Nurs 1520

Front 1

a systematic, rational method of planning and providing nursing care

provides a framework for a nurse's accountability, enables the nurse to identify a pt's actual and potential health care needs, define outcomes, est. a plan of care, implement the plan and evaluate the plans effectiveness

Back 1

nursing process

Front 2

what are the steps of the nursing process

Back 2

assessment, diagnosis, outcome evaluation/planning, implementation and evaluation

Front 3

what does the nursig process require

Back 3

critical thinking

Front 4

what is assessment

Back 4

process of systematically collecting, organizing, validating and documenting data about the health status of an individual, family, group or community

is an ongoing process that uses multiple sources and continues throughout the nurse-patient relationship

Front 5

may also be called "analysis"
involves critical analysis and interpretation of assessment data, identifies problems, risks, and strengths, process that results in formulating a nursing diagnosis

Back 5

diagnosis

Front 6

compare data against standards, cluster or group data, identify gaps and inconsistencies, risks and problems, formulate nursing diagnoses and collaberative problem statements

Back 6

diagnosis activities

Front 7

two part or three part statement about an individuals, familys, or groups response to a situation or health problem.

Back 7

nursing diagnosis

Front 8

statement that states the pt actually has a problem

Back 8

an actual nursing diagnosis. is written as a 3 part statement.

Front 9

an actual nursing diagnosis is a 3 part statement consisting of:

Back 9

1. problem/diagnostic label
2.related to (not med diagnoses; etilogy/contributing factors; something that nurses can do something about)
3. AEB (signs and symptoms;defining characteristics)

Front 10

if a pt doesn't have the problem yet, but has the potential to have a problem then the pt is

Back 10

At risk for a problem. written as a 2 part statement. no AEB b/c prob doesn't exist; no data on it

Front 11

T or F any nursing diagnosis can be considered a risk diagnosis

Back 11

true

Front 12

systematic process that involves decision making and problem solving, involves formulating pt goals and designing the nursing interventions required to prevent, reduce or eliminate the pt's health problems

Back 12

planning

Front 13

What do u have to do in planning?

Back 13

set priorities and pt outcomes, est. pt goals, write specific pt outcomes, est. nursing interventions, communicate plan of care

Front 14

pt outcomes must include

Back 14

*subject/verb: the pt will...
*performance criteria: observable, measurable terms
*target time: when outcome is expected to be achieved

Front 15

nursing interventions must include:

Back 15

*verb: action to be performed
*subject: who is to do it (nurse, aid, dietician)
*descriptive phrase: when, where, how often, how long or how much
*assessment is an intervention

Front 16

Maslow's hierarchy is used as a guidline for

Back 16

for prioritizing nursing diagnoses

Front 17

describe Maslow's hierarchy

Back 17

physiological needs
A,B,C,pain, safety needs, love and belonging needs, self-esteem needs, self-actualization needs

Front 18

the nursing plan of care is put into action.
Carrying out or delegating the planned nursing interventions, includes documenting or recording nursing activities and the resuling pt responses

Back 18

implementation

Front 19

implementation activities

Back 19

perform or delegate planned nursing interventions, continually reassess the pt, communicate what nursing actions were implemented: document care and pt responses to care, give verbal reports as necessary

Front 20

collect data related to outcome (AEB statement)
compare data w/ outcome criteria, draw conclusions about outcome status -met, partially met, unmet
continue, modify or terminate the pt's plan of care

Back 20

evaluation

Front 21

evaluation activities

Back 21

judge whether outcome has been achieved, make decision about problem status, review and modify the plan of care as indicated

Front 22

developed a list of nursing diagnoses for nurses to use to describe a response to a situation or health problem

Back 22

NANDA (North American Diagnosis Association)

Front 23

what should each nursing intervention include

Back 23

who, what, when, how oftwe

Front 24

criteria for interventions

Back 24

nurse centered, congruent w/ nursing diagnosis, frequency is indicated, individualized, realistic and measurable, comprehensive