Nursing Process Project

 

Overview

Assessment is the first step in the nursing process. During this step, a licensed Registered Nurse gathers information about a client’s physiological, psychological, sociological, and spiritual status.

Instructions

The first part of the Nursing Process Project requires you to complete the assessment section on the Nursing Process Project (1) x Download Nursing Process Project (1) x

Nursing Process Project template

. Follow these steps to complete this part of the project.

Step 1: Select a movie character to use as your fictitious client throughout the project. Any character will work for this project.

Step 2: Find a movie clip of this character performing an action or task to use for your assessment.

Step 3: Review the movie clip you selected to help you identify the content needed for the assessment.

• What do you notice about the character or the environment in the clip?
• What does the character look like?
• How would you describe the character’s

  Physical build
  Voice
  Hair, skin, etc.
  Mobility
  Hygiene
  Nutritional status

• Does the character use any verbal or nonverbal cues that provide additional information you can use for your assessment?

Step 4: Complete the Assessment section of the Nursing Process Project template

Download Nursing Process Project template

. If a category is non-applicable, write NA in that section of the template.

Step 5: Submit your Nursing Process Project template completed through the Assessment section.

Nursing Process Project

Character’s Name:

Movie Clip link:

Citation (APA 7th edition format):

Assessment/Cues

Character’s Initials:

Culture/Ethnicity:

Support System:

Age:

Religion:

Weight:

Language:

Height:

Marital Status:

Occupation:

Medical History:

Surgical History:

Physical Assessment (include subjective and objective data):

Psychosocial Assessment:

Diagnoses/Analyze Cues

Priority Problems

Signs/Symptoms indicating problem

1.

2.

3.

Planning

Priority Problems

SMART Goal #1

SMART Goal #2

1.

2.

3.

Implementation/Take Action

Priority problem #1

Goal #1

Interventions

Goal #2

Interventions

1.

1.

2.

2

Priority problem #2

Goal #1

Interventions

Goal #2

Interventions

1.

1.

2.

2

3.

3.

Priority problem #3

Goal #1

Interventions

Goal #2

Interventions

1.

1.

2.

2.

3.

3.

Evaluation

Priority problem #1

Goals

Interventions

Evaluation

1.

1.

Goal Met: Yes or No

2.

Observations/Conclusions:

2.

1.

Goal Met: Yes or No

2.

Observations/Conclusions:

Priority problem #2

Goals

Interventions

Evaluation

1.

1.

Goal Met: Yes or No

2.

Observations/Conclusions:

2.

1.

Goal Met: Yes or No

2.

Observations/Conclusions:

Priority problem #3

Goals

Interventions

Evaluation

1.

1.

Goal Met: Yes or No

2.

Observations/Conclusions:

2.

1.

Goal Met: Yes or No

2.

Observations/Conclusions: