- assessment
- diagnosis
- outcome identification and planning
- implementation
- evaluation
Critical Thinking Question for Nursing Process Step
Assessment
Are the data complette? What other data do I need? What are some possible sources of those data?What assumptions or biases do I have in this situation? What is the client's point of view? Are there others point of view?
Diagnosis
What do these data mean? What else could be happening? Are there any gaps in the data? How are these data similar and how are they different? What assumptions or biases do I have in this situation? Have my assumptions affected my interpretation of the data? If so, in what way?
Outcome identification and planning?
What are the goals for this client? What do I want to accomplish? How are my goals related to what the clients wants to accomplish? What are the expected? outcomes for this client? What interventions are to be used? Who is the best qualified person to perform these interventions? How much involvement can the client and family or significant others have at this time? How much involvement does the client wish to have at this time?
Implementation
What is the client's current status? What are the most critical steps in this interventions? How much I alter the intervention to best meet this client's needs and maintain principles of safety? What is the client's response during and after the interventions? Is there a need to alter the intervention in anyway? If so, why and how?
Evaluation
Were the intervention successful in assisting the client to achieve the desired goals? How could things have been done differently? What data do I need to make new decisions? Where will I get the data? Were there assumptions, biases or point of view that I missed that affected the outcomes? What can be done about these assumptions, biases or point of view?
To all my students, please remember this step while you doing the assessment on your clients.
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