Nursing Process- Terms to Know

Question 1

Advanced Beginner

Answer 1

has an acceptable performance; has enough experience to identify things that can only be identified through prior experience

Question 2

use of knowledge, critical thinking, and past performance to solve problems

Answer 2

Clinical experience

Question 3

Clinical Judgement

Answer 3

Application of critical thinking to the care of a patient

Question 4

the process by which nurses collect cues, process the info, come to an understanding of a pt problem, plan and implement interventions, evaluate outcomes, and reflect on and learn from the process

aka the entire nursing process is an example of

Answer 4

clinical reasoning

Question 5

competence

Answer 5

the ability to do something successfully or efficiently

Question 6

Purposeful process that is disciplined, active, multidimensional, reasonable, rational, and reflective to arrive at insight and draw conclusions

Answer 6

critical thinking

Question 7

diagnostic reasoning

Answer 7

process is used to make accurate clinical diagnoses about patient problems.

Question 8

this nurse doesnt rely on rules or guidelines to make decisions; has an intuitive grasp of the situation

Answer 8

expert

Question 9

A beginning nursing student or any nurse entering a situation in which they have had no previous experience. Behavior is governed by rules and guidelines.

Answer 9

novice

Question 10

Level of profieciency where the nurse has been on the same job for 2 or 3 years and who consciously and deliberately plans nursing care in terms of long-range goals.

Answer 10

competent

Question 11

patient data combined into meaningful patterns

Answer 11

clustering / cue clustering

Question 12

Problems based on medical diagnoses, medically ordered treatments, or other related problems that require interdependent standards and activities to be addressed

Answer 12

collaborative health problems

Question 13

Problems based on medical diagnoses, medically ordered treatments,etc

Answer 13

medical diagnosis

Question 14

Actual, potential, or possible health problem identified by the nurse that is amenable to nursing intervention

Answer 14

nursing diagnosis

Question 15

choosing a diagnosis before analyzing pertinent information

Answer 15

premature closure

Question 16

Classification system to organize information

Answer 16

taxonomy

Question 17

Reexamining information to check its accuracy

Answer 17

validation

Question 18

A measurable statement of expectations

Answer 18

outcome

Question 19

aim or expected end which a nurse and patient work together

Answer 19

goal

Question 20

measurable, realistic, goal attainment

Answer 20

outcome criteria

Question 21

deviation that alters expected outcome or date of discharge

Answer 21

variance

Question 22

Scalene and sternomastoid muscles of the neck and shoulders

Answer 22

accessory muscle

Question 23

Accumulation of serous fluid in the peritoneum (abdominal cavity)

Answer 23

ascites

Question 24

Grating feeling and pain that accompany problems with the temporal mandibular joint

Answer 24

crepitus

Question 25

Apparent state of health, level of consciousness, and signs of distress in a patient

Answer 25

general survey

Question 26

instrument for examining the internal eye

Answer 26

opthalmoscope

Question 27

Skin color that may appear pale with hypoxia and anemia

Answer 27

pallor

Question 28

Absence of audible sounds during blood pressure measurement that may cause inaccurate readings

Answer 28

auscultatory gap

Question 29

A harsh inspiratory sound due to obstruction that may be compared to crowing

Answer 29

stridor

Question 30

Lifestyle choices to prevent illness that strive toward high-level wellness

Answer 30

health promotion

Question 31

: Completeness or purity of the skin

Answer 31

skin integrity

Question 32

Thinking and awareness; system by which sensory input, past experiences, and emotions are integrated and made meaningful

Answer 32

cognition

Question 33

Ongoing or constant physical or mental disease

Answer 33

chronic illness

Question 34

A person’s ability to perform primary care functions in the four areas of bathing, feeding, toileting, and dressing without the help of others

Answer 34

self-care