Test 2 Flashcards
(136 cards)
0
Q
Diagnosing
A
Analyzing patient data to identify patients strengths and problems
1
Q
Assessing
A
Collecting, validating and communicating of patient data
2
Q
Planning
A
Specifying patient outcomes and related nursing interventions
3
Q
Implementing
A
Carrying out the plan of care
4
Q
Evaluating
A
Measuring extent to which patient achieved outcomes
5
Q
Nursing knowledge
A
Comes from a variety of sources maybe traditiona,l authoritative or scientific
6
Q
Traditional knowledge
A
Nursing practice passed down from generation to generation
7
Q
Authoritative knowledge
A
Comes from an expert and is accepted as truth based on the persons perceived expertise
8
Q
Scientific knowledge
A
Knowledge obtained from the scientific method through research also known as evidence-based practice
9
Q
Nursing theory
A
Serves the purpose of describing, explaining, predicting and controlling desired outcomes of nursing care practices
10
Q
For concepts that determine nursing practice are?
A
the patient, the environment, health, nursing
11
Q
Nursing research
A
Encompasses both research to improve the care of people in the clinical setting and also the broader study of people in the nursing profession, including studies of education, policy development, ethics, and nursing history
12
Q
Evidence-based practice
A
Problem-solving approach to making clinical decisions using the best evidence available
13
Q
PICO
A
P-Patient, population or problem of interest I-Intervention C-Comparison O- Outcome
14
Q
Systematic
A
Part of an ordered sequence of activities
15
Q
Dynamic
A
Great interaction and overlapping of the five steps
16
Q
Interpersonal
A
Humans are always at the heart of nursing
17
Q
Outcome oriented
A
Nurses and patients work together to identify outcomes
18
Q
Universally applicable
A
A framework for all nursing activities
19
Q
Characteristics of the nursing process
A
Systematic, dynamic, interpersonal, outcome oriented, universally applicable
20
Q
Cognitive skills
A
Make sense of the situation and grasp what is necessary to achieve goals
21
Q
Technical skills
A
Manipulate equipment skillfully to produce desired outcome
22
Q
Interpersonal skills
A
Establish and maintain caring relationships that facilitate achievement of goals
23
Q
Ethical/legal skills
A
Personal moral code and professional role responsibilities
24
Four types of nursing assessment
Comprehensive initial, focused, emergency, time-lapsed
25
Comprehensive initial assessment
Performed shortly after admitted to hospital is used to establish a complete database for problem identification and care planning
26
Focused assessment
Maybe performed during initial assessment or as routine ongoing data collection Gather data about a specific problem already identified
27
Emergency assessment
Performed to identify life-threatening problems Performed when a physiologic or psychological crisis presents
28
Time-lapsed assessment
Compare a patient's current status to baseline data obtained earlier Reassess health status and make necessary revisions in plan of care
29
Four phases of a nursing interview
Preparatory phase, introduction, working phase, termination
30
Objective data
Observable and measurable data that can be seen, heard or felt by someone other than the person experiencing Ex elevated temp, vomiting
31
Subjective data
Information perceived only by the affected person ex pain, feeling dizzy, feeling anxious
32
Direct questions
Validate or clarify information
33
Reflective questions
Encourage patient to elaborate on thoughts and feelings
34
Open ended questions
Allow the patient to verbalize freely
35
Closed questions
Elicit specific information
36
When to verify data
When there's a discrepancy between what the person is saying and what the nurse is observing when the data lack objectivity
37
Nursing diagnosis
Describes patient problems nurses can treat independently
38
Medical diagnosis
Describes problems for which the physician direct the primary treatment
39
Collaborative problems
Managed by using physician prescribed and nursing prescribed interventions
40
Four steps of data interpretation and analysis
