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Con Ch. 5
Nursing Procees and Critical Thinking
| Question | Answer |
|---|---|
| Nursing Process | serves as organzational framework for practicine of nursing |
| TPRBP | Temp.Pulse,respiratory,blood pressure |
| Assessment | Systemic and dynamic process by which the nurse interaction and collects data and analyzes data about patient |
| Cue | syn. for subjective and objective data |
| Biographic data | that provide info about facts or events in person's life |
| Database | a large store or bank of info from which nusing diagnosis can be identified |
| diagnose | a clinical judgement about the clients response to actual or potiental health conditions |
| problem | is any health care cond that requires diagonostic, therapeutic, or educational action |
| Nursing diagnosis | clinical judgement about a person, family or community responses to actual or potiential health problems/processes |
| Four components of nursing diagonsis | nusring diagnosis title and label,definitionof the title and label,contributing etiologic/related factors,defining charcteristics |
| Defining charcteristics | are clinical cues, signs, and symptoms that furnish evidence that a problem exists |
| actual nursing diagnosis | responses to health conditions/life processes/that exist in a ind. , family, community |
| risk nursing diagnosis | human response to health condition/life processes that may developin vunerable ind. , family or community |
| syndrome nursing | used when a cluster of actual or risk nursing diganosis are predicted to be present in certain circumstances |
| wellness nursing diagnosis | human response to levels of wellness in an ind. family and community that have a readiness for enhancement |
| Collabartive problems | certain physiologic complications that nurses monitor to detect onset or change in staus |
| Medical diagnosis | is th eID of a disease or condtion by scientific evaluation of physical signss, symptoms,history lab test and procedures |
| Goal | statement about purpose to which an effort is directed |
| outcome | states the beahaviors that the patient will be able to perform rather than what nurse will do |
| planning | phase of nursing process the nurse est priorities of care selects and converts nursing intereventions into orders and communicates plan in recognized lang and terms to document plan |
| Nursing interventions | are those activites that should promote the achievement of desired patient outcome |
| Physician prescribed interventions | those actions ordered by physician for a nurse or other health care prof. to perform |
| nurse prescribed onterventions | any actions a nurse can legally order or begin indpendently |
| implementation | phase of nursing process the est. plan is put into action to promote outcome achievement |
| Evaluation | is a determination made about the extent to which the established outcomes have been achieved |
| standardized language | a sturctured vocabulary that provides nurses with a common means of communication |
| nursing sensitive outcomes | identifying outcomes that are responsive to nursing careis for nursing esp in containing costs and identifying effective care |
| managed care | health care system whose aim is to enhance specific clinical and fiancial outcomes with a specific time range |
| case management | refers to assignment of health care provider toa patient so that the care of that patient is overseen by one indv. |
| clinical pathway | is a multi-disciplinary plan that schedules clincal-interventions over an anticipated time frame for high risk high vol. high cost cases |
| Variance | when patient does not achieve the projected outcome |
Created by:
Jaybob
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