Critical Thinking Flashcards
Define the Nursing Process?
Systematic method of critical thinking used to develop individualized plans of care. It is the framework within which nurses provide care to patients in and organized and effective manner.
What are the Characteristics of the Nursing Process?
Analytical, Dynamic, Organized, Adaptable, Collaborative, Outcome Oriented
What are the Steps of the Nursing Process?
ADPIE ASSESSMENT DIAGNOSIS PLANNING IMPLEMENTATION EVALUATION
What does the assessment process involve in the Nursing Process?
Gathering data through observation, interview, and physical assessment.
What does the diagnosis process involve in the Nursing Process?
Analyze, validate, and cluster patient data to identify patient problems.
What does the planning process involve in the Nursing Process?
Prioritize Nursing diagnosis and identify short/long term goals.
What does the implementation phase involve in the Nursing Process?
Initiate specific Nursing interventions and treatments designed to help patients achieve established goals.
What does the evaluation phase involve in the Nursing Process?
Determine whether the patients goals are met, examine the effectiveness of interventions, and decide whether the plan of care should be discontinued, continued, or revised.
Primary data comes from?
The patient
Secondary data comes from?
Family, friends, other professionals, or charts.
Subject data comes from? (Can or cannot be measured)
Symptoms, health history. Cannot be measured.
Objective data comes from? (Can or cannot be tested?)
Signs, examination, lab results, test results. Can be measured.
What are the three types of Nursing diagnosis?
Actual
Risk
Health Promotion
What do actual Nursing Diagnosis contain?
The problem
The etiology
Signs and symptoms
Risk Nursing Diagnosis contain?
Problem
Risk Factors
Health Promotion Nursing Diagnosis contains?
Nursing diagnostic label
Defining characteristics
What are the Characteristics for short/long term goals?
Patient focused, realistic, measurable
Independent interventions do or do not require an order?
Do not require an order
Dependent interventions do or do not require an order?
Do require an order
What are collaborative interventions?
Involve working together with other professionals.
What are protocols?
Written plans that can be generalized to groups of patients with the same or similar clinical needs that DO NOT require an order.
What are standing orders?
Written by physicians and list specific actions to be taken by the nurse or other health care provider when access to physician is not possible or when care is common to a certain type of situation.
Patient interview:
Formal, structured discussion in which the nurse questions the patient to obtain demographic info, and data about current health concerns, and medical history.
What are the phases of a patient interview?
Orientation
Working
Termination