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NUCM 103 Fundamentals in Nursing > DIAGNOSTIC, OUTCOME IDENTIFICATION, PLANNING > Flashcards

DIAGNOSTIC, OUTCOME IDENTIFICATION, PLANNING Flashcards

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1
Q

The nurse analyzes the strength and weaknesses of the patient, the patient’s family, the nursing personnel, the health care facility and available resources

A

outcome identification

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2
Q

In this phase, the nurse develops outcomes for the patient to achieve showing an optimum or improved level of functioning in the problem areas identified in the nursing diagnoses

A

outcome identification

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3
Q

The resulting outcomes and plan of nursing care are designed to help patients and their families

A

make informed decisions about their health and health care
maintain their current level of health and functioning if they identified as being at risk for developing problems
avoid injury or disease

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4
Q

Outcome identification formula

A

outcome identification=setting priorities +establishing outcomes

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5
Q

ordering the delivery of nursing care so that more important or life threatening problems are treated before the less critical problems are treated

A

setting priorities

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6
Q

What are the classifications of setting priorities?

A

high
middle
low

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7
Q

What are the guidelines for setting priorities?

A

-Maslow’s Hierarchy of meeds
-focus on the problems the patient feels are most important
-consider the patient’s culture, values, and beliefs when setting priorities
-consider the effect of potential problems when setting priorities
consider cost resources available, personnel, and time needed to plan for and established for each of the patient’s identified problem
-consider state laws, hospital policy statement, and outcome criteria established for the particular setting

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8
Q

is a measurable, expected client goal to be achieved at some specified time in the future

A

an outcome

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9
Q

the desired result of nursing care; that which you hope to achieve with your patient and which is designed to prevent, remedy, or lessen the problem identified in the nursing diagnosis

A

patient outcome

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10
Q

Why is outcome identification needed?

A

-guidance in the selection of nursing interventions
-gives standard against which to compare the patient’s hourly, daily, weekly, monthly, yearly, and lifelong efforts to maintain and improve health functioning
-gives a sense of where this particular patient started from and where the individual and nurse hope to end up
-criteria used to evaluate the success of nursing intervention
-it helps motivate the nurse, the patient, and the family to continue their efforts

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11
Q

What are the components of an outcome statement?

A

Outcome Statement= patient behavior (verb) + criteria of performance + conditions or modifier + time frame

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12
Q

it can be seen, heard, felt, or measured by the nurse or reported by the patient

A

patient behavior

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13
Q

For risk nursing diagnosis, the outcome should not deal with the etiology but address

A

lessening or elimination of the problem

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14
Q

it is a stated level or standard for the patient behavior stated in the outcome

A

criterion of performance

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15
Q

it clarifies and individualizes the outcome based on the patient’s abilities and realistic expectations for the level of functioning in the future

A

criterion of performance

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16
Q

the level at which the patient will perform the behavior

A

criterion of acceptable performance

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17
Q

can be thought as specific aids that will help the patient perform a behavior at the level specified in the criteria portion of the outcome statement

A

condition

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18
Q

the circumstances, if necessary, under which the behavior is performed

A

conditions

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19
Q

What are the different types of time frame?

A

Intermediate outcomes
Long-term or Final Outcomes
Discharge outcomes
health promotion or wellness outcomes

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20
Q

identify behavior a patient can achieve fairly quizkly

A

intermediate outcomes

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21
Q

under intermediate outcome is

A

progressive intermediate outcome

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22
Q

give directions for nursing care over time

A

long-term or final outcomes

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23
Q

this can be though of as an eventual destination

A

long term or final outcomes

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24
Q

what are the considerations of long term or final outcomes?

A

prognosis of the patient health problems
resources available
strength and weaknesses of the patient function
nursing care abilities of the personnel

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25
Q

often appear at the end in critical pathways used with hospitalized patients

A

discharge outcomes

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26
Q

these outcomes identify the behavior the patient is expected to achieve to be safely discharged from the institution

A

discharge outcomes

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27
Q

What are the examples of health promotion or wellness outcome

A

physical well-being
psychosocial well-being
balance of life roles:personal, family career

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28
Q

are specific activities that the nurse plans and implement to help a patient achieve identified outcome

A

nursing interventions

29
Q

nursing interventions is also called

A

nursing actions
nursing strategies
nursing treatment plan
nursing orders

30
Q

What are the four types of nursing interventions?

