Foundations Exam 1

What are the steps and order of Nursing process?

• ADPI- assessment, diagnosis, planning, implementation

• ADPIE- assessment, diagnosis, planning, implementation, evaluation

• SMART- specific, measurable, attainable, realistic, timed

• NANDA- problem focused, risk diagnosis, and health promotion

What does Assessment mean in ADPIE?

• Includes all patient data collection, interpretation, and validation. Gathers the information about the patients condition.

• Figure out the patients problems and using judgement about the patient response to the potential health problem

• Nursing performance of planned interventions. Taking action.

What does D stand for in ADPIE

• Delegation- process of assigning part of your condition to another qualified person

• Diagnosis- figuring out the patients response to their medical problems

• Dependent Nursing Intervention- action that requires instruction or input from a doctor

What does I stand for in ADPIE

• Implementation- means nursing performance of planned intervention. The performance of nursing interventions outlined in plan of care.

• Independent- can perform interventions on their own without assistance

• Instruction- the patient informing the nurse about their symptoms

What is subjective data?

• What the patient tells the nurse and documentations such as medical history and their pain level.

• Obtaining vital signs, lab results, wound on skin, and observation to gather data.

What is objective data?

• Obtaining vital signs, lab results, wound on skin, and observation to formulate data.

• What the patient tells the nurse and documentations such as medical history and their pain level.

What is this: Is a clinical judgment made by a registered nurse to describe a patient’s response or vulnerability to health conditions or life events that the nurse is licensed and competent to treat

• Medical Diagnosis

• Nursing Diagnosis

• Diagnosis

• Prioritizing of Care

Explain what a Medical Diagnosis is.

•   a diagnostic label that classifies an individual’s, family’s, or community’s response to illness so that all nurses, those in regular clinical practice and advanced practice nurses, understand a specific patient’s health care needs.

• the identification of a disease condition based on a specific assessment of physical signs and symptoms, a patient’s medical history, and the results of diagnostic tests and procedures

•        is a clinical judgment made by a registered nurse to describe a patient’s response or vulnerability to health conditions or life events that the nurse is licensed and competent to treat

For Prioritization of care what is the first line of needs?

• Basic physiological needs: airway-breathing-circulation, nutrition, elimination, sleep, shelter, exercise 

• Safety and security: injury prevention, therapeutic relationship 

• Love and belonging relationships, therapeutic communication. 

• Self-esteem: self and community acceptance, achievement, control

 For prioritization of care what is the second line of needs?

• Basic physiological needs: airway-breathing-circulation, nutrition, elimination, sleep, shelter, exercise 

• Safety and security: injury prevention, therapeutic relationship 

• Love and belonging relationships, therapeutic communication.

• Self-actualization: empowerment, spirituality