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;
45 Cards in this Set
- Front
- Back
Clinical decision making
|
Problem-solving approach that nurses use to define patient problems and select appropriate treatment.
|
|
Concept map
|
Care-planning tool that assists in critical thinking and forming associations between a patient's nursing diagnoses and interventions. |
|
critical thinking
|
Active, purposeful, organized, cognitive process used to carefully examine one's thinking and the thinking of other individuals.
|
|
Decision making
|
Process involving critical appraisal of information that results from recognizing a problem and ends with generating, testing, and evaluating a conclusion. Comes at the end of critical thinking.
|
|
Diagnostic reasoning
|
Process that enables an observer to assign meaning to and classify phenomena in clinical situations by integrating observations and critical thinking. |
|
Database
|
Store or bank of information, especially in a form that can be processed by computer.
|
|
Functional health patterns
|
Method for organizing assessment data based on the level of patient function in specific areas (e.g., mobility).
|
|
Nursing health history
|
Data collected about a patient's present level of wellness, changes in life patterns, sociocultural role, and mental and emotional reactions to illness.
|
|
Objective data
|
Information that can be observed by others; free of feelings, perceptions, prejudices.
|
|
Open-ended question
|
Form of question that prompts a respondent to answer in more than one or two words.
|
|
Subjective data
|
Information gathered from patient statements; the patient's feelings and perceptions. Not verifiable by another except by inference.
|
|
Validation
|
Act of confirming, verifying, or corroborating the accuracy of assessment data or the appropriateness of the care plan.
|
|
Diagnostic reasoning
|
Process involving critical appraisal of information that results from recognizing a problem and ends with generating, testing, and evaluating a conclusion. Comes at the end of critical thinking.
|
|
Evidence-based knowledge
|
Knowledge that is derived from the integration of best research, clinical expertise, and patient values.
|
|
Inference
|
(1) Judgment or interpretation of informational cues. (2) Taking one proposition as a given and guessing that another proposition follows.
|
|
Nursing process
|
Systematic problem-solving method by which nurses individualize care for each patient. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation.
|
|
Problem solving
|
Methodical, systematic approach to explore conditions and develop solutions, including analysis of data, determination of causative factors, and selection of appropriate actions to reverse or eliminate the problem.
|
|
Reflection
|
Process of thinking back or recalling an event to discover the meaning and purpose of that event. Useful in critical thinking.
|
|
Scientific method
|
Codified sequence of steps used in the formulation, testing, evaluation, and reporting of scientific ideas.
|
|
Assessment
|
First step of the nursing process. Activities required in the first step are data collection, validation, sorting, and documentation. The purpose is to gather information for health problem identification.
|
|
closed-ended question
|
Form of question that limits a respondent's answer to one or two words.
|
|
actual nursing diagnosis
|
Judgment that is clinically validated by the presence of major defining characteristics.
|
|
consultation
|
Process in which the help of a specialist is sought to identify ways to handle problems in patient management or in planning and implementing programs.
|
|
critical pathways
|
Tools used in managed care that incorporate the treatment interventions of caregivers from all disciplines who normally care for a patient. Designed for a specific care type, a pathway is used to manage the care of a patient throughout a projected length of stay.
|
|
planning
|
Process of designing interventions to achieve the goals and outcomes of health care delivery.
|
|
Scientific rationale
|
scientific rationale
Reason why a specific nursing action was chosen based on supporting literature. |
|
Activities of daily living
|
activities of daily living (ADLs)
Activities usually performed in the course of a normal day in the patient's life such as eating, dressing, bathing, brushing the teeth, or grooming. |
|
adverse reaction
|
Any harmful, unintended effect of a medication, diagnostic test, or therapeutic intervention.
|
|
counseling
|
Problem-solving method used to help patients recognize and manage stress and enhance interpersonal relationships. It helps patients examine alternatives and decide which choices are most helpful and appropriate.
|
|
implementation
|
Initiation and completion of the nursing actions necessary to help the patient achieve health care goals.
|
|
instrumental activities of daily living
|
Activities necessary for independence in society beyond eating, grooming, transferring, and toileting; include such skills as shopping, preparing meals, banking, and taking medications.
|
|
nursing intervention
|
Any treatment based on clinical judgment and knowledge that a nurse performs to enhance patient outcomes.
|
|
collaborative problem
|
Physiological complication that requires the nurse to use nursing- and health care provider–prescribed interventions to maximize patient outcomes.
|
|
preventive nursing actions
|
Nursing actions directed toward preventing illness and promoting health to avoid the need for primary, secondary, or tertiary health care.
|
|
standing order
|
Written and approved documents containing rules, policies, procedures, regulations, and orders for the conduct of patient care in various stipulated clinical settings.
|
|
evaluation
|
Determination of the extent to which established patient goals have been achieved.
|
|
standard of care
|
Minimum level of care accepted to ensure high-quality care to patients. Standards of care define the types of therapies typically administered to patients with defined problems or needs.
|
|
Data cluster
|
Set of signs or symptoms that are grouped together in logical order.
|
|
defining characteristics
|
Related signs and symptoms or clusters of data that support the nursing diagnosis.
|
|
Etiology
|
Study of all factors that may be involved in the development of a disease.
|
|
medical diagnosis
|
Formal statement of the disease entity or illness made by the physician or health care provider.
|
|
Nursing diagnosis
|
Formal statement of an actual or potential health problem that nurses can legally and independently treat; the second step of the nursing process, during which the patient's actual and potential unhealthy responses to an illness or condition are identified.
|
|
related factor
|
Any condition or event that accompanies or is linked with the patient's health care problem.
|
|
risk nursing diagnosis
|
Describes human responses to health conditions/life processes that may develop in a vulnerable individual, family, or community.
|
|
collaborative interventions
|
Therapies that require the knowledge, skill, and expertise of multiple health care professionals.
|