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Theory Exam #2

Chapters 17,18,19,20, 24,25 & 8-Psych

Collaborative problem Physiological complication that requires the nurse to use nursing- and health care provider–prescribed interventions to maximize patient outcomes.
Data clusters Set of signs or symptoms that are grouped together in logical order.
Defining characteristics The observable assessment cues that cluster as manifestations of a problem focused or health promotion nursing diagnosis.
Diagnostic label The name of the nursing diagnosis as approved by NANDA-I. Describes the essence of a patient's response to health conditions in as few words as possible.
Health promotion nursing diagnosis Clinical judgement 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 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; 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 judgement 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 combined knowledge, skill, and expertise of multiple health care providers.
Consultation 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 Actions that require an order from a health care provider.
Expected outcome Measurable change (patient behavior, physical state, or perception) that must be achieved to reach a goal
Goal A broad statement that describes a desired change in a patient's condition, perceptions, or behavior.
Independent nursing interventions Actions that a nurse initiates without supervision or direction from others.
Interdisciplinary care plans Focuses on patient priorities and improves the coordination of all patient therapies and communication among all disciplines.
Long-term goal Objective behavior or response that you expect a patient to achieve over a longer period of time.
Nursing care plan Includes nursing diagnoses, goals, and/or expected outcomes, specif 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 Provides a level of standardization to enhance communication of nursing care across all health care settings and compare outcomes.
Nursing-sensitive patient outcome A measurable patient, family, or community state, behavior, or perception largely influenced by and sensitive to nursing interventions
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.
Planning Process of designing interventions to achieve the goals and outcomes of health care delivery.
Priority setting The ordering of nursing diagnoses or patient problems using notions of urgency and importance to establish a preferential order for nursing interventions.
Scientific rationale Reason why a specific nursing action was chosen based on supporting literature.
Short-term goal Objective behavior or response that you expect a patient to achieve over a shorter period of time.
Activities of daily living (ADLs) Activities usually performed in the course of a normal day in the patient's life such as: eating, dressing, bathing, brushing the teeth, or grooming.
Adverse reaction Any harmful, unintended effect of a medication, diagnostic test, or therapeutic intervention.
Clinical practice guideline Systematically developed set of statements that helps nurses, physicians, and other health care providers make decisions about appropriate health care for specific clinical situations.
Counseling Problem solving method used to help patients recognize and manage stress and enhance interpersonal relationships. It helps patients examine alternatives and decide which choices are most helpful and appropriate .
Direct care Treatments performed through interactions with patients.
Implementation Initiation and completion of the nursing actions necessary to help the patient achieve health care goals.
Indirect care Treatments performed away from a patient but on behalf of the patient or group of patients.
Instrumental activities of daily living (IADLs) Activities necessary for independence in society beyond eating, grooming, transferring, and toileting: include such skills as shopping, preparing meals, banking, and taking medications.
Interdisciplinary care plans Plans representing the contributions of all disciplines caring for a patient.
Lifesaving measures Physical care technique that you use when a patient's physiological or psychological state is threatened.
Nursing intervention Any treatment based on clinical judgement and knowledge that a nurse performs to enhance patient outcomes.
Patient adherence Patients and families invest time in carrying out required treatments.
Preventative nursing actions Nursing actions directed toward preventing illness and promoting health to avoid the need for primary, secondary, or tertiary health care.
Standing order Written and approved documents containing rules, policies, procedures, regulations, and orders for the conduct of patient care in various stipulated clinical settings.
Evaluation Determines whether a patient's condition or well-being improved.
Evaluative measures Assessment skills and techniques.
Nurse-sensitive patient outcomes A measurable patient, family, or community state, behavior, or perception largely influenced by and sensitive to nursing interventions.
Standard of care Minimum level of care accepted to ensure high quality care to patients.
Active listening Listening attentively with the whole person - mind, body, and spirit. It includes listening for main and supportive ideas ; acknowledging and responding; giving appropriate feedback; and paying attention to the other person's total communication.
