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33 Cards in this Set

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Critical thinking:
Process of examining one's own thinking and assumptions to arrive at a broader viewpoint
Deductive reasoning:
Reasoning from the general to the specific. Environment: Internal and external surroundings that affect the client
Deductive reasoning:
Reasoning from the general to the specific. Environment: Internal and external surroundings that affect the client
Objective data:
Signs that are detectable by an observer or can be tested against an accepted standard.
Subjective data:
Symptoms; facts, perceptions, or sensations apparent only to the person affected
Theories:
Ways of looking at a discipline - such as nursing- in clear, explicit terms that can be communicated to others.
Health:
Degree of wellness or well-being that the client experiences
Inductive reasoning
Forming generalizations fro a set of facts or observations
Environment:
Internal & external surroundings that affect the client
Nursing process:
Systematic, logical method of providing individualized nursing care; it includes assessment, diagnosis, planning, implementation, and evaluation.
Assessment:
Systematic collection, organization, validation (proving or supporting), and documentation of data (information). Care plan: Written guide that organizes information about the client's care
Data collection:
Process of gathering information. Etiology: Identification of factors contributing to, or probable causes of, a health problem
Symptoms:
Symptoms; facts, perceptions, or sensations apparent only to the person affected.
Signs:
Signs that are detectable by an observer or can be tested against an accepted standard.
Manifestations:
Combination of subjective and objective data
Observation:
Process of gathering data by using the senses
Collaborate
To cooperate, to work together with someone in a different position or specialty
Interview:
Planned communication; conversation with a purpose.
Nursing diagnosis:
Clinical judgment about individual, family, or community responses to actual and potential health problems or life processes
Planning:
Third step of nursing process; decision making, prioritizing, and problem solving to achieve desired client outcomes
Rationale:
Scientific principle given as the reason for selecting a particular nursing intervention
Priority setting:
Process of identifying most important to least important.
Implementation:
Fourth step of nursing process, in which selected nursing interventions (actions) are performed
Nursing interventions:
Actions initiated by the nurse to achieve client goals
Collaborative actions:
Nursing activities that reflect the overlapping responsibilities between health personnel
Evaluation:
Review of interventions to determine their effectiveness. Examination: Physical assessment; a systematic method of collecting physical data about a client.
Procedures:
Technical; psychomotor (hands-on) skills that involve nursing actions such as manipulating equipment, giving injections, or repositioning clients.
Examination
hysical assessment; a systematic method of collecting data about a client
Etiology
identification of factors contributing to, or probable causes of a health problem
Care plan
written guide that organizes information about the client’s care
Goal/desired outcome
A description, in terms of observable client responses, of what the nurse hopes the client will achieve by implementing the nursing orders.
Dependent interventions
Activities under the physician’s orders or supervision, or according to specified routines.
Independent interventions
Activities nurses are licensed to initiate on th ebabis of their knowledge & skills