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CUI C7 Fund Quiz 2
Vocabulary for chapters 8, 16-21
| Question | Answer |
|---|---|
| caring | Sense of dedication to another person. |
| comforting | Skillful and gentle performance of a nursing procedure. |
| functional health patterns | Method for organizing assessment data based on the level of client function in specific areas (e.g., mobility). |
| assessment | First step of the nursing process. Activities required in the first step are data collection, data validation, data sorting, and data documentation; the purpose is to gather information for health problem identification. |
| back channeling | Active listening techniques that indicate that the nurse has heard what the client says. |
| interview | Type of communication with a client that is initiated for a specific purpose and focused on a specific content area. |
| nursing health history | Data collected about a client's present level of wellness, changes in the client's life patterns, sociocultural role, and mental and emotional reactions to an illness. |
| objective data | Data relating to a client's health problem that are obtained through observation or diagnostic measurements. |
| open-ended questions | Inquiries aimed at obtaining a full client response and discussion between the client and the nurse. |
| review of systems | Systematic method for collecting data on all body systems. |
| standards | Measure or guide that serves as a basis for comparison when evaluating similar phenomena or substances. |
| subjective data | Data relating to a client's health problem that are given in the client's own words. |
| cue | Information that you obtain through use of the senses |
| data analysis | A process of reviewing available data for patterns or trends and forming conclusions about the meaning of the data. |
| validation | The process of comparing data with another source to confirm its accuracy |
| actual nursing diagnosis | Human response to health conditions/life processes that exist in an individual, family, or community. |
| collaborative problem | Actual or potential physiological complications that can result from disease, trauma, treatment, or diagnostic studies for which nurses intervene in collaboration with personnel of other health care disciplines. |
| etiology | Identification of the cause of a problem. The cause may be a direct or a contributing factor in the development of a client problem or need. |
| medical diagnosis | Identification of a specific disease or pathological process. |
| risk nursing diagnosis | Human response to health conditions/live processes that may develop in a vulnerable individual, family, or community. |
| wellness nursing diagnosis | Human response to levels of wellness in an individual, family, or community that have a readiness for enhancement. |
| clinical criteria | Objective or subjective signs and symptoms that lead to a diagnostic conclusion |
| diagnostic label | The name of a nursing diagnosis as approved NANDA International |
| related-factor | A condition or etiology identified from the client's assessment data |
| nursing diagnosis | Nursing direction response to a problem ; provides the basis for selection of nursing interventions for which the nurse is accountable. |
| expected outcome | Likely condition of a client at the end of therapy or of a disease process, including the degree of wellness and the need for continuing care, medications, support, counseling, or education. |
| goals | Desired results of nursing actions, set realistically by the nurse and client as part of the planning stage of the nursing process. |
| long-term goal | Objective that is expected to be achieved over a longer period of time, usually over weeks or months. |
| nursing care plan | Written guidelines of nursing care that document specific nursing diagnoses for the client and goals, interventions, and projected outcomes. |
| planning | Process of designing interventions to achieve the goals and outcomes of health care delivery. |
| scientific rationale | Reason for choosing a specific nursing action that is based on supporting literature. |
| short-term goal | Objective that is expected to be achieved in a short period of time, usually less than a week. |
| client-centered goal | A specific and measurable behavior or response that reflects a client's highest possible level of wellness and independence in function. |
| collaborative intervention | Therapies that require the combined knowledge, skill and expertise of multiple health care professionals. |
| dependent nursing intervention | Those actions that require an order from a physician or another health care professional |
| nurse-sensitive client outcome | Individual, family or community state behavior or perception that is measured along a continuum in response to a nursing intervention |
| priority setting | The order of nursing diagnoses using notations of urgency and/or importance, in order to establish a preferential order for nursing actions |
| independent nursing intervention | Actions that a nurse initiates without direction from a physician or other health care professional. |
| adverse reaction | Harmful or unintended effect of a medication, diagnostic test, or therapeutic intervention. |
| client adherence | Refers to the degree to which the client, and in some cases the caregiver, follows the therapeutic regimen with respect to medications, exercise, treatments, and/or diet. |
| counseling | Implementation method that helps the client use a problem-solving process to recognize and manage stress and that facilitates interpersonal relationships between the client and the family, significant others, or the health care team. |
| direct care | Treatments preformed through interaction with the client. |
| indirect care | Treatments performed away from the client but on behalf of the client or group of clients. |
| interdisciplinary care plans | Plans that represent the contributions of all disciplines caring for the client. |
| lifesaving measure | Implemented when a client's physiological or psychological state is threatened. |
