Summary
NUR 181 Chapter 3 Summary
This is a comprehensive and detailed summary on Chapter 3; Nursing process for Nur 181. *Essential Study Material!!
[Show more]
Connected book
Book Title:
Author(s):
- Edition:
- ISBN:
- Edition:
Content preview
Chapter 3: Nursing Process : AssessmentI. ASSESSMENT : the first step in the nursing process
1. Assessment : the systematic gathering of information related to the
physical, mental, spiritual, socioeconomic, and cultural status of an
individual, group, or community.
2. Patient database: (all pertinent patient data obtained by nurses and other
health professionals).
B. How is Assessment Related to Other steps of the nursing process?
1. Diagnosis—Assessment provides the data necessary for identifying the
client’s health problems and strengths.
2. ■ Planning outcomes—Data about the patient’s motivation, family, and
available resources help you formulate realistic goals.
3. ■ Planning interventions—Assessment data help you to choose the
interventions most likely to be acceptable to and effective for the client.
4. ■ Implementation—As you perform nursing actions, you will also gather
data by observing the client’s responses.
5. Evaluation—After performing interventions for existing diagnoses, you
assess the client’s responses. This reassessment provides the basis for
changes in the care plan.
C. How Does Nursing Assessment Fit into Collaborative Care?
1. Assess response to illness and also identify ways to prevent disease
2. Nurse can look at database and delegate or make referrals to other
professionals
D. What do Professional Standards Say about Assessment?
1. ANA standards:
a) Collects comprehensive data pertinent to health care consumer’s
health and/or situation
b) Prioritize data based on immediate condition
c) Use evidence based practice
d) Applies legal, ethical and privacy guidelines
e) Patient has authority of his or her own health
2. Joint Commission
a) Assessments are written, comprehensive (physical,
psychological, and social status), and used to identify and assign
priorities for care.
b) ■ Agency policy designates (1) when each patient is to be
reassessed and (2) which disciplines can make which
assessments.
c) ■ All patients are assessed for pain.
E. Can I Delegate Assessments
1. Nurse aides or other nursing assistive personnel (NAP) may collect
information such as temperature, height, and weight. However, as a
nurse, it is your responsibility to assign those tasks, validate the data
collected, conduct the interview, and complete the physical assessment.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller anyiamgeorge19. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $10.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now