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NUR 507
Nursing Health Assessment Ch 1
| Question | Answer |
|---|---|
| NURSING | The diagnosis and treatment of human responses to actual or potential health problems. |
| THE NURSING PROCESS | A systematic problem-solving method that have 5 steps: Assessment, Nursing Diagnosis, Planning, Implementation, and Evaluation |
| ASSESSMENT | The process of collecting, validating, and clustering data. The first, and most important, step in the Nursing Process. |
| NURSING DIAGNOSIS | Identifying actual or potential health problems or responses. The second step in the Nursing Process. |
| ACTUAL NURSING DIAGNOSIS | Identifies an occurring health problem for your pt. |
| POTENTIAL NURSING DIAGNOSIS | Identifies a high-risk health problem that most likely will occur unless preventive measures are taken. |
| POSSIBLE NURSING DIAGNOSIS | Needs further data to support it. |
| COLLABORATIVE PROBLEM | a potential medical complication that warrants both medial and nursing interventions. |
| IMPLEMENTATION (also called INTERVENTION) | Involves carrying out your plan to achieve goals and outcomes. |
| EVALUATION | Involves determining the effectiveness of your plan. |
| COMMUNICATION | A process of sharing information and meaning, of sending and receiving messages. |
| NONVERBAL BEHAVIOR | Includes vocal cues or paralinguistics, action cues or kinetics, object cues, personal space and touch. |
| VOCAL CUES | Describe the quality of your voice and its inflections, tone, intensity, and speed when speaking. |
| ACTION CUES or KINETICS | Body movements that convey messages. |
| PERSONAL SPACE | The territory surrounding a person that she or he perceives as private or the physical distance that needs to be maintained for the person to feel comfortable. |
| Touch | A means of communication that is often culturally prescribed and easily misconstrued. |
| Assessment (ANA definition) | The systematic, continuous collection of data about the health status of patients. |
| Skills needed for assessment | Cognitive, problem-solving, psychomotor, affective/interpersonal and ethical. |
| COGNITIVE SKILLS | Needed for critical thinking, creative thinking and clinical decision making. |
| CRITICAL THINKING | A complex thinking process, reflective, reasonable thinking; involves inquiry, interpretation , analysis and synthesis. |
| REFLECTIVE THINKING | Automatic, without conscious deliberation and comes with experience. |