Nursing Process- Terms to Know Flashcards
Advanced Beginner
has an acceptable performance; has enough experience to identify things that can only be identified through prior experience
use of knowledge, critical thinking, and past performance to solve problems
Clinical experience
Clinical Judgement
Application of critical thinking to the care of a patient
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
clinical reasoning
competence
the ability to do something successfully or efficiently
Purposeful process that is disciplined, active, multidimensional, reasonable, rational, and reflective to arrive at insight and draw conclusions
critical thinking
diagnostic reasoning
process is used to make accurate clinical diagnoses about patient problems.
this nurse doesnt rely on rules or guidelines to make decisions; has an intuitive grasp of the situation
expert
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.
novice
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.
competent
patient data combined into meaningful patterns
clustering / cue clustering
Problems based on medical diagnoses, medically ordered treatments, or other related problems that require interdependent standards and activities to be addressed
collaborative health problems
Problems based on medical diagnoses, medically ordered treatments,etc
medical diagnosis
Actual, potential, or possible health problem identified by the nurse that is amenable to nursing intervention
nursing diagnosis
choosing a diagnosis before analyzing pertinent information
premature closure
Classification system to organize information
taxonomy
Reexamining information to check its accuracy
validation
A measurable statement of expectations
outcome
aim or expected end which a nurse and patient work together
goal
measurable, realistic, goal attainment
outcome criteria
deviation that alters expected outcome or date of discharge
variance
Scalene and sternomastoid muscles of the neck and shoulders
accessory muscle
Accumulation of serous fluid in the peritoneum (abdominal cavity)
ascites
Grating feeling and pain that accompany problems with the temporal mandibular joint
crepitus
Apparent state of health, level of consciousness, and signs of distress in a patient
general survey
instrument for examining the internal eye
opthalmoscope
Skin color that may appear pale with hypoxia and anemia
pallor
Absence of audible sounds during blood pressure measurement that may cause inaccurate readings
auscultatory gap
A harsh inspiratory sound due to obstruction that may be compared to crowing
stridor
Lifestyle choices to prevent illness that strive toward high-level wellness
health promotion
: Completeness or purity of the skin
skin integrity
Thinking and awareness; system by which sensory input, past experiences, and emotions are integrated and made meaningful
cognition
Ongoing or constant physical or mental disease
chronic illness
A person’s ability to perform primary care functions in the four areas of bathing, feeding, toileting, and dressing without the help of others
self-care
