Test 1 section 2 Flashcards

1
Q

is a critical thinking process the professional nurses use to apply the best available evidence to caregiving and promoting human functions and responses to health and illness

A

nursing process

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2
Q

nursing process steps

A
Assessment
Diagnosis
Planning
Implantation
Evaluation
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3
Q

gathering, critically examining, and analyzing data

A

assessment

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4
Q

identifying client response to health problems

Formulating appropriate nursing diagnosis

A

Nursing diagnosis

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5
Q

Determining priorities

establishing goals and expected outcomes

A

Planning

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6
Q

Taking appropriate actions

A

implementation

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7
Q

Evaluating effectiveness

A

Evaluation

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8
Q

client/family

A

primary source

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9
Q

physical exam, nursing history, team members, lab reports, diagnostic test

A

secondary source

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10
Q

from the client

symptoms

A

subjective

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11
Q

observable data

sign

A

objective

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12
Q

Nursing diagnosis is composed of 3 parts

A

Problem statement
Etiology
Defining characteristics

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13
Q

the clients response to a problem

A

problem statement

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14
Q

whats causing/ contributing to the clients problem

A

etiology

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15
Q

whats the evidence of the problem

A

Defining characteristics

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16
Q

Types of nursing diagnosis

A

Actual
Risk
Wellness

17
Q

describes human response to health conditions or life processes that exist in an individual, family, or community

A

Actual nursing diagnosis

18
Q

describe human responses to health conditions or life processes that may develop in a vulnerable individual, family, or community

A

risk nursing diagnosis

19
Q

Goals need to be SMART

A
Specific 
Measurable 
Attainable
Relevant 
Time bound
20
Q

3 types of nursing interventions

A

Independent
Dependent
collaborative

21
Q

any action the nurse can initiate without direct supervision

A

independent/ nurse initiated intervention

22
Q

nursing actions requiring MD orders

A

dependent/ physician initiated intervention

23
Q

nursing actions performed jointly with other health care team members

A

collaborative intervention