DOÑA REMEDIOS T. ROMUALDEZ MEDICAL FOUNDATION
COLLEGE OF NURSING
TACLOBAN CITY
NCM 103
FUNDAMENTALS OF NURSING
WORKSHEET ON NURSING PROCESS
WORKSHEET RUBRICS: (total Points 100)
Worksheet
Completion
Accuracy
Efficiency
in following
instructions
Effort
Critical
thinking
5- Less than
¼ of the
worksheet
is
complete
5- Less than
¼ of the
worksheet
is done
correctly
5- The
worksheet
was
answers
only
5- minimal effort
as given
5- does not meet
minimum
requirements
10- At least ½
of the
worksheet
is
completed
10- At least ½
of the
worksheet
is
completed
10- The
worksheet
was done
showing
some
work
10- Some sort of
effort was given
10- satisfactory
15- ¾ for the
worksheet is
completed
20- The entire
worksheet
was
completed.
15- ¾ of the
worksheet
is
completed
20- The entire
worksheet
was done
correctly
15 - the
worksheet was
done showing
most of the work
20 -the worksheet
was done showing
lots of work neatly
and easily
followed
15- Good effort
was made.
15- exceeds
expectations
20- Outstanding
work
20-Advanced
PART I WORKSHEET
I.
Write the definition of the following terms:
TERM
1. Nursing Process
2. Assessment
3. Diagnosis
DEFINITION
4. Planning
5. Implementation
6. Evaluation
7. Subjective Data
8. Objective Data
9. Rapport
10. Closed questions
11. Open ended question
12. Validation
13. Discharge Planning
14. Concept map
15. Audit
16. Flow Sheet
17. Kardex
18. Telephone Orders
19. Root Cause Analysis
20. Nursing Care Plan
II.
Fill in the columns.
Phase of the Nursing Process
ASSESSMENT
DIAGNOSING
PLANNING
IMPLEMENTATION
5 Activities That Fall Under Each
Phase
III.
Fill in the missing details.
Type of Assessment
Definition
Purpose
1. Initial Assessment
2. Problem focused
Assessment
3. Emergency
Assessment
4. Time Lapsed
Reassessment
IV.
Explain the difference between Dependent Nursing Interventions and Independent
Nursing Interventions and give 5 examples of interventions that fall under each type.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Independent Nursing Interventions
V.
Dependent Nursing Interventions
Make an illustration using a DIAGRAM that represents the relationship of the phases
of the Nursing Process. Below the illustration, write or type the explanation of the
diagram.
VI.
Documentation System: Define and Differentiate the following Documentation
systems.
Documentation System
1. Source Oriented Record
2. Problem Oriented Medical
Record
3. PIE
4. Focus Charting
5. Charting by Exception
6. Computerized Documentation
7. Case Management
Prepared by:
MR. NINO E. LISTONES, MAN, RN, RM
MRS. TATYANA LAUREN POBLETE AJERO, MAN, RN
Definition