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Foundations of Nsg1
Nursing Process, Ch. 7 - Alison Miles
| Question | Answer |
|---|---|
| Medical Diagnosis | identification of disease based on specific evaluation of physical signs & simptoms; client's med history and results of diagnostic tests & procedures |
| Nursing diagnoses | clinical judgement about individual, family or community responses to actual or potential health problems or life processes |
| Collaborative problem | actual or potential physiological complication nurses monitor to detect onset of changes in statue (ex: hemorrhage, infection & cardiac arrhythmia) |
| Client-centered problems | Early theorists defined nursing intervention in terms of "client-centered problems" |
| Defining characteristics | clinical criteria or assessment findings that support actual nursing diagnosis |
| Clinical Criteria | objective or subjective signs & symptoms, clusters of signs and symptoms or risk factors that lead to diagnostic conclusion |
| Actual nursing niagnosis | human responses to health conditions/life processes that exist in individual, family or community (ex: acute pain) |
| Risk nursing diagnosis | human responses to health conditions/life processes that will possibly develop in vulnerable individual, family or community (ex: risk of infection) |
| Health promotion nursing diagnosis | clinical judgement of person's, family's, or community's health motivation and desire to increase well-being and actual human health |
| Wellness nursing diagnosis | human responses to levels of wellness in individual, family or community (ex: readiness for enhanced coping related to successful cancer treatment) |
| Diagnostic label | name of nursing diagnosis as approved by NANDA |
| Related factors | condition or etiology identified from client's assessment data; associated w/client's actual or potential and can change problem w/nursing interventions |
| Etiology | part of nursing diagnosis always with in the domain of nursing practice and a condition that responds to nursing interventions |
| Risk factors | environment, physiological, physchological, genetic, or chemical elements that increase the vulnerability of an individual, family or community to an unhealthful event |
| support of diagnostic statement | nursing assessment data needs to support diagnostic label and related factors need to support the etiology |
| culture and nursing diagnosis | cultural differences, impaired communication, client value system all could impact diagnostic conclusions |
| Practice tips to avoid data collection errors | knowledgeable and experienced in assessment techniques; approach in steps; review clinical assessments; determine veracity of data by having co-worker validate findings |
| Error in data clustering | don't make nursing diagnosis fit signs and symptoms obtained |
| Cue | information you obtain from use of your senses |
| Inference | ability to come to a logical conclusion or judgement based on available data |
| Assessment | deliberate and systematic collection of data to determine patient's current and past health status, functional status, and coping patterns |
| Subjective Data | patient's perception about health problems; only provided by the patient (ex: fear, hunger, pain, anxiety) |
| Objective Data | observations or measurements you make during assessments (ex: temp, BP, lab data, description of wound or rash) |
| Validation | comparing data with another source |
| Data Clustering | set of meaningful signs and symptoms that are grouped together in a logical order |
Created by:
txladybug70
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