Assertiveness Allows you to express feelings and ideas without judging or hurting others.
Autonomy Ability or tendency to function independently.
Channel Method used in the teaching-learning process to present content: visual, auditory, taste, smell. In the communication process a method used to transmit a message: visual, auditory, touch.
Circular transactional communication process Communication model that enhances the linear communication by enabling the sender and receiver to view perceptions, attitudes, and potential reactions of others via a mental pitcure. this is a continuous and interactive activity.
Circular transactional model Includes several elements in which the communication process occurs.
Communication Ongoing, dynamic series of events that involves the transmission of meaning from sender to receiver
Complementary Function with one person holding an elevated position over the other person.
Electronic communication Use of technology to create ongoing relationships with patients and their health care team.
Emotional intelligence Assessment and communication technique used to better understand and perceive emotions of themselves. This assists in building a therapeutic relationship.
Empathy Understanding and acceptance of a person's feelings and the ability to sense the person's private world.
Environment All of the many factors that influence or affect the life and surval of a person.
Feedback Process in which the output of a given system is returned to the system.
Interpersonal communication Exchange of information between two persons or among persons in a small group.
Interpersonal variables Factors within both the sender and receiver that influence communication.
Intrapersonal communication Communication that occurs within an individual.
Lateral violence Hostile, aggressive, and harmful verbal and nonverbal behavior by a nurse to another nurse via, attitudes, actions, words, or behaviors.
Message Information sent or expressed by sender in the communication process.
Metacommunication Dependent not only on what is said but also on the relationship to the other person involved. It is a message that convey's the sender's attitude toward self and the message and the attitudes, feelings, and intentions towards the listener.
Motivational interviewing Interview technique used to identify patient't thoughts, beliefs, fears and current health care behavior with the aim of helping them to identify improved self-care behaviors.
Nonverbal communication Communication using expressions, gestures, body posture, and positioning rather than words.
Perceptual biases Interfere with accurately perceiving and interpreting messages from others.
Public communication Interaction of one individual with large groups of people.
Reciever Person to whom message is sent during the communication process.
Referent Factor that motivates a person to communicate with another individual.
Sender Person who initiates interpersonal communication by conveying a message.
Small-group communication Interaction that occurs when a small number of people meet.
Stereotypes Generalizations that are made about individuals without further assessment.
Symmetrical Equal
Therapeutic communication Process in which the nurse consciously influences a patient or helps the patient to a better to a better understanding through verbal and/or nonverbal communication.
Verbal communication Sending of messages from one individual to another or to a group of individuals through the spoken word.
Affective learning Acquisition of behaviors involved n expressing feelings about attitudes, appreciation, and values.
Analogies Resemblances made between things otherwise unlike.
Cognitive learning Acquisition of intellectual skills that encompass behaviors such as thinking, understanding, and evaluating.
Functional illiteracy Inability to read above a fifth grade level,
Health literacy Patients' reading and mathematics skills, comprehension, ability to make health-related decisions, and successful functioning as a consumer of health care.
Learning Acquisition of new knowledge and skills as a result of reinforcement, practice, and experience.
Learning objective Written statement that describes the behavior that a teacher expects from an individual after a learning activity.
Motivation Internal impulse that causes a person to take action.
Physcomotor learning Involves acquiring motor skills that require coordination and the integration of mental and physical movements such as the ability to walk or use an eating utensil.
Reinforcement Provision of a contingent response to a learner's behavior that increases the probability of recurrence of the behavior.
Return demonstration Demonstration after the patient has first observed the teacher and then practiced the skill in mock or real situations.
Self-efficacy Refers to a person's perceived ability to successfully complete a task.
Teach back Closed loop communication technique that assesses patient retention of the information imparted during a teaching session.
Teaching Implementation method used to present correct principles, procedures, and techniques of healthcare; to inform patients about their health status; and to refer patients and family to appropriate health or social resources in the community.
Created by: BBailey92