Nursing Process Flashcards
A problem solving approach to nursing care
Nursing process
The goal of the nursing process is to identify _____, _____ to meet needs, and deliver _____ to meet identified needs
Health problems, plan, intervention
The nursing process is a process of analyzing _____ based on _____
Problems, gathered data
Revision of nursing care is based on the _____ of interventions made
Results
Step of the nursing process wherein data are gathered
Assessment
The act of gathering data or cues
Collection
Data that is gathered from the patient
Primary data
Data that is gathered from family members or other people
Secondary data
Data that is said by the patient
Subjective data
Data that is observed or measured
Objective data
The act of clustering similar data, cues, or framework
Organization
The act of repeating what the patient said to make sure that your interpretation was correct
Validation
On documentation, what is not _____ is not _____ because patient’s chart is a _____ document
Written/recorded, done, legal
All phases of the nursing process depend on _____ and ____ collection of data
Accurate and complete
Focus on the client’s _____ to a health problem
Response
Methods of assessment include _____, _____, and _____
Observation, interview, examination
Step of the nursing process wherein gathered data are analyzed to come up with a nursing diagnosis
Diagnosing
A nursing diagnosis is a _____ approach focused on the human _____
Holistic, response
Assessment data are interpreted by identifying the client’s _____ and _____
Strengths and problems
A type of nursing diagnosis that describes what the client is currently experiencing
Actual problem
A type of nursing diagnosis that describes what the client may develop
Risk factors
A type of nursing diagnosis that describes the client’s healthy habits
Wellness
A component of a nursing diagnosis that states the diagnostic label
Health problem
A component of a nursing diagnosis that give additional meaning to a diagnostic label
Qualifier
A component of nursing diagnosis that identifies one or more probably causes of the health problem
Etiology
A component of nursing diagnosis that gives direction to the required nursing intervention
Etiology
The etiology enables the nurse to _____ client’s care
Individualize
A component of nursing diagnosis that states the signs and symptoms that could indicate the presence of a particular diagnostic label
Defining characteristics
A basic two-part nursing diagnosis statement is composed of two components: _____ and _____
Problem and etiology
A basic three-part nursing diagnosis statement is composed of three components: _____, _____, and _____
Problem, etiology, signs and symptoms
Planning should be _____
SMART
What does the SMART acronym mean?
Specific, measurable, attainable, reaslistic, timely
_____ are treatments that have been proven effective through outcome evaluations
Evidence-based interventions
