LEC (2) Flashcards
capable of describing, explaining, and controlling a phenomena
science
act of caring and assisting a client to obtain optimum health based on scientific knowledge
nursing
any observable manifestations, needs, conditions, occurrence or fact
- the subject matter of a discipline
phenomena
set of concepts, principles, processes that project a systematic view and better understanding of a phenomena
theory
planned care or intervention to help client attain optimum health and prevent illness based on a theory
nursing action
review of effectiveness of the nursing action is the result of evaluation of the outcome of an action
effect
a systematic, rational method of planning and providing individualized nursing care
nursing process
series of steps that leads to accomplishment of a goal or purpose
process
- process by which a judgment is made concerning the value or merit of something when compared with a standard
- involves collecting, organizing and analyzing information about the client
assessment
the information gathered during the assessment phase must be complete, factual, and accurate because the nursing diagnoses and intervention are based on this information
validating data/date review
the act of ‘double-checking’ or verifying date to confirm that it is accurate and factual
validation
cues interpreted and analyzed are now called?
inferences
-life threatening conditions
-problems of ABC
high priority
-health threatening
-acute illness
medium priority
-requires minimal nursing support
low priority
-a concise term representing a cluster of signs and symptoms, describing actual or potential health problem
nursing diagnosis
a client problem that is present at the time of the nursing assessment
actual diagnosis
clinical judgment that a problem does not exist but the presence of risk factors indicates that a problem is likely to develop unless nurses intervene
potential/risk
made when a patient shows the desire to take control of her own well-being
wellness diagnosis
describes a cluster of nursing diagnoses with similar interventions
syndrome diagnosis
a deliberate, systematic phase of the nursing process that involves DECISION MAKING and PROBLEM SOLVING
planning
done by the nurse who performs the ADMISSION ASSESSMENT
initial planning
done by all the nurses who work with the client
ongoing planning
process of anticipating and planning for needs of client after discharge
discharge planning
a strategy for action that exists in the nurse’s mind
informal planning
a strategy of action that exists in the nurse’s mind
informal NCP
formal plan that specifies the nursing care for GROUPS OF CLIENTS WITH COMMON NEEDS
standardized care plan
individualized and BROAD STATEMENT
goals
individualized and SPECIFIC STATEMENT
objectives
guides in objective setting
subject, terminal behavior expected to create, time frame, parameter
any treatment, based on clinical judgment and knowledge, that a nurse performs to enhance patient outcomes
intervention
ACTION PHASE in which the nurse PERFORMS the nursing interventions
implementation
- to judge or appraise
- planned, ongoing, purposeful activity in which clients and health care determines; progress, effectiveness of NCP, whether the interventions should be terminated, continued, or changed
evaluations
contains all available assessment information pertaining to a patient
database
health care team members identify problems and make a single problem list
problem list
directing of a patient to a medical specialist by a primary care physician
referral report
a tool that document any event that may or may not have caused injuries to a person or damage to a company asset