Recognizing significant data, recognizing patterns or clusters, identifying strengths and problems, reaching conclusions
41
Nursing diagnosis PES
Problem Etiology Signs and symptoms
42
Benefits of nursing diagnoses
Individualized patient care defined domain of nursing to healthcare admin, legislatures and providers seek funding for nursing and reimbursement for nursing services
43
Initial planning
Developed by the nurse who performs the nursing history and physical assessment addresses each problem listed in the nursing diagnosis identifies appropriate patient goals and related nursing care
44
Ongoing planning
Carried out by any nurse who interact with patient, keeps the plan up to date, develops new diagnoses ,identifies nursing interventions to accomplish patient goals
45
Discharge planning
Carried out but the nurse who worked most closely with the patient, begins when the patient is admitted for treatment, uses teaching and counseling skills to ensure home-care behaviors are performed competently
46
High priority nursing diagnosis
Greatest threat to patient well-being
47
Medium priority nursing diagnosis
Non-threatening diagnosis
48
Low priority nursing diagnosis
Diagnoses not specifically related to current health problems (risk diagnosis)
49
Cognitive outcome
Describes increases in patient knowledge or intellectual behaviors
50
Psychomotor outcome
Describes patients achievement of new skills
51
Affective outcome
Describes changes in patients values, beliefs, and attitudes
52
Physiological outcome
Related to physical status of patient
53
Etiology
What causes the problem
54
Independent nursing interventions
Actions performed by a nurse without a healthcare providers order
55
Dependent nursing interventions
Actions initiated by physician in response to a medical diagnosis but carried out by a nurse under doctors orders
56
Collaborative nursing interventions
Treatments involving other healthcare providers
57
Protocol
Prescribes specific therapeutic interventions for clinical problem unique to a subgroup of patients within the cohort
58
Algorithm
A set of steps used to make a decision
59
ADN role
Assess and analysis
60
LPN role
Collect data and implement
61
SBAR
S-Situation B-Background A-Assessment R-Recommendation/request
62
Actual nursing diagnoses
Represent a problem that has been validated by the presence of major defining characteristics Four components label, definition, defining characteristics and related factor
63
Risk nursing diagnoses
Clinical judgments that are individual, family, or community is more vulnerable to develop the problem than others in the same or similar situation
64
Possible nursing diagnoses
Statements describing a suspected problem for which additional data are needed
65
Wellness diagnoses
Are clinical judgements about an individual, group, or community in transition from a specific level of wellness to a higher level of wellness
66
Syndrome nursing diagnoses
Comprise a cluster of actual or risk nursing diagnoses that are predicted to be present because of a certain event or situation
67
SMART
S-specific for patient M-measurable A- attainable R- realistic T- time frame
68
Collecting, validating and communicating of patient data
Assessing
69
Analyzing patient data to identify patients strengths and problems
Diagnosing
70
Specifying patient outcomes and related nursing interventions
Planning
71
Carrying out the plan of care
Implementing
72
Measuring extent to which patient achieved outcomes
Evaluating
73
Comes from a variety of sources maybe traditiona,l authoritative or scientific
Nursing knowledge
74
Nursing practice passed down from generation to generation
Traditional knowledge
75
Comes from an expert and is accepted as truth based on the persons perceived expertise
Authoritative knowledge
76
Knowledge obtained from the scientific method through research also known as evidence-based practice
Scientific knowledge
77
Serves the purpose of describing, explaining, predicting and controlling desired outcomes of nursing care practices
Nursing theory
78
the patient, the environment, health, nursing
For concepts that determine nursing practice are?
