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Nursing Assessment and Implementation Guide

The document outlines a 5-step process for analyzing nursing questions: 1. Identify the topic and whether it asks about priority, evaluation, or an alternate format. 2. Determine if the question focuses on assessment or implementation. Eliminate the non-relevant answer type. 3. Categorize answers as physical or psychosocial. Eliminate the non-relevant domain. 4. For physical issues, apply the ABCs framework of airway, breathing, and circulation to identify the problem. 5. Evaluate whether the remaining answer would achieve the desired outcome related to the original topic.

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Ronny Andres Carrasco
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212 views1 page

Nursing Assessment and Implementation Guide

The document outlines a 5-step process for analyzing nursing questions: 1. Identify the topic and whether it asks about priority, evaluation, or an alternate format. 2. Determine if the question focuses on assessment or implementation. Eliminate the non-relevant answer type. 3. Categorize answers as physical or psychosocial. Eliminate the non-relevant domain. 4. For physical issues, apply the ABCs framework of airway, breathing, and circulation to identify the problem. 5. Evaluate whether the remaining answer would achieve the desired outcome related to the original topic.

Uploaded by

Ronny Andres Carrasco
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

 STEP 1: IDENTIFY THE TOPIC

o DETERMINE IF:
 PRIORITY – USE ALL 5 STEPS
 LOOK FOR KEY WORDS / PHRASES:
o MOST IMPORTANT
o SIGNIFICANT
o FIRST
o INITIAL
o NEXT
o BEST
 EVALUATION – USE STEP 1 AND STEP 5
 LOOK FOR KEY WORDS / PHRASES:
o WHO DO YOU SEE FIRST?
 STABLE VS UNSTABLE
 ELIMINATE STABLE IF MIX; USE ABC TO FIND ANSWER
 EXPECTED VS UNEXPECTED
 ELIMINATE EXPECTED IF MIX; USE ABC TO FIND ANSWER
 ACUTE VS CHRONIC
 ELIMINATE CHRONIC IF MIX; USE ABC TO FIND ANSWER
o THERAPEUTIC COMMUNICATION
o DELEGATION
o TEACHING / LEARNING
o RISK FACTOR
o ALTERNATE FORMAT QUESTIONS
 SATA
 PUT IN ORDER
 HOTSPOT
 FILL IN THE BLANK
 CHART
 STEP 2: ASSESSMENT VS IMPLEMENTATION
o ALL ANSWERS ASSESSMENT OR ALL IMPLEMENTATION
 GO TO STEP 3
o MIX OF ASSESSMENT OR IMPLEMENTATION
 READ STEM OF QUESTION TO DETERMINE IF MORE INFO NEEDED TO ANSWER
 MORE INFO IS NEEDED:
o ELIMINATE IMPLEMENTATION ANSWERS
 MORE INFO NOT NEEDED:
o ELIMINATE ASSESSMENT ANSWERS
 STEP 3: PHYSICAL VS PSYCHOSOCIAL
o IF ALL ANSWERS ARE PHYSICAL
 GO TO STEP 4
o IF ALL ANSWERS ARE PSYCHOSOCIAL
 GO TO STEP 5
o IF ANSWERS ARE A MIX OF PHYSICAL AND PSYCHOSOCIAL
 DETERMINE IF PROBLEM IS RELATED TO PHYSICAL ISSUE OR PSYCHOSOCIAL ISSUE
 IF PROBLEM IS PHYSICAL
o ELIMINATE PSYCHOSOCIAL ANSWERS
 IF PROBLEM IS PSYCHOSOCIAL
o ELIMINATE PHYSICAL ANSWERS
 PHYSICAL TAKES PRIORITY BUT ANSWER MUST MAKE SENSE
 STEP 4: APPLY ABCs
o IF ALL ANSWERS ARE PHYSICAL; APPLY ABCs
o DETERMINE IF CLIENT PROBLEM IS RELATED TO AIRWAY, BREATHING, OR CIRCULATION
 A – AIRWAY: TIP OF THE NOSE TO THE ALVEOLI
 B – BREATHING: VENTILATION (INHALATION / EXHALATION); OXYGENATION
 C – CIRCULATION: VESSELS (VIENS / ARTERIES); HEART; FLUID VOLUME ISSUE
 STEP 5: EVALUATION
o DOES THE ANSWER HAVE A DESIRED OUTCOME RELATED TO THE TOPIC?
 DOES THE ANSWER FIX THE CLIENTS ISSUE?

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