Week 4 Flashcards

(41 cards)

0
Q

What are the phases of the nursing process?

A
Assessment
Diagnosis
Planning outcomes
Planning interventions
Implementation
Evaluation
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1
Q

What is the nursing process?

A

A systematic problem-solving process that guides all nursing actions. Helps provide goal-directed, patient-centered care.

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2
Q

Assessment

A

Data gathering

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3
Q

Diagnosis

A

Identify the patient’s health needs/problems

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4
Q

Planning outcomes

A

Decide goals you want to achieve with your nursing actions

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5
Q

Planning interventions

A

Choose interventions to help patient achieve stated goals

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6
Q

Implementation

A

Action phase when you carry out or delegate actions you previously planned

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7
Q

Evaluation

A

Judge whether your actions have successfully treated or prevented the patients health problems

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8
Q

Independent Intervention

A

One that registered nurses are licensed to prescribe, perform, or delegate based on their knowledge and skills.
Physician order is not needed.

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9
Q

Dependent Intervention

A

One that is prescribed by a physician or advanced practice nurse but carried out by the bedside nurse.
Usually orders for diagnostic tests, medications, treatments, IV therapy, diet, and activity.

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10
Q

Collaborative(interdependent) Interventions

A

One that is carried out in collaboration with other health team members(examples: PT, OT, dietician, and physicians).

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11
Q

Nursing activities that occur during the implementation phase of the nursing process include…

A

Using cognitive,interpersonal, and psychomotor skills.
Promote client participation.
Coordinate care.

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12
Q

Critical Thinking:

definition & example

A

A combination of reasoned thinking, openness to alternatives, and ability to effect, and a desire to seek truth.
The disciplined, intellectual process of applying skillful reasoning as a guide to brief or action.

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13
Q

List some critical thinking skills

A

Objectively gathering information
Recognizing the need for more information
Evaluating the credibility of sources and information
Recognizing gap’s in ones own knowledge
Listening carefully; reading thoughtfully
Etc.

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14
Q

List a few attitudes of the critical thinker…

A
Independent thinking
Intellectual curiosity
Intellectual humility
Intellectual empathy
Intellectual courage
Etc.
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15
Q

List a few ways in which nurses use critical thinking…

A

Comorbidities
Individual differences
Using knowledge from other fields

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16
Q

Theoretical Knowledge

A

Consist of information, principles, and evidence-based theories in nursing and related disciplines. Includes research findings and rationally constructed explanations of phenomena.

17
Q

Practical/ Procedural Knowledge

A

Knowing what to do and how to do it

18
Q

Name the main concepts of the full-spectrum nursing model…

A

Thinking
Doing
Caring
Patient Situation

19
Q

Nursing Diagnosis

A

A statement of client health status that nurses can identify, prevent, or treat independently.

20
Q

Medical Diagnosis

A

Describes a disease, illness, or injury

21
Q

Actual Nursing Diagnosis

A

A problem response that exists at the time of the assessment

22
Q

Risk Nursing Diagnosis

A

Describes a problem response that is likely to develop in a vulnerable patient if the nurse and patient do not intervene to prevent it.

23
Q

Possible Nursing Diagnosis

A

Exists when your intuition and experience direct you to suspect that a diagnosis is present, but you do not have enough data to support the diagnosis.

24
Syndrome Nursing Diagnosis
Represents a collection of nursing diagnosis that usually occur together.
25
Wellness Diagnosis
When an individual, group, or community is in transition from one level of wellness to a higher level of wellness.
26
Etiology
An etiology consists of the factors that are causing or contributing to or causing the problem. May be pathological, physiological, treatment related, situational, social, spiritual, maturational, or environmental.
27
What are two methods for prioritizing nursing diagnosis
Malsow's Hierarchy of Human Needs Problem urgency Future consequences Patient preference
28
Formal Planning
A conscious, deliberate activity involving decision making, critical thinking, and creativity
29
Informal Planning
Nurses do informal planning while performing other steps of the nursing process
30
Initial Planning
Begins with the first patient contact. Refers to the development of the initial comprehensive ace plan, which should be written as soon as possible.
31
Ongoing Planning
Refers to changes made in the plan as you evaluate the patient's responses to care or as you obtain new data and make new diagnoses.
32
Discharge Planning
The process of planning for self-care and continually of care after the patient leaves a healthcare setting.
33
Why is a nursing care plan important?
Ensuring that care is complete Providing continuity of care Promoting efficient use of nursing efforts Providing a guide for assessments and charting Meeting the requirements of accrediting agencies
34
What information does a comprehensive nursing care plan contain?
1. Basic needs and activities of daily living(ADL's) 2. Medical/multidisciplinary treatment 3. Nursing diagnosis and collaborative problems 4. Special discharge needs or teaching needs
35
Goal(expected outcomes, desired outcomes, or predicted outcomes)
Describe the changes in patient health status that you hope to achieve
36
Short-Term Goals
Those you expect the patient to achieve within a few hours or days
37
Long-Term Goals
Changes in health status that you wish to achieve over a longer period of time - perhaps a month, week, or more
38
Nursing Intervention
Actions, based on clinical judgement and nursing knowledge, that nurses perform to achieve patient outcomes
39
Implementation
Carrying out the care plan | Doing, delegating, and documenting
40
Delegation
The process of directing another person to perform a task or activity