Lecture Unit Ii_ Nursing Process (Vocabulary).db

Front 1

A systematic method that directs the nurse and patient as together they accomplish the following:
Assess
Nursing Diagnoses
Expected Outcomes
Plan
Implement
Evaluate

Back 1

Nursing Process

Front 2

Systematically collect patient data

Back 2

Assessing

Front 3

Clearly identify patient strengths and actual and potential problems:

Back 3

Diagnoses

Front 4

Develop a holistic plan of individualized care that specifies the desired patient goals and outcomes:

Back 4

Planning

Front 5

Execute the Plan of care:

Back 5

Implementing

Front 6

Evaluate the effectiveness of the plan of care in terms of patient goal achievement

Back 6

Evaluating

Front 7

Involves testing any number of solutions until one is found that works for that particular problem:

Back 7

Trail-and-error problem solving

Front 8

A direct understanding of a situation based on a background of experience

Back 8

Intuitive Problem Solving

Front 9

Purposeful goal directed effort applied in a systematic way to make a choice among alternatives

Back 9

Decision Making

Front 10

A systematic way to form and shape ones thinking

Back 10

Critical Thinking

Front 11

Evidence based descriptions of behaviors that demonstrate the knowledge, characteristics, and skills that promote critical thinking in clinical practice.

Back 11

Critical Thinking Indicators

Front 12

An instructional strategy that requires learners to identify, graphically display, and link key concepts:

Back 12

Concept Mapping

Front 13

Systematic and continuous collection, validation, analysis, and communication of patient data or information:

Back 13

Assessing

Front 14

This includes all the pertinent patient information collected by the nurse and other healthcare professionals.

Back 14

Database

Front 15

This identifies the patient's health status, strengths, health problems, health risks, and need for nursing care

Back 15

Nursing History

Front 16

This is performed shortly after the patient is admitted to a healthcare agency or service:

Back 16

Initial Assessment

Front 17

Data gathered about a specific problem that has already been identified:

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Focused Assessment

Front 18

Assessment to identify life threatening problems:

Back 18

Emergency Assessment

Front 19

Assessment that is scheduled to compare a patient's current status to baseline data obtained earlier:

Back 19

Time-lapsed Assessment

Front 20

Information that specifies the information that must be collected from every patient and use a structured assessment form to organize or cluster this data:

Back 20

Minimum Data Set

Front 21

Information perceived only by the affected person; this data cannot be perceived or verified by another person:

Back 21

Subjective Data

Front 22

Observable and measurable data that can be seen heard, or felt by someone other than the person experiencing them:

Back 22

Objective Data

Front 23

The conscious and deliberate use of the five senses to gather data:

Back 23

Observation

Front 24

A planned communication:

Back 24

Interview

Front 25

The examination of the patient for objective data that may better define the patient's condition and help the nurse in planning care:

Back 25

Physical Assessment

Front 26

The examination of all body systems, in a systematic manner, commonly using a head to toe format

Back 26

Review of Systems (ROS)

Front 27

The act of confirming or verifying

Back 27

Validation

Front 28

The subjective and objective data you identify is a (patient does not respond when i speak to him) is a ____ that something is wrong:

Back 28

Cue

Front 29

The patient's hearing may be impaired on his left side is:

Back 29

Interference

Front 30

A purpose to identify how an individual, group, or community responds to actual or potential health and life processes:

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Diagnosis

Front 31

A condition that necessitates intervention to prevent or resolve disease or illness or to promote coping and wellness:

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Health Problem

Front 32

Actual or potential health problems that can be prevented or resolved by independent nursing intervention:

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Nursing Diagnosis

Front 33

Certain physiological complications that nurses monitor to detect onset or changes in status:

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Collaborative Problems

Front 34

Identify of diseases, whereas nursing diagnoses focus on unhealthy responses to health and illness;

Back 34

Medical Diagnoses

Front 35

Erroneously labeling selected patient health patterns as unhealthy while failing to detect an unhealthy behavior:

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Diagnostic Error

Front 36

A general excepted rule to which data can be compared

Back 36

Standard

Front 37

A grouping of patient data or cures that point to the existence of a patient health problem:

Back 37

Data cluster

Front 38

Represents a problem that has been validated by the presence of a major defining characteristics

Back 38

Actual Nursing Diagnoses

Front 39

Clinical judgements that an individual, family, or community is more vulnerable to develop the problem than others in the same similar situation:

Back 39

Risk Nursing Diagnosis

Front 40

Statements describing a suspected problem for which additional data are needed

Back 40

Possible Nursing Diagnosis

Front 41

Clinical Judgements about an individual, group, or community in transition from a specific level of wellness to a higher level of wellness:

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Wellness Diagnosis

Front 42

Comprise a cluster of actual or risk nursing diagnoses that are predicted to be present because of a certain even or situation:

Back 42

Syndrome Nursing Diagnosis

Front 43

An aim or an end

Back 43

Goal

Front 44

An expected conclusion to a patient health problem, or in the event of a wellness diagnosis, an expected concluding to a patient's health expectation:

Back 44

Patient Outcome

Front 45

referred to the move specific, measurable criteria used to evaluate the extent to which a goal has been met

Back 45

Expected Outcomes

Front 46

Prepared plans of care that identify the nursing diagnoses, outcomes, and related nursing interventions coming to a specific population or health problem

Back 46

Standardized Care Plans

Front 47

Developed by the nurse who performs the admission nursing history and the physical assessment

Back 47

Initial Planning

Front 48

Carried out by any nurse who interacts with the patient:

Back 48

Ongoing Planning

Front 49

Planning best carried out by the nurse who has worked most closely with the patient and family, begins when the patient is admitted for treatment

Back 49

Discharge Planning

Front 50

Used to describe the patient outcomes that are responsive to nursing intervention

Back 50

Nursing Outcomes Classification

Front 51

Any treatment, based on clinical judgement and knowledge, that a nurse performs to enhance patient outcomes.

Back 51

Nursing Intervention

Front 52

The First comprehensive, validated list of nursing interventions applicable to all settings that can be used by nurses in multiple specialties, greatly facilitates thew work of identifying appropriate interventions:

Back 52

Nursing Intervention Classification

Front 53

A process in which two or more individuals with varying degrees of experience and expertise discuss a problem and its solution

Back 53

Consultation

Front 54

Tools used in case management to communicate the standardized, interdisciplinary plan of care for patients

Back 54

Clinical pathways