Ch. 17 & 18

Question 1

Collaborative problem

Answer 1

Physiological complication that requires the nurse to use nursing and health care provider-prescribed interventions to maximize patient outcomes.

Question 2

Data cluster

Answer 2

Set of signs or symptoms that are grouped together in logical order.

Question 3

Defining characteristics

Answer 3

Observable assessment cues such as patient behavior, physical signs that support each problem-focused diagnostic judgement.

Question 4

Diagnostic label

Answer 4

Is the name of the nursing diagnosis as approved by North American Nursing Diagnosis Association International (NANDA-I). It describes the essence of a patient’s response to health conditions in as few words as possible.

Question 5

Health promotion nursing diagnosis

Answer 5

Is a clinical judgment concerning a patient’s motivation and desire to increase well-being and actualize human health potential.

Question 6

Medical diagnosis

Answer 6

Formal statement of the disease entity or illness made by the physician or health care provider.

Question 7

North American Nursing Diagnosis Association International (NANDA-I)

Answer 7

It is an organization that formally identifies, develops, and classifies nursing diagnoses.

Question 8

Nursing diagnosis

Answer 8

Formal statement of an actual or potential health problem that nurses can legally and independently treat; the second step of the nursing process, during which the patient’s actual and potential unhealthy responses to an illness or condition are identified.

Question 9

Problem-focused nursing diagnosis

Answer 9

Describes a clinical judgment concerning an undesirable human response to a health condition/life process that exists in an individual, family, or community.

Question 10

Related factor

Answer 10

Any condition or event that accompanies or is linked with the patient’s health care problem.

Question 11

Risk nursing diagnosis

Answer 11

A clinical judgment concerning the vulnerability of an individual, family, group or community for developing an undesirable human response to health conditions/life processes.

Question 12

Collaborative interventions

Answer 12

Therapies that require the knowledge, skill, and expertise of multiple health care professionals.

Question 13

Consultation

Answer 13

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.

Question 14

Dependent nursing interventions

Answer 14

The interventions that initiated by Health care provider or actions that require an order from a health care provider.

Question 15

Expected outcome

Answer 15

Expected conditions of a patient at the end of therapy or a disease process, including the degree of wellness and the need for continuing care, medications, support, counseling, or education.

Question 16

Goal

Answer 16

Desired results of nursing actions set realistically by the nurse and patient as part of the planning stage of the nursing process.

Question 17

Independent nursing interventions

Answer 17

Nurse-initiated interventions or actions that a nurse initiates without supervision or direction from others.

Question 18

Interdisciplinary care plans

Answer 18

Contributions from all disciplines involved in patient care. It focuses on patient priorities and improves the coordination of all patient therapies and communication amount all disciplines.

Question 19

Long-term goal

Answer 19

Is an objective behavior or response that you expect a patient to achieve over a longer period, usually over several days, weeks, or months.

Question 20

Nursing care plan

Answer 20

Includes nursing diagnoses, goals and/or expected outcomes, specific nursing interventions, and a section for evaluation findings so any nurse is able to quickly identify a patient’s clinical needs and situation.

Question 21

Nursing Outcomes Classification

Answer 21

A systematic organization of nurse sensitive outcomes into groups or categories based upon similarities, dissimilarities, and relationships among the outcomes.

Question 22

Nursing Interventions Classification (NIC)

Answer 22

A set of nursing interventions that provides a level of standardization to enhance communication of nursing care across all health care settings and compare outcomes. The NIC model includes 3 levels: domains, classes, and interventions for ease of use.

Question 23

Patient-centered goal

Answer 23

Reflects a patient’s highest possible level of wellness and independence in function. It is realistic and based on patient needs, abilities, and resources.

Question 24

Planning

Answer 24

Process of designing interventions to achieve the goals and outcomes of health care delivery.

Question 25

Priority Setting

Answer 25

Is the ordering of nursing diagnoses or patient problems using notions of urgency and importance to establish a preferential order for nursing interventions.

Question 26

Nursing-sensitive patient outcomes

Answer 26

Outcomes that are within the scope of nursing practice; consequences or effects of nursing interventions that result in changes in the patient’s symptoms, functional status, safety, psychological distress, or costs.

Question 27

Scientific rationale

Answer 27

Reason why a specific nursing action was chosen based on supporting literature.

Question 28

Short-term goal

Answer 28

Is an objective behavior or response that you expect a patient to achieve in a short time, usually less than a week. In an acute care setting you often set goals for over a course of just a few hours.