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12 Cards in this Set
- Front
- Back
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A systematic rational method of planning and providing nursing care.
- Nursing practice in action! - Used to meet the client's health care needs - Required by National Practice Standards - Provides the basis for NCLEX |
Nursing Process
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Collecting, organizing, validating and recording data about the client's health
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Assessing
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Information (data) that is detectable by an observer or can be tested against an accepted standard; can be seen, heard, felt, or smelled
- This data is measurable (i.e., height and weight) |
Objective Data
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Data that is apparant only to the person affected; can be described or verified only by that person
- Subject to interpretation |
Subjective Data
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- Analyzing and synthesizing data
- Cluster data to categorize behaviors which reveals the problem - The problem then becomes the nursing diagnosis |
Diagnosing
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A clinical judgment about an individual, family or community responses to actual and potential health problems for which the nurse is accountable
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Nursing Diagnosis
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Prioritize nursing diagnosis
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Planning
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Carrying out the planned interventions
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Implementing
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Review goal/expected outcomes to determine the degree to which they have been achieved
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Evaluating
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The determination that the diagnosis accurately reflects the problem of the client, that the methods used for data gathering were appropriate, and that the conclusion or diagnosis is justified by the data
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Validation
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A visual tool in which ideas or data are enclosed in circles or boxes of some shape and relationships between these are indicated by connecting lines or arrows
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Concept Map
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A collegial working relationship with another health care provider in the provision of client care
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Collaborative
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