Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
10 Cards in this Set
- Front
- Back
Accurate written information in a medical record used for evaluation.
|
Documentation
|
|
The process involving examination of a condition and judgment as to whether change has occurred.
|
Evaluation
|
|
Thinking process used by the nurse during evaluation to make clinical decisions and redirect nursing care.
|
Critical Thinking
|
|
An expected response that indicates resolution of a nursing diagnosis or maintenance of a health state.
|
Goal
|
|
Elements of the nursing care plan to which the nurse compares actual client responses to determine if the goals of care have been met
|
Expected Outcome
|
|
Process employed by the nurse to collect Data
|
Assessment
|
|
What may need to be changed if evaluation reveals that expected outcomes are not met or are partially met
|
Nursing Diagnosis Priorities and Interventions
|
|
System for identifying, labeling, validating, and classifying nursing-sensitive client outcomes.
|
Nursing Outcomes Classification
|
|
The minimum level of care defined for types of therapies established to treat health problem.
|
Standard of Care
|
|
A program concerned with exceeding standards of care and examining ways to be more efficient, to improve services, and to increase client satisfaction.
|
Quality Improvement
|