Chapter 4 Flashcards
assessment
info gathering regarding the current status of a particular patient, including evaluation of past history and physical exam, provides a baseline of info and clues to effectiveness of therapy
evaluation
part of the nursing process, determining the effects of the intervention that were instituted for the patient and leading to further assessment and intervention
implementation
actions undertaken to meet a patient’s needs such as administering drugs, comfort measures, or patient teaching
nursing
the art of nurturing and administering to the sick, combined with the scientific application of chemistry, anatomy, physiology, biology, nutrition, psychology, and pharmacology to the particular clinical situation
nursing diagnosis
statement of an actual potential problem, based on the assessment of a particular clinical situation, which directs needed nursing interventions
nursing process
the problem-solving process used to provide efficient nursing care; it involves gathering info, formulating a nursing diagnosis statement, prioritizing the diagnoses, developing goals and desired outcomes for the patient, carrying out interventions, and evaluating the process
planning
the process of prioritizing the info gathered in assessment and using the established nursing diagnoses to develop goals and desired outcomes for the patient