Chapter 7 Flashcards
Evaluation
To measure if goals in the planning step were met; a step in the nursing process
Assessment
Collecting information about the person; a step in the nursing process
Goal
That which is desired for or by a person as a result of nursing care
Implementation
To perform or carry out nursing measures in the care plan; a step in the nursing process
Medical diagnosis
The identification of a disease or condition by a doctor
Nursing care plan
A written guide about the person’s nursing care; care plan
Nursing diagnosis
Describes a health problem that can be treated by nursing measures; a step in the nursing process
Nursing intervention
An action or measure taken by the nursing team to help the person reach a goal
Nursing process
The method nurses use to plan and deliver nursing care; it’s five steps are assessment, nursing diagnosis, planning, implementation, and evaluation
Objective data
Information that is seen, heard, felt, or smell by an observer; signs
Observation
Using the senses of sight, hearing, touch, and smell to collect information
Planning
Setting priorities and goals; a step in the nursing process
Signs
See “objective data”
Subjective data
Things a person tells you about that you cannot observe through your senses; symptoms
Symptoms
See “subjective data”
