining outcome attainment involves comparing actual patient outcomes with desired patient outcomes.

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