Ch. 17 & 18 Flashcards Preview

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Flashcards in Ch. 17 & 18 Deck (28):

Collaborative problem

Physiological complication that requires the nurse to use nursing and health care provider-prescribed interventions to maximize patient outcomes.


Data cluster

Set of signs or symptoms that are grouped together in logical order.


Defining characteristics

Observable assessment cues such as patient behavior, physical signs that support each problem-focused diagnostic judgement.


Diagnostic label

Is the name of the nursing diagnosis as approved by North American Nursing Diagnosis Association International (NANDA-I). It describes the essence of a patient's response to health conditions in as few words as possible.


Health promotion nursing diagnosis

Is a clinical judgment concerning a patient's motivation and desire to increase well-being and actualize human health potential.


Medical diagnosis

Formal statement of the disease entity or illness made by the physician or health care provider.


North American Nursing Diagnosis Association International (NANDA-I)

It is an organization that formally identifies, develops, and classifies nursing diagnoses.


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.


Problem-focused nursing diagnosis

Describes a clinical judgment concerning an undesirable human response to a health condition/life process that exists in an individual, family, or community.


Related factor

Any condition or event that accompanies or is linked with the patient's health care problem.


Risk nursing diagnosis

A clinical judgment concerning the vulnerability of an individual, family, group or community for developing an undesirable human response to health conditions/life processes.


Collaborative interventions

Therapies that require the knowledge, skill, and expertise of multiple health care professionals.



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.


Dependent nursing interventions

The interventions that initiated by Health care provider or actions that require an order from a health care provider.


Expected outcome

Expected conditions of a patient at the end of therapy or a disease process, including the degree of wellness and the need for continuing care, medications, support, counseling, or education.



Desired results of nursing actions set realistically by the nurse and patient as part of the planning stage of the nursing process.


Independent nursing interventions

Nurse-initiated interventions or actions that a nurse initiates without supervision or direction from others.


Interdisciplinary care plans

Contributions from all disciplines involved in patient care. It focuses on patient priorities and improves the coordination of all patient therapies and communication amount all disciplines.


Long-term goal

Is an objective behavior or response that you expect a patient to achieve over a longer period, usually over several days, weeks, or months.


Nursing care plan

Includes nursing diagnoses, goals and/or expected outcomes, specific nursing interventions, and a section for evaluation findings so any nurse is able to quickly identify a patient's clinical needs and situation.


Nursing Outcomes Classification

A systematic organization of nurse sensitive outcomes into groups or categories based upon similarities, dissimilarities, and relationships among the outcomes.


Nursing Interventions Classification (NIC)

A set of nursing interventions that provides a level of standardization to enhance communication of nursing care across all health care settings and compare outcomes. The NIC model includes 3 levels: domains, classes, and interventions for ease of use.


Patient-centered goal

Reflects a patient's highest possible level of wellness and independence in function. It is realistic and based on patient needs, abilities, and resources.



Process of designing interventions to achieve the goals and outcomes of health care delivery.


Priority Setting

Is the ordering of nursing diagnoses or patient problems using notions of urgency and importance to establish a preferential order for nursing interventions.


Nursing-sensitive patient outcomes

Outcomes that are within the scope of nursing practice; consequences or effects of nursing interventions that result in changes in the patient's symptoms, functional status, safety, psychological distress, or costs.


Scientific rationale

Reason why a specific nursing action was chosen based on supporting literature.


Short-term goal

Is an objective behavior or response that you expect a patient to achieve in a short time, usually less than a week. In an acute care setting you often set goals for over a course of just a few hours.