Nursing Process And Critical Thinking

Front 1

6 Phases of the Nursing Diagnosis

Back 1

Assessment, Diagnosis, Outcomes, Planning, Implementation, and Evaluation

Front 2

Assessment

Back 2

-Gathers information about patients condition

-Includes cues, subjective, and objective, primary and secondary

Front 3

Diagnosis

Back 3

Identifying appropriate nursing diagnosis from patients problems

Front 4

Outcomes

Back 4

Set goals of care and desired goals

Identify appropriate actions to complete goals

Front 5

Planning

Back 5

Plans interventions that will will patient meet set goals or outcomes

Front 6

Implementation

Back 6

Implement proposed plan

Front 7

Evaluation

Back 7

Perform ongoing assessments allowing if proposed goals have been met

Front 8

Database

Back 8

large store bank of information of patient

Front 9

Nursing Diagnosises includes:

Back 9

Title or label, definition of title of label, contributing etiologic or related factors, and defining characteristics

-Should be researched based

Front 10

Complete assessment includes:

Back 10

-Review and physical examination of all body systems

-Cognitive, psychosocial, emotional, cultural. and spiritual components

Front 11

Collaborative Nursing

Back 11

Health-related problems that nurse anticipates based on condition or diagnosis of patient. Both Health provider and nurse- prescribed interventions are used in management care

Front 12

Medical Diagnosis

Back 12

Health care provider only allowed to diagnose and treat. Identification of disease or condition with evaluation of physical signs, symptoms, patient interview, tests, procedures, medical records, and potential history.

Front 13

Patient-centered goals or outcomes

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Provides a description of specific, measurable behavior that patient will be able to exhibit in a time frame after interventions

Front 14

Evaluation steps:

Back 14

-Review patient goals

-Reassess patient to gather information to indicate actual response to intervention

-Compare actual outcome with desired outcome

Front 15

Conclusions of evaluation

Back 15

-Achieved

-Not Achieved

-Partially Achieved

Front 16

Clinical Pathways

Back 16

a multidisciplinary plan for clinical interventions

Front 17

Critical Thinking

Back 17

is reflective and reasonable thinking that is focused on deciding what to believe or do, its the art of thinking about your thinking while you are thinking

Front 18

Evidence-based practice

Back 18

Systematic problem-solving practice that delivers high-quality care and best outcomes for individuals.

Front 19

Subjective Data

Back 19

-Information provided by patient.

-Also called symptoms and subjective cues

-Hidden until shared by patient

Front 20

Objective Data

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-Observable and measurable signs

-Signs and objective cues

Front 21

Primary Source

Back 21

Patient considered accurate reporter

Front 22

Secondary Source

Back 22

Family, significant others, medical records

Front 23

Data Clustering

Back 23

Method of organization between related data which helps identify nursing diagnosis

Front 24

Syndrome Nursing

Back 24

Clinical judgement describing specific cluster of nursing diagnosis's that occur together and best addressed together and through similar interventions (PTSD, Risk of disease)

Front 25

Physician-prescribed Intervetions

Back 25

Actions ordered by physician for nurse or other health care professionals to perform.

Front 26

Nurse-prescribed Interventions

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Actions a nurse is legally able to order or begin independently (back massage, turn patient)

Front 27

Characteristics of Critical thinkers (6)

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-Question information, conclusions

-Look beneath the surface

-Logical and fair in thinking

-Self-correction

-Creative thinking

-Analyze or critique behaviors

Front 28

Risk Nursing

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Clinical judgement that problem might develop

Front 29

Wellness Nursing

Back 29

Transition from specific well-being to higher level of well-being

Front 30

Maslow's Hierarchy of Needs

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Place severe needs above all. Phsiologic needs, safety and security, love and belonging, self-esteem, self-actualization

Front 31

Case Management

Back 31

Assignment of a health care provider to an individual patient

Front 32

Nursing Process

Back 32

A problem-solving method, systematic, goal-directed, flexible, rational approach, ensures consistent, continuous, quality nursing care, provides a basis for professional accountability, input of nurse and patient/ family critical

Front 33

Included in a nursing order

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Date, signature of nurse responsible for the care plan, subject, action verb, qualifying details

Front 34

Variance

Back 34

Expected outcome was not reached