The Nursing Process / Sbar Quiz Questions

The correct answer is Assessment. In the nursing process, the first step is to collect data, discuss health history, and interview the patient. This step is called assessment, where the nurse gathers information about the patient's current health status, past medical history, and any concerns or issues they may have. This information is essential for the nurse to develop a comprehensive understanding of the patient's needs and to plan appropriate care.

The correct answer is Evaluation. In the nursing process, evaluation is the step where the nurse assesses the patient's progress and determines if the desired outcomes have been achieved. In this scenario, the nurse is checking the progression of the bed sore, which involves evaluating the effectiveness of the treatment and determining if any changes or adjustments need to be made.

After a nurse discovers a bed sore on a patient and develops outcomes, the next step is to establish priorities and determine the next steps. This step is known as planning in the nursing process. In this step, the nurse will create a plan of care for the patient, which may include interventions to address the bed sore, as well as any other identified issues or concerns. Planning involves setting goals, determining the appropriate interventions, and prioritizing the actions that need to be taken to provide effective care for the patient.

The nurse is using the process of identifying cues and comparing them to medical definitions/characteristics to determine the patient's condition. This process is known as diagnosis, where the nurse analyzes the data collected during the assessment phase to identify the patient's health problem or condition. In this case, the nurse has determined that the patient most likely has a bed sore based on the identified cues and medical knowledge.

The correct answer is implementation. After the diagnosis and planning stages, the nurse needs to put the healing plan into action, which involves collaborating with other teams and potentially referring the patient to a specialist. This step is known as implementation in the nursing process.

When passing off information to the next nurse for the upcoming shift, it is important to include patient identification to ensure the correct patient is being discussed. Diagnosis identification should also be included to provide the oncoming nurse with an understanding of the patient's condition. Patient response to treatment is crucial information that should be shared to track progress and make any necessary adjustments. The treatment plan should also be communicated to ensure continuity of care. However, personal opinions about the patient should not be included in the report as it is subjective and may not be relevant to the next nurse's assessment and care.

Neonatal jaundice refers to the yellowing of a newborn's skin and eyes due to an excess of bilirubin in the blood. It is a common condition in newborns and requires monitoring and management by healthcare professionals, including nurses. Therefore, documenting a patient to have neonatal jaundice is an example of a nursing diagnosis.

The correct answer is "Outcome" because in this step of the nursing process, the nurse discusses the expected results or outcomes of the treatment plan with the patient. In this case, the nurse would discuss the expected healing process, the time it will take to heal, and what the patient should expect during that time frame. By discussing the outcome, the nurse can help the patient understand what to expect and work towards achieving the desired result.

The correct answer is assessment, diagnosis, outcome, planning, implementation, evaluation. This answer aligns with the nursing process, which is a systematic method used by nurses to provide patient-centered care. Assessment involves collecting data about the patient's health status. Diagnosis involves analyzing the data to identify the patient's health problems. Outcome involves setting goals for the patient's desired health outcomes. Planning involves developing a care plan to achieve the goals. Implementation involves carrying out the care plan. Evaluation involves assessing the effectiveness of the care provided and making any necessary adjustments.

The acronym SBAR stands for Situation, Background, Assessment, and Recommendations. During a shift change or when discussing patient information with a provider, it is crucial to follow this communication framework. The situation refers to the current status or condition of the patient, while the background provides relevant information about the patient's medical history and previous events. The assessment involves the healthcare professional's evaluation and analysis of the patient's condition. Finally, recommendations are suggested actions or plans for further care or treatment. Utilizing SBAR ensures effective and organized communication, promoting patient safety and continuity of care.