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2017 Spring Semester > Fundamentals: Nursing Process and Critical Thinking > Flashcards

Fundamentals: Nursing Process and Critical Thinking Flashcards

1
Q

Describe the steps of critical thinking

A

involves open-mindedness, continual inquiry, and perseverance, combined with a willingness to look at each unique patient situation and determine which identified assumptions are true and relevant.

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2
Q

Define evidence-based knowledge

A

knowledge based on research or clinical expertise.

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3
Q

Nursing process

A

Fundamental blueprint for how to care for a patient

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4
Q

Assessment

A

Collection, verification, and analysis of data

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5
Q

Database

A

The patient’s perceived needs, health problems, and responses

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6
Q

Cue

A

Information that was obtained through the use of the senses

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7
Q

Inference

A

Your judgment or interpretation of cues

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8
Q

Gordon’s 11 functional health patterns

A
  1. health perception-health management pattern
  2. nutritional-metabolic pattern
  3. elimination pattern
  4. activity-exercise pattern
  5. sleep-rest pattern
  6. cognitive-perceptual pattern
  7. self perception- self concept pattern
  8. role- relationship pattern
  9. sexuality- reproductive pattern
  10. coping- stress tolerance pattern
  11. value- belief pattern
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9
Q

subjective data

A

includes patients’ verbal descriptions of their health problems

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10
Q

objective data

A

observations or measurements of a patient’s health status

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11
Q

Identify the variety of sources where data can be obtained

A
  • the patient through interviews, observations, and physical exams.
  • family members or significant others
  • other members of the health team
  • medical record information
  • scientific and medical literature.
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12
Q

open-ended questions

A

prompts patients to describe a situation (tell their story) in more than one or two words.

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13
Q

back channeling

A

active listening prompts

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14
Q

closed ended questions

A

limits the patients answers to one or two words

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15
Q

biographical information

A

Factual demographic data about the patient

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16
Q

reasons for seeking health care

A

Chief concerns or problems

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17
Q

patient expectations

A

Patient’s understanding of why he or she is seeking health care

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18
Q

present illness/health

A

Essential or relevant data about the nature and onset of symptoms

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19
Q

health history

A

Health care experiences and current health habits and lifestyle patterns

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20
Q

family history

A

To determine whether the patient is at risk for illnesses of a genetic or a familial nature

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21
Q

environmental history

A

Patient’s home and work, focusing on determining the patient’s safety

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22
Q

psychosocial history

A

Reveals the patient’s support systems and coping mechanisms

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23
Q

spiritual history

A

Represents the totality of one’s being

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24
Q

review of systems

A

Systemic approach for collecting the patient’s self-reported data on all body systems

25
Q

Medical diagnoses

A

Identification of a disease condition

26
Q

Collaborative problem

A

Actual or potential physiological complication that is monitored in collaboration with others

27
Q

Defining characteristics

A

The clinical criteria or assessment findings that support an actual nursing diagnosis

28
Q

Actual nursing diagnosis

A

Describe human responses to health conditions or life processes that exist in an individual, family, or community

29
Q

Risk nursing diagnosis

A

Human responses to health conditions that may possibly develop in a vulnerable individual, family, or community

30
Q

Health promotion nursing diagnosis

A

Desire to increase well-being and actualize human health potential

31
Q

Data cluster

A

a set of signs or symptoms gathered during assessment that help you group them together in a logical way.

32
Q

Defining characteristics

A

clinical criteria that are observable and verifiable.

33
Q

Clinical criteria

A

help

34
Q

Explain the process of identifying health problems (interpretation)

A

help

35
Q

Define wellness nursing diagnosis (health promotion nursing diagnosis)

A

help

36
Q

Diagnostic label:

A

the name of the diagnosis approved by NANDA; it describes the essence of

37
Q

Related factor:

A

a condition or etiology identified from the patient’s assessment data, or actual or potential responses to the health problem

38
Q

Etiology:

A

the cause of a disease

39
Q

PES format:

A

P: problem
E: etiology or related factor
S: symptoms or defining characteristics

40
Q

planning involves

A

prioritizing the diagnoses, setting patient-centered goals and expected, prescribed individualization nursing interventions.

41
Q

High priority

A

If untreated, result in harm to the patient or others

42
Q

intermediate priority

A

Involve nonemergent, nonthreatening needs of the patient.

43
Q

low priority

A

are not always directly related to patient illness or prognosis

44
Q

Goal

A

A broad statement that describes a desired change in a patient’s condition or behavior

45
Q

Patient-centered goal

A

Specific and measurable behavior or response that reflects a patient’s highest possible level of wellness

46
Q

Short-term goal

A

Objective behavior that you expect the patient will achieve in a short time

47
Q

Long-term goal

A

Objective behavior that is expected over a long period

48
Q

Expected outcome

A

A measurable criterion to evaluate goal achievement

49
Q

Nursing-sensitive outcome

A

An individual, family, or community state, behavior, or perception that is measurable in response to a nursing intervention.

50
Q

singular goal or action

A

is precise in evaluating a patient response to a nursing action; each goal and outcome should address only one behavior, perception of physiologica response

51
Q

measurable

A

describes quality, quantity, frequency, length, or weight allow the nurse to evaluate outcomes precisley.

52
Q

attainable

A

in order for patients health to improve, he/she must be able to attain those goals set.

53
Q

realistic

A

a goal that the patient is able to achieve

54
Q

timed

A

is written so nurse knows when a response is expected.

55
Q

Independent nursing interventions:

A

nurse initiated interventions that do not require direction or an order from another health care professional.

56
Q

Dependent nursing interventions:

A

physician initiated interventions that require an order from another health care professionals.

57
Q

Collaborative nursing interventions

A

interdependent nursing interventions that require the combined knowledge, skill, and expertise of multiple care professionals.

58
Q

direct care

A

treatments performed through interactions with patients.

59
Q

indirect care

A

treatments performed away from the patient but on behalf of the patient.

2017 Spring Semester (13 decks)

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