The nursing process is a method of problem identification and problem solving that describes what the nurse actually does. The five steps include (Select all that apply):
a. Assessment.
b. Diagnosis.
c. Planning.
d. Documentation
e. Implementation.
f. Evaluation
ANS: A, B, C, E, F
The accepted model is assessment, diagnosis, planning, implementation, and evaluation. The diagnosis phase is separated into two steps: nursing diagnosis and outcome identification. Although documentation is not one of the five steps of the nursing process, it is essential for evaluation. The nurse can assess, diagnose and identify problems, plan, and implement without documentation; however evaluation is best performed with written evidence of progress toward outcomes.
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The nurse is planning to assess the effectiveness of a patient's coughing and deep breathing exercises. What assessment will provide the nurse with information on the effectiveness of the patient's coughing and deep breathing?
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