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Chapter 1 The Nursing Process and Drug Therapy

(5 questions)

The nursing process is a research-based organizational framework for


professional nursing practice.
o Ongoing and constantly evolving process

Five steps of the nursing process ADPIE


o Assessment
o Diagnosis
o Planning
Identification of goals and outcome criteria
o Implementation
Initiation and completion of specific nursing actions
o Evaluation
Ongoing part of the nursing process
Determining the status of the goals and outcomes of care
Monitoring the patients response to drug therapy

The nurse answers a patients call light and finds the patient sitting up in bed
and requesting pain medication. What will the nurse do first? Assess the
patients pain and pain level.

Nursing diagnoses are used to communicate and share information about the
patient and the patient experience
o Common nursing diagnoses related to drug therapy include:
Deficient knowledge
Risk for injury
Noncompliance

The Six Rights of Medication Administration

o Right drug
o Right dose
o Right time
o Right route
o Right patient
o Right documentation
Definitions in this chapter:
o Compliance
Implementation or fulfillment of a prescriber's or caregiver's
prescribed course of treatment or therapeutic plan by a patient.
Use of compliance versus adherence in this textbook is
supportive of the terms used in the current listing of NANDA-I
nursing diagnoses. (p. 8)
o Goals
Statements that are time specific and describe generally what is
to be accomplished to address a specific nursing diagnosis. (p.
7)
o Medication error
Any preventable adverse drug event involving inappropriate
medication use by a patient or health care professional; it may
or may not cause the patient harm. (p. 15)
o Noncompliance
An informed decision on the part of the patient not to adhere to
or follow a therapeutic plan or suggestion. Use of
noncompliance versus nonadherence in this textbook is
supportive of the terms used in the current listing of NANDA-I
nursing diagnoses. (p. 9)
o Nursing process
An organizational framework for the practice of nursing. It
encompasses all steps taken by the nurse in caring for a patient:

assessment, nursing diagnoses, planning (with goals and


outcome criteria), implementation of the plan (with patient
teaching), and evaluation. (p. 7)
o Outcome criteria
Descriptions of specific patient behaviors or responses that
demonstrate meeting of or achievement of goals related to each
nursing diagnosis. These statements, as with goals, are
verifiable, framed in behavioral terms, measurable, and time
specific. Outcome criteria are considered to be specific,
whereas goals are broad. (p. 7)
o Prescriber
Any health care professional licensed by the appropriate
regulatory board to prescribe medications. (p. 8)