❖ Nursing Process- ATI Fundamentals Ch. 7
➢ Assessment/ Data Collection
▪ Pt. interview
▪ Medical history
▪ Physical assessment
▪ Lab reports
▪ S/S, feelings
▪ Objective data VS
➢ Analysis
▪ ID pt. health status
...
❖ Nursing Process- ATI Fundamentals Ch. 7
➢ Assessment/ Data Collection
▪ Pt. interview
▪ Medical history
▪ Physical assessment
▪ Lab reports
▪ S/S, feelings
▪ Objective data VS
➢ Analysis
▪ ID pt. health status
▪ Recognize trends and patterns
➢ Planning
▪ Nurse initiated/Independent Interventions
▪ Provider-Initiated/Dependent interventions
▪ Collaborative interventions
▪ Establish priorities
➢ Implementation
▪ Base care according to data and plan of care
▪ Use problem-solving and critical thinking
▪ Minimize risks
▪ Implement nursing action based on delegation
➢ Evaluation
▪ Evaluate client responses to interventions for form clinical judgement
▪ See if goals are met
▪ Determine effectiveness of nursing care plan
Practice Question: A nurse is discussing the nursing process with a newly hired nurse. Which of the following statements by the newly hired nurse should the nurse identify as appropriate for the planning step of the nursing process?
➢ A. “I will determine the most important client problems that we should address.”
➢ B. “I will review the past medical history on the client’s record to get more information.”
➢ C. “I will go carry out the new prescriptions from the provider.”
➢ D. “I will ask the client if his nausea has resolved.”
Practice Question: By the second postoperative day, a client has not achieved satisfactory pain relief. Based on this evaluation, which of the following actions should the nurse take, according to the nursing process?
➢ A. Reassess the client to determine the reasons for inadequate pain relief.
➢ B. Wait to see whether the pain lessens during the next 24 hr.
➢ C. Change the plan of care to provide different pain relief interventions.
➢ D. Teach the client about the plan of care for managing his pain
➢
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