| nursing intervention | Any action by a nurse that implements the nursing care plan or any specific objective of the plan. |
| preventive nursing actions | Interventions directed toward preventing illness and promoting health to avoid the need for secondary or tertiary health care. |
| standing order | Written and approved document containing rules, policies, procedures, regulations, and orders for the conduct of client care in various stipulated clinical settings. |
| clinical guideline | A document that guides decisions and interventions for specific health care problems or conditions |
| implementation | The fourth step of the nursing process, the nurse initiates the interventions that are most likely to achieve the goals and expected outcomes needed to support or improve the client's health status. |
| evaluation | Category of nursing behavior in which a determination is made and recorded regarding the extent to which the client's goals have been met. |
| functional nursing | Division of tasks in which one nurse assumes responsibility for certain tasks while another nurse assumes responsibility for others. |
| outcomes management | A term that encompasses managing the individual clinical outcomes of clients as a result of prescribed treatments to the formal measurement of system level performance and effectiveness. |
| performance improvement | Term interchangable with quality improvement that describes and approach to the continuous study and improvement of the processes of providing health care services to meet the needs of clients and others. |
| authority | Right to act in areas in which the individual has been given and accepts responsibility. |
| decentralized management | Process by which managers and staff become more actively involved in shaping a health care organization's identity and determining its success. |
| nursing | Diagnosis and treatment of human responses to actual or potential health problems. |
| primary nursing | Nursing services designed to maintain continuity of care across shifts, days, or visits. |
| shared governance | Senior clinical staff groups are empowered to establish and maintain care standards for nursing practice on their work unit. |
| team nursing | A delivery of care model that has an RN as leader of the team with members consisting of other RNs, LPN/LVNs, and assistive personnel. RN directs/supervises team members providing direct client care to a group of clients. |
| total patient care | A delivery of care model where a registered nurse is responsible for all aspects of one or more clients' care. The model has a shift-based focus. |
| delegation | Process of assigning another member of the health care team aspects of client care (e.g., assigning nurse assistants to bathe a client). |
| implantation | Process involving the attachment, penetration, and embedding of the blastocyst in the lining of the uterine wall during the early stages of prenatal development. |
| inference | Taking one proposition as a given and guessing that another proposition follows. |
| nursing process | Systematic problem-solving method by which nurses individualize care for each client. The five steps of the nursing process are assessment, diagnosis, planning, implementation, and evaluation. |
| presence | Person-to-person encounter that conveys a closeness and sense of security. |
| concept map | Visual of client probs and interventions that shows their relationships to each other. Metacognitive tool that aides user in dev’ing a self-appraisal of their own thinking and in considering the context of nursing practice in relation to client problems. |
| client-centered problems | What nursing leaders and educators revised their curricula to reflect. |
| outcome | Condition to be achieved as a result of health care delivery. Favorable or adverse changes in clients' health states due to prior or concurrent care. |
| accountability | State of being answerable for one's actions. The professional nurse answers to herself or himself, the client, the profession, the employing institution, and the professional society for the effectiveness of nursing care performed. |
| responsibility | Duty associated with a particular role. |
| standard of care | Minimum level of care accepted to ensure high quality of care to clients. Standards of care define the types of therapies typically administered to clients with defined problems or needs. |
| consultations | Process in which the help of a specialist is sought to identify ways to handle problems in client management or in the planning and implementation of programs. |
| critical pathway | Tool used in managed care that incorporates the Tx interventions of caregivers from all disciplines who normally care for a client. Designed for a specific case type, a pathway is used to manage the care of a client throughout a projected length of stay. |
| Kardex | Trade name for card-filing system that allows for quick reference to the particular need of the client for certain aspects of nursing care. |
| quality improvement | Monitoring and evaluation of processes and outcomes in health care or any other business to identify opportunities for improvement. |
| case management | Model of care; the case manager advises nursing staff on specific care issues, coordinates the referrals to services by other disciplines, ensures that client education has been done, and monitors the client's progress through discharge. |
| activities of daily living (ADLs) | Activities usually performed in the course of a normal day in the client's life, such as eating, dressing, bathing, brushing the teeth, and grooming. |
| instrumental activities of daily living (IADLs) | Activities for individual independence in society beyond eating, grooming, transferring, and toileting; these include writing a check, buying groceries, and preparing food. |
| autonomy | Ability or tendency to function independently. |
| defining characteristics | Cluster of signs and symptoms that are observed in the client and that imply a specific nursing diagnosis. |
Created by:
ultraRNner
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