N210 Key Terms-Cc

Front 1

A way to solve problems using reasoning. It is systematic, ordered approach to gathering data and solving problems.

Back 1

Scientific Method

Front 2

Knowledge based on research or clinical expertise, makes you an informed critical thinker.

Back 2

Evidence-based knowledge

Front 3

This involves recognizing that an issue exists, analyzing information about the issue, evaluating information and making conclusions.

Back 3

Critical Thinking

Front 4

An active, organized, cognitive process used to carefully examine one's thinking and the thinking of others.

Back 4

Critical thinking

Front 5

A product of critical thinking that focuses on problem resolution. The person ahs to weigh each option against a set of criteria, test possible options, consider the consequences of the decision, and them make a final decision.

Back 5

decision making

Front 6

a process of determining a client's health status after you assign meaning to the behaviors, physical signs, and symptoms presented by the client. It provides a clear prospective of the client's health status.

Back 6

Diagnostic Reasoning

Front 7

the process of drawing conclusions from related pieces of evidence. It involves forming patterns of information from data before making a diagnosis.

Back 7

inference

Front 8

A problem-solving activity that focuses on defining client problems and selecting appropriate treatment. It requires careful reasoning so that you choose the options for the best client outcomes on the basis of the client's condition and the priority of the problem.

Back 8

Clinical decision making

Front 9

Nurses apply this as a competency when delivering client care. Its purpose is to diagnose and treat human responses to actual or potential health problems.

Back 9

Nursing Process

Front 10

Nursing Assessment includes two steps:

Back 10

collection and verification of data frpm a primary and secondary source; the analysis of all data as a basis for developing nursing diagnoses, identifying collaborative problems, and developing a plan of individualized care.

Front 11

The purpose of assessment is to establish what what the client's perceived needs, health problems, and responses to these problems.

Back 11

database

Front 12

Information that you obtain through use of the senses.

Back 12

Cue

Front 13

Your judgement or interpretation of cues

Back 13

inference

Front 14

A client's verbal description of their health problems is called?

Back 14

subjective data

Front 15

Observations or measurements of a client's health status based on an accepted standard is called?

Back 15

objective data

Front 16

What are the different sources of data in which data can be obtained?

Back 16

client
family and significant other
health care team
medical records
other records and literature
nurse's experience

Front 17

An organized conversation with the client is called?

Back 17

Interview

Front 18

These types of questions prompt clients to describe a situation in more than one or two words. They lead the discussion and strengthen the nurse-client relationship.

Back 18

open-ended questions

Front 19

The use of words such as "all right", "go on", or "uh-huh" indicate that you have heard what the client says and are attentive to ehar the full story. This is called?

Back 19

active listening

Front 20

By asking these types of questions you limit the client's answers to one or two words such as "yes" or "no."

Back 20

closed-ended questions

Front 21

The identification of a disease condition based on a specific evaluation of physical signs, symptoms, athe client's medical history, and the resultf of diagnostic tests and prodecures is called?

Back 21

medical diagnosis

Front 22

a clinical judgement about individual, family, or community responses to actual and potential health problems or life processes is called?

Back 22

nursing diagnosis

Front 23

a statement that describes the client's actual or potential response to a health problem that the nurse is licensed and competent to treat is called?

Back 23

nursing diagnosis

Front 24

An actual or potential physiological complication that nurses monitor to detect the onset of changes in a client's status is called?

Back 24

collaborative problem

Front 25

This focuses on a client's actual or potential response to a health problem rather than on the physiological event, complicaton, or disease.

Back 25

nursing diagnosis

Front 26

The clinical criteria or assessment findings that support an actual nursing diagnosis are called

Back 26

defining characteristics

Front 27

objective and subjective signs and symptoms, clusters of signs and symptoms, or ridk factors that lead to a disgnostic conclustion is called?

Back 27

clinical criteria

Front 28

This describes human responses to health conditions or life processess that exist in an individual, family, or community.

Back 28

Actual nursing diagnosis

Front 29

This describes human responses to health conditions/life processes that will possibly develop in a vulnerable individual, family, or community.

Back 29

Risk nursing diagnosis

Front 30

a clinical judgement of a person's, family's, or community's motivation and desire to increase well-being and actualize human health potential as expressed in their readiness to enhance specific health behaviors, such as nutrition and exercise.

Back 30

health promotion nursing diagnosis

Front 31

This describes human responses to levels of wellness in an individual, family, or community that have a readiness for enhancement.

Back 31

Wellness nursing diagnosis

Front 32

What are the components of a nursing diagnosis?

Back 32

diagnostic label
related factors
definition
risk factors
support of the diagnostic statement

Front 33

This describes the essence of a client's response to health conditions in as few words as possible.

Back 33

diagnostic label

Front 34

a condition or etiology identified from the client's assessment data. It is associated with the client's actual or potential response to the health problems and can change by using nursing interventions.

Back 34

related factor

Front 35

A category of nursing behaviors in which a nurse sets client-centered goals and expected outcomes, plans nursing interventions, and sets priorites for the client is?

Back 35

planning

Front 36

the ordering of nursing diagnoses or client problems using notions of urgency and/or importance to establish a preferential order for nursing actions is called?

Back 36

priority setting

Front 37

A broad statement that describes the desired change in a client's condition or behavior is called?

Back 37

goal

Front 38

a specific and measurable behavior or response that reflects a client's highest possible level of wellness and independence in function is?

Back 38

client-centered goal

Front 39

an objective behavior or response that you expect a client to achieve in a short time, usually less than a week is?

Back 39

short-term goal

Front 40

an objective behavior or response that you expect a client to achieve over a longer period, usually over several days, weeks, or months.

Back 40

long-term goal

Front 41

what are the seven guidelines for writing goals and expected outcomes?

Back 41

client-centered
singular
observable
measurable
time-limited
mutual
realistic

Front 42

Interventions that do require direction or an order from another health care professional are?

Back 42

independent nursing interventions or nurse-initiated interventions.

Front 43

Interventions that require an order from a physician or another health care professional are?

Back 43

dependent nursin interventions or physician-initiated interventions

Front 44

Therapies that require the combined knowledge, skill, and expertise of multiple health care professional are?

Back 44

collaborative interventions

Front 45

At what point in the nursing process does the nurse initiate interventions that are most likely to acheive the goals and expected outcomes needed to support or improve the client's health status?

Back 45

Implementation

Front 46

any treatment, based upon clinical judgement and knowledge, that a nurse performs to enhance client outcomes is called?

Back 46

nursing intervention

Front 47

treatments performs through interactive with clients are?

Back 47

direct care interventions

Front 48

treatments performed away from teh client but on behalf of the lcient or group of clients are?

Back 48

indirect care interventions

Front 49

a document that guides decisions and interventons for specific health care problems or conditions is what?

Back 49

clinical guideline

Front 50

a preprinted document containing orders for the conduct of routine therapies, monitoring guidelines, and/or diagnostic procedures for specific clients with identified clinical problems is a?

Back 50

standing order

Front 51

Which step in the nursing process is crucial to determining whether the client's condition or well-being improves?

Back 51

Evaluation

Front 52

The evaluation process included 5 elements. They are:

Back 52

Identifying criteria and standards
Collecting evaluative data
Interpreting and summarizing findings
Documenting findings
Care plan revision