Nursing Process And CJMM ( Exam 1) Flashcards
State the nursing process steps
Assessment
Diagnosis
Planning
Implementation
Evaluation
List the steps of clinical judgement (RAP GTE)
Recognize cues
Analyze the cues
Prioritize hypothesis
Generate solutions
Take action
Evaluate outcome
What is the difference between nursing diagnosis and medical diagnosis
Medical diagnosis is when the physician directs the primary care treatment
Nursing diagnosis describe the patient problem nurses can treat independently
Name the 2 types of nursing diagnosis
Actual
Risk
Actual diagnosis
Problems that have been validated by evidence or cues from the assessment
Risk diagnosis
Problems that develop in a vulnerable patient
The patient is vulnerable
What are the parts of a diagnosis statement
- The problem (diagnosis)
- Etiology (cause)
Which one directs the nursing interventions
The etiology
The 3 parts of a actual diagnosis
Nursing diagnosis
Related to
As evidenced by
The 2 parts of a risk diagnosis
The nursing diagnosis
Related to
What does the SMART goal stands for?
Specific
Measurable
Attainable
Realistic
Timebound
Nurse initiated outcome
Actions that are carried out by the nurse without the physicians go ahead
Provider initiated outcome
Done by the physician