Chapter 4 Fundamentals Flashcards
Clinical judgment
Is the outcome of clinical reasoning the conclusion or decision sometimes a nursing diagnosis you arrive at as a result of exercising your clinical reasoning skills.
Assessment
Data collection collecting organizing documenting and validating data about a patient’s health status. Obtain from the patient the family the physician diagnostic test and information about the patient from other health professionals.
Clinical reasoning
It is Necessary to think critically to use the nursing process successfully and to develop good clinical reasoning skills to result in solid clinical judgment.
Critical thinking
Is directed purposeful mental activity by which you elevate ideas construct plans and determine desired outcomes. requires careful judgment and reasoning.
Decision-making
Choosing the best action to meet a desired goal and is part of the critical thinking process
Evaluation
Assessing the patient’s responses to the nursing interventions the responses are compared with the expected outcomes to determine whether they have been achieved the entire care plan is reassessed and any changes needed to be made.
Implementation
Caring out the nursing interventions in a systematic way.
Nursing diagnosis
The process by which the assessment data are sorted and analyzed so that specific, actual and potential health problems are identified.
Nursing process
Is the way of thinking and acting based on the scientific method a step-by-step process used scientist to solve problems. the nursing process is a tool for identifying patient problems or potential problems and an organized method for meeting patient needs.
Outcomes
Results of actions
Planning
A series of steps by which the nurse and the patient set priorities and goals to eliminate or diminished identify problems. Specific
Priority
Is more important than something else at that time. prioritizing involves placing nursing diagnosis or nursing interventions in order of importance.
Scientific method
A step-by-step process used scientist to solve problems.