Chapter 5 Nursing Process & Critical Thinking

Question 1

Objective data

Answer 1

Clinical findings that are observed, palpated, or ausculated. Laboratory findings, as well as radiologic and other studies, are included. Observable and measurable signs or symptoms.

Question 2

Outcome

Answer 2

Description of the specific measurable behavior (outcome criteria) that the patient will be able to exhibit after the nursing interventions.

Question 3

Planning

Answer 3

In the five-step nursing process, the category of nursing behavior in which a strategy is designed for the achievement of goals of care for individual patient, as an established in assessing and analyzing. Planning includes developing and modifying a care plan for the patient, cooperating with other personnel, and recording relevant information.

Question 4

Risk nursing diagnosis

Answer 4

A clinical judgment that an individual, family, or community is more vulnerable to develop the problem than others in the same or similar situations.

Question 5

Standardized language

Answer 5

A structured vocabulary that provides nurses with a common means of communication.

Question 6

Subjective data

Answer 6

Symptoms. Verbal statements provided by the patient. That which arises from within what is perceived by the individual and related to the examiner.

Question 7

Syndrome nursing diagnosis

Answer 7

Used when a cluster of actual or risk nursing diagnoses are predicted to be present in certain circumstances..

Question 8

Variance

Answer 8

The unexpected event that occurs during the use of a clinical pathway; can be positive or negative.

Question 9

Wellness nursing diagnosis

Answer 9

A clinical judgment about an individual, group, or community and transition from a specific level of wellness to a higher level of wellness.