Test Flashcards

1
Q

Nursing Goal

A

Is to help the person meet his/ her needs

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2
Q

Critical thinking

A

Is the active,Organized,and cognitive process used to examine one’s thinking and thinking of others. it involves forming conclusions making decisions drawing inferences reflecting, and using evidence-based knowledge

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3
Q

Nursing process 5 steps

A
Assessment 
Nursing diagnoses
Planning
Implementation 
Evaluation
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4
Q

Assessment

A

The collection and consideration of objective and subjective data

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5
Q

Nursing diagnoses

A

Determining If the patient has a problem and if a problem exist what problems relates to
NANDA list is used to make nursing diagnoses but you can never go beyond the list

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6
Q

Planning

A

Plan to determine the goals to be met And interventions to carry the girls out. Diagnoses always lead to the goal. Etiology (cause of problem ) leads to the action

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7
Q

Dynamic

A

Great interaction and interloping among the steps.

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8
Q

Implementation

A

Same as intervention this step is where you actually carry out the actions

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9
Q

Rationale

A

The reason for the action or intervention

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10
Q

Evaluation

A

Assess if the implementation or intervention was effective

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11
Q

Systematic

A

That directs the nurse, staff, and the patient as they work together to determine the need for nursing care and you also plan and implement the care and to evaluate the result

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12
Q

Interpersonal

A

Ensures that nurses are patient centered rather than test center

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13
Q

Goal oriented

A

Nurses and patients work together to identify specific goals and match them with appropriate nursing actions

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14
Q

Universally applicable

A

Once nurses have a working knowledge of the nursing process they can apply it anywhere

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15
Q

Assessing

A

Systematic continuous and deliberate collection patient data also assessments are not supposed to be duplicated

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16
Q

Data base

A

Baseline data about the patient that includes all pertinent client info collected by the nurse and other healthcare professionals also enables a comprehensive and effective plan of care to be designed and implanted for the patient

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17
Q

Primary sources

A

Interview the patient to obtain a patient history. anything that comes out of the patient’s mouth is a primary source of data also when you perform a nursing examination on the patient

18
Q

Secondary sources

A

Information about the patient obtained from family members, other healthcare professionals & the patient’s chart

19
Q

Objective

A

Information collected by the senses & information that can be verified by another person examining the same patient

20
Q

Subjective

A

Information that only the affected person can provide and It cannot be perceived or viewed by another person

21
Q

Data collection

A

Must be completely factual and accurate

22
Q

Observation

A

Conscious and deliberate use of the senses to gather information we observe the patient on each encounter with the patient

23
Q

Interview

A

Take nursing history which has to be patient centered. Plan communication for the purpose of obtaining a written record for specific information typically subjective

24
Q

Examination

A

Generally follows interview and typically objective data that focuses on the functional disabilities of the patient

25
Q

Diagnosing

A

Clinical judgment based on information that was collected. The purpose of diagnosis is to identify actual or potential problems in a way that the patient responds to his or her health altercations or issues.

26
Q

Cluster data

A

Grouping of patients data that points to the existence of patient health problems contains Defining characteristics. a decision must be based on clusters of data rather than one single cue

27
Q

Nursing diagnoses

A

Are responses to help altercations that can be treated by nursing and if this is a conclusion reached you need to continue with the next step of nursing process

28
Q

Risk potential nursing diagnoses

A

Problem is likely to occur unless there is nurse intervention to prevent

29
Q

Actual diagnosis

A

Problem exist now

30
Q

Syndrome diagnosis

A

Associate with cluster and other nursing diagnoses

31
Q

Wellness Diagnosis

A

Also called health promotion diagnosis such as enhanced readiness

32
Q

Prioritizing (123)

A

Threat to well-being or life is a high priority diagnoses

Non-life threatening- Medium priority

Not related to current illness- No diagnoses

33
Q

Long Term goals

A

For each nursing diagnoses at least one long-term goal must be written that requires a longer time to accomplish and can be used as a discharge goal

34
Q

Short term goals

A

Goal that will be contribute to the resolution of the problem anytime soon

35
Q

Each goal must have a

A

Subject “The patient or client”

Verb- Indicated action that is directly observable

Criteria- Reason and specific

36
Q

Writing Nursing orders

A

Communicate to the entire staff the specific nursing measure that is to be implanted for the patient

37
Q

Nursing orders answer

A

Who, what, where, when, how

38
Q

Independent

A

Initiated without the direction of the physical

39
Q

Dependent

A

Involves caring out the doctors orders or collaborating with other departments

40
Q

Terminate the plan

A

Means the goal has been met

41
Q

Modify or revise the plan

A

Means the patient is having difficulty meeting the goal

42
Q

Continue the plan

A

Which means the patient needs more time to achieve the goals