Author Question: In which order will the nurse use the nursing process steps during the clinical decision-making ... (Read 47 times)

tatyanajohnson · **on:** Jul 22, 2018

In which order will the nurse use the nursing process steps during the clinical decision-making process?

1. Evaluating goals
2. Assessing patient needs
3. Planning priorities of care
4. Determining nursing diagnoses
5. Implementing nursing interventions
a. 2, 4, 3, 5, 1
b. 4, 3, 2, 1, 5
c. 1, 2, 4, 5, 3
d. 5, 1, 2, 3, 4

Question 2

A nurse is reviewing care plans. Which finding, if identified in a plan of care, should the registered nurse revise?

a. Patient's outcomes for learning
b. Nurse's assumptions about hospital discharge
c. Identification of several actual health problems
d. Documentation of patient's ability to meet the goal

fur · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A
The American Nurses Association developed standards that set forth the framework necessary for critical thinking in the application of the five-step nursing process: assessment, diagnosis, planning, implementation, and evaluation.

Answer to Question 2

ANS: B
The nurse should not assume when a patient is going to be discharged and document this information in a plan of care. Making assumptions is not an example of a critical thinking skill. The purpose of the nursing process is to diagnose and treat human responses (e.g., patient symptoms, need for knowledge) to actual or potential health problems. Use of the process allows nurses to help patients meet agreed-on outcomes for better health. The patient's outcomes, having several actual health problems, and a description of the patient's abilities to meet the goal are all appropriate to document in the nursing plan of care.