SJH Nursing Officer - 2019
Fundamental of Nursing
Easy

Which is a tool of Nursing Process?

Appeared in: SJH Nursing Officer - 2019

Explanation

  • The nursing process is a five-step systematic method for patient care, often remembered by the mnemonic ADPIE.
  • Planning is the third step in this process, following Assessment and Diagnosis.
  • This phase involves setting priorities, defining patient-centered goals and outcomes, and choosing specific nursing interventions to address the patient's health problems.
  • The other options are all components of the Assessment phase, not distinct steps themselves.

Why Other Options Were Wrong

  • Option A: Personal history is not a separate step but a component of the health history collected during the Assessment phase of the nursing process.
  • Option B: Information about the present illness is crucial data gathered during the Assessment phase to understand the patient's current health problem.
  • Option C: Socio-economic status is part of the social and personal history collected during the comprehensive Assessment phase to understand factors influencing the patient's health.

Related Visual

Visual explanation — Related Visual
Clinical Relevance
  • Nursing practice connection: Knowing Phases of the Nursing Process helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
  • The nursing process is the fundamental framework for professional nursing practice, ensuring that patient care is logical, systematic, and patient-centered.
  • Mastery of the nursing process is essential for passing nursing exams and for competent, safe clinical practice.
  • What if? If a patient is not meeting their goals during the Evaluation phase, the nurse must restart the process by reassessing the patient (return to the Assessment phase), identifying new or revised diagnoses, and creating a modified plan of care.
How to Approach the Question
  • First, identify the core concept of the question, which is the 'Nursing Process'.
  • Recall the standard five steps of the nursing process. A helpful mnemonic is ADPIE: Assessment, Diagnosis, Planning, Implementation, and Evaluation.
  • Examine each option to see if it matches one of these five steps.
  • Option D, 'Planning', is a direct match with the 'P' in ADPIE.
  • Analyze the other options: 'Personal history', 'Present illness', and 'Socio-economic status'. Recognize that these are all types of data collected during the 'Assessment' phase.
  • Conclude that 'Planning' is the only option that represents a distinct, high-level step of the nursing process itself.
Concept Tested & Keywords
  • Concept Tested: Phases of the Nursing Process
  • Stem keywords: Nursing Process, tool
  • Lead-in keywords: Which is
  • Negative lead-in flag: false

Question ID

Q5mwF-LhpB2ZErBvVrsoGW

Reference Book

E6 Nursing Fundamentals Taylor pp. 435-437, 434-436

E6 Nursing Fundamentals Potter Perry 12e Part 1 p. 254-255

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