79
Encompasses both research to improve the care of people in the clinical setting and also the broader study of people in the nursing profession, including studies of education, policy development, ethics, and nursing history
Nursing research
80
Problem-solving approach to making clinical decisions using the best evidence available
Evidence-based practice
81
P-Patient, population or problem of interest I-Intervention C-Comparison O- Outcome
PICO
82
Part of an ordered sequence of activities
Systematic
83
Great interaction and overlapping of the five steps
Dynamic
84
Humans are always at the heart of nursing
Interpersonal
85
Nurses and patients work together to identify outcomes
Outcome oriented
86
A framework for all nursing activities
Universally applicable
87
Systematic, dynamic, interpersonal, outcome oriented, universally applicable
Characteristics of the nursing process
88
Make sense of the situation and grasp what is necessary to achieve goals
Cognitive skills
89
Manipulate equipment skillfully to produce desired outcome
Technical skills
90
Establish and maintain caring relationships that facilitate achievement of goals
Interpersonal skills
91
Personal moral code and professional role responsibilities
Ethical/legal skills
92
Comprehensive initial, focused, emergency, time-lapsed
Four types of nursing assessment
93
Performed shortly after admitted to hospital is used to establish a complete database for problem identification and care planning
Comprehensive initial assessment
94
Maybe performed during initial assessment or as routine ongoing data collection Gather data about a specific problem already identified
Focused assessment
95
Performed to identify life-threatening problems Performed when a physiologic or psychological crisis presents
Emergency assessment
96
Compare a patient's current status to baseline data obtained earlier Reassess health status and make necessary revisions in plan of care
Time-lapsed assessment
97
Preparatory phase, introduction, working phase, termination
Four phases of a nursing interview
98
Observable and measurable data that can be seen, heard or felt by someone other than the person experiencing Ex elevated temp, vomiting
Objective data
99
Information perceived only by the affected person ex pain, feeling dizzy, feeling anxious
Subjective data
100
Validate or clarify information
Direct questions
101
Encourage patient to elaborate on thoughts and feelings
Reflective questions
102
Allow the patient to verbalize freely
Open ended questions
103
Elicit specific information
Closed questions
104
When there's a discrepancy between what the person is saying and what the nurse is observing when the data lack objectivity
When to verify data
105
Describes patient problems nurses can treat independently
Nursing diagnosis
106
Describes problems for which the physician direct the primary treatment
Medical diagnosis
107
Managed by using physician prescribed and nursing prescribed interventions
Collaborative problems
108
Recognizing significant data, recognizing patterns or clusters, identifying strengths and problems, reaching conclusions
Four steps of data interpretation and analysis
109
Problem Etiology Signs and symptoms
Nursing diagnosis PES
110
Individualized patient care defined domain of nursing to healthcare admin, legislatures and providers seek funding for nursing and reimbursement for nursing services
Benefits of nursing diagnoses
111
Developed by the nurse who performs the nursing history and physical assessment addresses each problem listed in the nursing diagnosis identifies appropriate patient goals and related nursing care
Initial planning
112
Carried out by any nurse who interact with patient, keeps the plan up to date, develops new diagnoses ,identifies nursing interventions to accomplish patient goals
Ongoing planning
113
Carried out but the nurse who worked most closely with the patient, begins when the patient is admitted for treatment, uses teaching and counseling skills to ensure home-care behaviors are performed competently
Discharge planning
114
Greatest threat to patient well-being
High priority nursing diagnosis
115
Non-threatening diagnosis
Medium priority nursing diagnosis
116
Diagnoses not specifically related to current health problems (risk diagnosis)
Low priority nursing diagnosis
117
Describes increases in patient knowledge or intellectual behaviors
Cognitive outcome
118
Describes patients achievement of new skills
Psychomotor outcome
119
Describes changes in patients values, beliefs, and attitudes
Affective outcome
120
Related to physical status of patient
Physiological outcome
121
What causes the problem
Etiology
122
Actions performed by a nurse without a healthcare providers order
Independent nursing interventions
123
Actions initiated by physician in response to a medical diagnosis but carried out by a nurse under doctors orders
Dependent nursing interventions
124
Treatments involving other healthcare providers
Collaborative nursing interventions
125
Prescribes specific therapeutic interventions for clinical problem unique to a subgroup of patients within the cohort
Protocol
126
A set of steps used to make a decision
Algorithm
127
Assess and analysis
ADN role
128
Collect data and implement
LPN role
129
S-Situation B-Background A-Assessment R-Recommendation/request
SBAR
130
Represent a problem that has been validated by the presence of major defining characteristics Four components label, definition, defining characteristics and related factor
Actual nursing diagnoses
131
Clinical judgments that are individual, family, or community is more vulnerable to develop the problem than others in the same or similar situation
Risk nursing diagnoses
132
Statements describing a suspected problem for which additional data are needed
Possible nursing diagnoses
133
Are clinical judgements about an individual, group, or community in transition from a specific level of wellness to a higher level of wellness
Wellness diagnoses
134
Comprise a cluster of actual or risk nursing diagnoses that are predicted to be present because of a certain event or situation
Syndrome nursing diagnoses
135
S-specific for patient M-measurable A- attainable R- realistic T- time frame
SMART
