NURSING PROCESS EXAM TIPS REMEMBER A.D.P.I.E.: ASSESS DIAGNOSE (ANALYZE) PLAN IMPLEMENT EVALUATE Side Note: Communication should be common practice in our profession however; some now add Communicate to this list. I. Decide What the Question is Asking: Which part of the Nursing Process is the question concerned with? Assessment- Analysis- Planning- Implementation or Evaluation? A. ASSESSMENT--Consists of the collection of data. Baseline information for pre and post procedures is included. Also included are the recognition of pertinent signs and symptoms of health problems both present and potential. Verification of data and confirmation of findings are also included. Always Assess and Analyze a situation before doing an intervention. 1. Some common terms that may be associated with ASSESSMENT questions: Observe; Gather; Collect; Differentiate; Assess; Recognize; Detect; Distinguish; Identify; Display; Indicate; Describe. B. ANALYSIS aka DIAGNOSE--Is the process of identifying potential and actual health problems. Pertinent assessment information will be assimilated into the nursing diagnosis. .Remember to prioritize needs identified during the analysis. 1. Some common terms that may be associated in exam questions with ANALYSIS: Diagnose; Contrast; Compare; Analyze; Order; Prioritize; Define; Classify; Categorize; Synthesize; Sort; Arrange. C. PLANNING--Involves formulating goals and outcomes. It also involves various members of the health care team and the patients family. All outcome criteria must be able to be evaluated with a specific time frame. Be sure to establish priorities and modify according to question. 1. Some common words that may be associated with PLANNING questions: Arrange; Rearrange; Reconstruct; Determine; Outcomes; Formulate; Expected; Designate; Plan; Generate; Short/long term goal; Develop. D. IMPLEMENTATION--Addresses the actual/direct care of a patient. Direct care entails pre, intra and postoperative management, procedures, treatments, activities of daily living. It also includes the coordination of care and referral on discharge. It involves documentation and therapeutic response to intervention and patient teaching for health promotion and helping the patient maintain proper health. 1. Some common words that may be associated with IMPLEMENTATION questions: Document; Explain; Give; Inform; Administer; Implement; Encourage; Advise; Provide; Perform; Teach. E. EVALUATION--Determines if the interventions were effective. Were goals met? Was the care delivered properly? Do you need to modify the plan? Evaluation addresses the effectiveness of patient teaching and understanding. Evaluation includes communicating to co-workers, documentation and reporting. It evaluates care given and determines the appropriateness of delegating to others. Most significantly, it finds out the response of the patient to care and the extent to which the goals we met. 1. Some common words that may be associated with EVALUATION questions: Monitor; Expand; Evaluate; Synthesize; Determine; Consider; Question; Repeat; Outcomes; Demonstrate; Reestablish; Communicate II. PRIORITIZE After determining what part of the nursing process the question is concerned with focus your attention on determining the priority: Safe and effective care environment is always first. Patient safety is related to the proper preparation and delivery of nursing techniques and procedures as part of the nursing practice. It relates to every aspect of the delivery of care. Physiologic integrity is the ability to provide competent care Information that may be described as traditionally medical- surgical and pediatric nursing falls into this category. Specific questions in this area can be related to many direct-care aspects of nursing practice. The importance of this area is highlighted because it is one in which planning, implementation and evaluation of care needs can easily be identified and tested. Physiologic integrity is always a slightly lower priority than safety unless it involves airway, breathing and circulation. ABCs always comes first! Psychosocial integrity tests the knowledge about a patient’s response to a disease or disorder. An understanding of stress, anxiety and ways to cope are essential. This is a lower priority to the physiological integrity. Health maintenance deals with health promotion, health teaching, disease prevention and assessment of risk factors for health problems. Normal growth and development is a major theme in this category. This however, is a low priority. In Summary, when choosing the right answer for you NCLEX exam question 1) Ask yourself, What part of the nursing process is this question dealing with?” 2) Prioritize your choices: safety always being first then physiological integrity, psychosocial integrity and health maintenance always has the lowest priority when choosing an answer. Other tidbits: • Avoid choices with the answers all always never or none. Nothing is ever a definite in Science. • Look for answers that are different. If three answers say the same thing but in different words, choose the answer that is different. • When given choices that are pharmacologically based or non pharmacologically based, choose the non pharmacological intervention. It is more often than not, the correct answer.
Posted on: Thu, 31 Jul 2014 12:36:03 +0000
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