A

Environmental Management
Physician-Initiated and Ordered Interventions
Nurse-Initiated and Physician-ordered interventions
Nurse-initiated and Ordered Intervention

31
Q

Example is intravenous fluid

A

Physician Initiated and Ordered Intervention

32
Q

What are the independent nursing interventions?

A

health teaching and health promotion
health counseling to help patients make informed choices
referrals to other nurses or health care professionals

33
Q

what are specific nursing treatments

A

ambulating
repositioning
suctioning
cleaning
dressing wound
ROM exercises
optimum nutrition

34
Q

What are the 6 domains

A

Physiological Basic
Physiological Comex
Behvaioral Ir Behavior
Safety
Family
Health Care system

35
Q

Carrying out the planned nursing interventions

A

Implementation

36
Q

Statement of the client response (NANDA label)

A

Problem

37
Q

Factors contributing to or probable cause of the reponse

A

Etiology

38
Q

Defining characteristics manifested by the client

A

Signs and symptoms

39
Q

How to avoid error in diagnostic reasoning

A

-Verify
-Build a good knowledge on what is normal
-Have a working knowledge on what is normal
-Consult resources
-base diagnosis on patterns
-improve critical thinking dkills

40
Q

A process of determining the relatedness of facts and deteemining whether any patterns are present

A

Analyzing data

41
Q

Is generally acceptable measure, rule, model or pattern

A

Standard or norm

42
Q

Words that have been added to some NANDA labels

A

Qualifiers

43
Q

Inadequate amount, quantity,or degree not sufficient incomplete

A

Deficient

44
Q

Made worse, weakened, damaged, reduced, Deteriorated

A

Impaired

45
Q

Lesser in size, amount or degree

A

Decreased

46
Q

Not producing the desired effect

A

Ineffective

47
Q

To make vulnerable to threat

A

Compromised

48
Q

It is a condition that necessitates intervention

A

Health problem

49
Q

is a deliberative, systematic phase of the nursing process that involves decision making and problem solving

A

Planning

50
Q

What is the end product of planning phase?

A

Client care plan

51
Q

What are the types of planning?

A

Initial
Ongoing
Discharge

52
Q

the process of anticipating and planning for needs after discharge, is a crucial part of a comprehensive health care plan and should be addressed in each client’s care plan

A

Discharge planning

53
Q

strategy for action that exists in the nurse’s mind

A

Informal nursing care plan

54
Q

is a written or computerized guide that organizes information about the client’s care. The most obvious benefit of a formal written care plan is that it provides for continuity of care.

A

Formal nursing care plan

55
Q

is a formal plan that specifies the nursing care for groups of clients with common needs

A

Standardized care plan

56
Q

is tailored to meet the unique needs of a specific client—needs that are not addressed by the standardized plan

A

Individualized care plan

57
Q

describe nursing actions for clients with similar medical conditions rather than individuals, and they describe achievable rather than ideal nursing care.

A

Standards of care

58
Q

are developed to govern the handling of frequently occurring situations

A

Policies and procedures

59
Q

is a written document about policies, rules, regulations, or orders regarding client care.

A

Standing order

60
Q

Care of plan is organized jnto four sections, what are these?

A

Problem/nursing diagnoses
Goals or desired outcomes
Nursing interventions
Evaluation

61
Q

is the evidence-based principle given as the reason for selecting a particular nursing intervention.

A

Rationale

62
Q

is a visual tool in which ideas or data are enclosed in circles or boxes of some shape, and relationships between these are indicated by connecting lines or arrows

A

Concept map

63
Q

What are the components of goal or desired outcome statements?

A

Subject
Verb
Conditions or modifiers
Cruterion of desired performance

64
Q

Freedom from injury, illness, and disease

A

Physical well-being

65
Q

Strong self-esteem and social support system

A

Psychosocial well-being

66
Q

Personal, family care

A

Balance of life roles

67
Q

4 areas in reviewing the Care Plan

A

Safety
Appropriateness
Effectiveness
Individualized nursing care

68
Q

4 areas of reviewing the care plan

A

Safety
Appropriateness
Effectiveness
Individualized nursing care

69
Q

Are instructions for specific individualized activities the nurse performs to help the client meet established health care goals

A

Nursing orders

NUCM 103 Fundamentals in Nursing (20 decks)

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