NMNC 1110 Unit 2 Quiz Flashcards
The organized and ongoing appraisal of a patient’s well-being.
Assessment
System that provides nursing diagnosis taxonomies for electronic medical record (EMR) systems.
Clinical Care Classification
Examination of goal or outcome attainment by focusing on the patient and the patient’s response to nursing interventions.
Evaluation
Initiation of appropriate interventions designed to meet the unique needs of each patient.
Implementation
Provides an international standard that facilitates the description and comparison of nursing practice locally, regionally, nationally, and internationally.
International Classification for Nursing Practice (ICNP)
Identification of an actual or potential patient problem or response to a problem based on the clinical judgment of the nurse.
Nursing diagnosis
Observable behaviors or actions that indicate attainment of a goal.
Outcome identification
Phase of the nursing process during which the nurse prioritizes a patient’s nursing diagnoses, establishes short-and long-term goals, chooses outcome indicators, and identifies interventions to address patient goals.
Planning
Listening, with the assistance of a stethoscope, to sounds within the body
Auscultation
A hint or an indication of a potential disease process or disorder.
Cue
Includes all pertinent information collected during initial or early contact with a patient that can guide the development of a patient-centered plan of care.
Health history
Conclusions
Inferences
