Chapter 16

Question 0

Database

Answer 0

About the patients perceived needs, health problems and responses to these problems.

Question 1

Assessment

Answer 1

Is the deliberate and systematic collection of information about a patient to determine to his or her current and past health.

Question 2

Cue

Answer 2

Is information that you obtain through use of the senses

Question 3

Inference

Answer 3

Is your judgment or interpretation of these cues

Question 4

Gordon’s model of 11 functional health patterns

Answer 4

1 - Health perception - health management pattern
2 - Nutritional - metabolic pattern 
3 - Elimination pattern 
4 - Activity - exercise pattern 
5 - Sleep-rest pattern 
6 - Cognitive-perceptual pattern 
7 - Self-Perception/Self concept pattern 
8 - Role-Relationship pattern 
9 - Sexuality-reproductive pattern 
10 - Coping-stress tolerance pattern
11 - Value-belief pattern

Question 5

Subjective data

Answer 5

Is data about your patient verbal descriptions of their health problems

Question 6

Objective data

Answer 6

Are observations or measurements of a patients health status

Question 7

Identify variety of sources where data can be obtained

Answer 7

1 - Medical records
2 - Family 
3 - Health Care team
4 - Scientific records 
5 - Nurses experiences

Question 8

Patient centered interview

Answer 8

Is an approach for obtaining from patients the data that are needed to foster a caring nurse-patient relationship, adherence to interventions, and treatment effectiveness.

Question 9

Interview process “4” steps

Answer 9

(1) Setting the stage
(2) Gathering information about patient’s chief concerns or problems and setting an agenda
(3) Collecting the assessment or a nursing health history
(4) Terminating the interview

Question 10

Open-minded questions

Answer 10

Prompts patients to describe a situation in more than one or two words. This technique leads to a discussion in which patients actively describe their health status.

Question 11

Back channeling

Answer 11

Which includes active listening prompts such as “all right,” “go on”. These indicate that you have heard what the patient says and are interested in hearing the full story.

Question 12

Closed-ended questions

Answer 12

Form of questions that limits a respondent ‘s answer to one or two words

Question 13

Concomitant symptoms

Answer 13

Other symptoms that a patient experiences along with the primary symptoms

Question 14

Five techniques of a Physical Examination

Answer 14

Inspection
Palpation
Percussion
Auscultation

Question 15

Data cluster

Answer 15

Is a set of signs or symptoms gathered during assessment that you group together in a logical way.

Question 16

Related factor

Answer 16

Is a condition, historical factor or etiology that gives a context for the defining characteristics and shows a type of relationship with the nursing diagnosis.

Question 17

Actual nursing diagnosis

Answer 17

Describes human responses to health conditions or life processes that exist in an individual, family or community

Question 18

Risk nursing diagnosis

Answer 18

Describes human responses to health conditions or life processes that may develop in a vulnerable individual, family or community.

Question 19

Health promotion nursing diagnosis

Answer 19

Is a clinical judgement of a person’s, family’s or community motivation, desire and readiness to increase well being and actualize human health potential as expressed in their readiness to enhance specific health behaviors such as nutrition and exercise.

Question 20

Diagnostic label

Answer 20

Is the name of the nursing diagnosis as approved by NANDA international .

Question 21

Etiology

Answer 21

Related factor or a nursing diagnosis is always within the domain of nursing practice and a condition that responds to nursing interventions.

Question 22

PES format

Answer 22

P- Problem
E- Etiology
S- Symptoms

Makes a diagnosis even more specific problem “NANDA” etiology, symptoms

Question 23

Purpose of concept mapping

Answer 23

Concept maps promotes critical thinking because you identify, biographically linking concepts by analyzing info

Question 24

Planning

Answer 24

Involves setting priorities identifying patient - centered goals and expected outcomes, and prescribing individualized nursing interventions

Question 25

Goal

Answer 25

Is a broad statement that describes a desired change in a patients condition or behavior .

Question 26

Expected outcome

Answer 26

Is a measurable criterion to evaluate goal achievement. Once an outcome is met, you then know that a goal has been at least partially achieved.

Question 27

Patient centered goal

Answer 27

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

Question 28

Short term goal

Answer 28

Is an response that you expect a patient to achieve in a short time, usually less than a week.

Question 29

Long term goal

Answer 29

Is a response that you expect a patient to achieve over a longer period of time “several days, weeks or months”

Question 30

Iowa intervention project

Answer 30

Published the nursing outcome classification

Question 31

Independent nursing interventions

Answer 31

Actions that a nurse initiates, these do not require an order from another health care professional

Question 32

Dependent nursing interventions

Answer 32

Actions that require an order from a physician or another health care professional.

Advanced practice nurses are able to write dependent nursing interventions .

Question 33

Collaborative interventions

Answer 33

Independent interventions are therapies that require the combined knowledge, skill, and expertise of multiple health care professionals.

Question 34

When choosing six important factors

Answer 34

(1) characteristics of nursing diagnosis
(2) goals and expected outcomes
(3) evidence base for the interventions
(4) feasibility of the intervention
(5) acceptability to the patient
(6) your own competency

Question 35

Domain 1 - Physiological : Basic

Answer 35

Care that supports physical functioning

Question 36

Domain 2 - Physiological: Complex

Answer 36

Care that supports homeostatic regulation

Question 37

Domain 3 - Behavioral

Answer 37

Care that supports psychosocial functions and facilitates lifestyle change

Question 38

Domain 4 - Safety

Answer 38

Care that supports protection against harm

Question 39

Domain 5 - Family

Answer 39

Care that supports the family

Question 40

Domain 6 - Health system

Answer 40

Care that supports effective use of the health care delivery system

Question 41

Domain 7 - Community

Answer 41

Care that supports the health of the community

Question 42

Nursing care plans

Answer 42

Include nursing diagnosis, goals and or expected outcomes, specific nursing interventions and a section for evaluation findings so any nurse is able to quickly identify a patients clinical needs.

Question 43

Interdisciplinary care plans

Answer 43

Which include contributions from all disciplines involved in patient care. The interdisciplinary plan is designed to improve the coordination of all patient therapies

Question 44

Nursing hands off

Answer 44

Is a critical time when nurses collaborate and share important information that ensures continuity of care for a patient and prevents error or delay.

Question 45

Critical pathways

Answer 45

A clear map that points patient progress and defines transition points in patients and draws a coordinated map.

Question 46

Consultations

Answer 46

Is a process by which you seek the expertise of a specialist such as as your nursing instructor, a physician or a clinical nurse educator to identify ways to handle problems