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NCM 101 LEC > UNIT 1 > Flashcards

UNIT 1 Flashcards

1
Q

First step in nursing process

A

Heath assessment

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2
Q

Evaluation of patient condition

A

Health assessment

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3
Q

Health status evaluation through physical examination

A

Health assessment

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4
Q

Plan of care

A

Nursing process

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5
Q

Nursing theorist who introduced 3 steps: observation, administration of care, and validation. 1955

A

Lydia hall

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6
Q

Added the assessment step and described four phase process

A

Yura and Walsh

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7
Q

Yura and Walsh Added the assessment step and described four phase process

A

1967

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8
Q

Five step process

A

Mid-1970s

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9
Q

When was nursing process started in clinical practice

A

1973

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10
Q

Who started nursing process in clinical practice

A

American Nursing Association

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11
Q

What is GOSH

A

Goal oriented
Organized
Systematic
Humanistic care

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12
Q

Is a GOSH approch

A

NCP

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13
Q

Activities in assessment

A

Collecting, validating, and organizing

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14
Q

Gather information

A

Collecting

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15
Q

Accurate information

A

Validating

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16
Q

Cluster facts into groups of information

A

Organizing

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17
Q

Symptoms or covert data

A

Subjective data

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18
Q

Signs or overt data

A

Objective data

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19
Q

Observation or physical examination data

A

Objective data

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20
Q

Sources of data

A

Primary - client
Secondary - fam friends etc

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21
Q

Data collection method

A

Observing
Interviewing
Examining

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22
Q

Collect data using senses

A

Observing

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23
Q

Collect data while taking nursing health history

A

Interviewing

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24
Q

Collect data by inspection, auscultation, palpation, and percussion

A

Examining

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25
Use critical thinking skills
Diagnosis
26
Interpret assessment data
Diagnosis
27
Identify client strengths and problems
Diagnosis
28
Statement of the client's response
Problem
29
Factors contributing to or probable cause of respose
Etiology
30
Diagnosis is
PES
31
Problem and etiology is connected by the words
Related to
32
Defining characteristics manifested by the client
Signs and symptoms
33
Health problem that is present at the time of nursing assessment
Actual nursing diagnosis
34
What are the three types of nursing diagnoses
Actual nursing diagnosis Risk nursing diagnosis Possible nursing diagnosis
35
Based on the presence of signs and symptoms
Actual nursing diagnosis
36
A clinical judgement that a problem does not exist but the presence of risk factors indicate that a problem is likely to develop
Risk nursing diagnosis
37
Evidence about a health problem is unclear or the causative factors are unknown
Possible nursing diagnosis
38
Requires more data either to support it or prove it
Possible nursing diagnosis
39
It is smart
Outcome identification
40
Smart meaning
Specific Measurable Attainable Realistic Time-framed
41
Basis for evaluating nursing diagnosis and interventions
Outcome identification
42
Life threatening should be given highest priority Abc Maslow's hierarchy of needs
Establish priorities
43
Outcome criteria of outcome identification
Smart
44
Goals of outcome identification
Short-term and long-term
45
Considered to be met or unmet
Goals
46
Criteria for judging the effectivity of the intervention
Desired outcome
47
Involves determining beforehand the strategies or course of action to be taken before implementation of nursing care
Planning
48
Basically the nurse's responsibility
Planning
49
3 types of planning
Initial Ongoing Discharge
50
Planning done by all nurses who work with the client
Ongoing planning
51
Planning at beginning of shift
Ongoing planning
52
Anticipating and planning for needs after discharge
Discharge planning
53
Effective planning begins when
At first client contact
54
Putting nursing care plan on action
Implementation
55
Nurse perform or delegates nursing activities for the interventions that were developed in the planning stage
Implementation
56
Intervention performed by the nurse through interaction with the client
Direct care
57
Intervention delegated to another provider or performed away from the client
Indirect care
58
Activities nurses are licensed to initiate
Independent interventions
59
Activities carried out under orders or supervision of licensed physician
Dependent intervention
60
Action the nurse's carries out in collaboration work other healthcare workers
Collaborative interventions
61
Evaluate the outcome
Evaluation
62
Assessing the client's response to nursing intervention and comparing the response to predetermined standards or outcome criteria
Evaluation
63
Types of assessment
Initial Time-lapsed or ongoing Focused or problem-oriented Emergency
64
Triage or admission assessment
Initial assessment
65
Evaluate clients health status
Initial assessment
66
Identify functional health patterns that are problematic
Initial assessment
67
Comprehensive database
Initial assessment
68
Evaluate any changes in the client's functional health
Time-lapsed or ongoing assessment
69
Substantial paid have elapsed between assessment
Time-lapsed or ongoing assessment
70
Ensure that client is recovering from his disease and his condition has stabilized
Time-lapsed or ongoing assessment
71
Current status is compared to the previous baseline before treatment
Ongoing or time-lapsed assessment
72
Collects data about a problem that has already been identified
Focused or problem-oriented assessment
73
Determine whether the problem still exists and whether the problem's status has changed
Focused or problem-oriented assessment
74
Appraisal is any new, overlooked, or misdiagnosed problem
Focused or problem-oriented assessment
75
Focus is to diagnose and treat the patient to stabilize her condition
Focused or problem-oriented assessment
76
Life-threatening situation in which the preservation of life is the top priority
Emergency assessment
77
Rapidly identifying the root cause of concern for the patient
Emergency assessment
78
Assessing the patients abc
Emergency assessment

NCM 101 LEC (1 decks)

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