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ATI Module

Clinical Judgment Process (Exam 1)

QuestionAnswer
analysis The analysis of assessment data to identify health problems/risks and a client's needs for health intervention. .
assessment The application of nursing knowledge to the collection, organization, validation, and documentation of data about a client's health status. The nurse thinks critically to perform a comprehensive assessment of subjective and objective information.
critical thinking Thought process that is systematic and logical in reviewing information and data, that is open to reflection, inquiry, and exploration in order to make informed decisions.
delegation Assigning a nursing task or procedure to another person who has the training appropriate for that task or procedure.
evaluation The evaluation of a client's response to nursing interventions and to reach a nursing judgment regarding the extent to which the client has met the goals and outcomes.
implementation to assist a client to promote, maintain, or restore their health. The nurse uses problem-solving skills, clinical judgment, and critical thinking when using interpersonal and technical skills to provide client care.
interprofessional health care team A group including members from different disciplines who work collaboratively with the client to make decisions and set goals.
nursing process A framework that guides nurses in delivering client-focused care that takes the entire person into consideration.
objective data Data that can be observed by the nurse through the senses.
plan of care A plan including the client problem (analysis), plans and goals, implementation, and responses; it is used by the interprofessional health care team.
planning The nurse uses evidenced based practice to set client goals, establish priorities of care, and identify nursing interventions to assist the client to achieve their goals.
subjective data Data that is based upon the client's feelings, perception and assumption
Created by: user-1977236
 

 



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