Exam A review Flashcards
(72 cards)
A systematic method of critical thinking
* Used to develop individualized plans of care
* Used to provide organized, effective patient care
It’s basically the
way nurses
THINK
The nursing process
Involves considering each patient situation in a unique manner
Nurses must analyze information,
set priorities, and collaborate with
other team members to meet patient needs
Critical thinking
which step of nursing process?
Analyze, validate, and cluster patient data to identify
patient problems.
Diagnose
which step of the nursing process?
Prioritize the nursing diagnoses and identify short-
and long-term goals that are realistic, measurable,
and patient focused
planning
which step of the nursing process?
Determine whether the patient’s goals are met,
examine the effectiveness of interventions, and
decide whether the plan of care should be
discontinued, continued, or revised
Evaluation
which step of the nursing process?
Gathered patient care data through observation,
interviews, and physical assessment
Assessment
Which step of the nursing process?
Initiate specific nursing interventions and treatments
designed to help the patient achieve established
goals.
Implementation
Three phases to an interview
Introduction, working, termination
which type of nursing diagnosis?
a problem already exists, has signs and symptoms, 3 parts: problem, etiology, symptoms
Actual diagnosis
which type of nursing diagnosis?
a potential problem, assessment findings suggest this patient is at risk
risk diagnosis
writing goals: what is SMART goals
specific, measurable, appropriate, realistic, timeframe
Care pathways, care maps, and critical pathways
are multidisciplinary resources to guide patient care
* Independent, dependent, direct, and indirect interventions are listed
in the
clinical pathways
Written plans that can be generalized to groups of patients with the
same or similar clinical needs that do not require a physician’s order
protocols
Orders or sets of orders that can be implemented when certain
establish criteria or parameters are met
16
standing orders
Focus on an Integration
of main ideas that allows
students to identify
connections, similarities,
and best-practice in the
provision of patient-
centered care
a conceptual approach to learning
An organizing idea or mental construct (picture) that is represented by
common characteristics (attributes
concept
An example or topic that can serve to represent a
concept
exemplar
a sense of oneself, and in relation to others, that is
influenced by the characteristics, norms, and values of the nursing profession,
resulting in an individual thinking, acting, and feeling like a nurse
professional identity
when nurse has initial knowledge about
professional identity and faces real-life challenges
fostering stage
An unintended harm to a patient caused by medical error.
Adverse event
A potential error that could have harmed a patient but didn’t due to
chance, prevention, or mitigation
near miss
A serious medical error that results in death, serious injury, or a
high risk of such an outcome. These events trigger immediate investigation and
response.
sentinel event
Mistakes in diagnosing or treating a patient
diagnostic errors
Errors in performing procedures, administering
treatments, or using medications
treatment errors
