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FUNDALEC103-MID&FIs > WEEK 3- NURSING AS A SCIENCE > Flashcards

WEEK 3- NURSING AS A SCIENCE Flashcards

1
Q

The cornerstone of the nursing profession

A

NURSING PROCESS

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2
Q

Originated the term NURSING PROCESS in 1955

A

LYDIA HALL

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3
Q

LYDIA HALL had three steps in nursing process, what are they?

A
  • note observation
  • ministration of care
  • validation
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4
Q

she came up with the behavioral system models and introduced three steps of nursing process

A

DOROTHY JOHNSON

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5
Q

what three steps of nursing process did dorothy johnson introduce?

A
  • assessment
  • decision
  • nursing action
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6
Q

she introduced the nursing process,

A

IDA JEAN ORLANDO

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7
Q

what are IDA JEAN ORLANDO’S three nursing process?

A
  • client’s behavior
  • nurse’s reaction
  • nurse’s action
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8
Q

who was in charge of identifying the SIX STEPS OF NURSING PROCESS?

A

ANA- AMERICAN NURSES ASSOCIATION

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9
Q

what are the six steps of the nursing process according to ANA?

A
  • assessment
  • diagnosis
  • outcome identification
  • planning
  • implementation
  • evaluation
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10
Q

what are the basic concepts of the nursing process?

A
  • nursing
  • person
  • environment
  • health
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11
Q

is defined as a systematic, continuous and dynamic method of providing care to clients. It compromises series of sequential phases built upon the preceding step. Each phase logically leads to the next

A

NURSING PROCESS (NP)

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12
Q

What are some characteristics of the nursing process?

A
  • dynamic and cyclic
  • patient centered
  • goal directed
  • flexible
  • problem oriented
  • cognitive
  • action oriented
  • interpersonal
  • holistic
  • systematic
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13
Q

5 steps in nursing process

A
  1. assessment
  2. nursing diagnosis
  3. planning
  4. implementing
  5. evaluating
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14
Q

this is also known as gathering data

A

assessment

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15
Q

identifying the problem and formulating a nursing diagnosis

A

analyzing

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16
Q

writing a care plan to meet goals

A

PLANNING

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17
Q

carrying out plan

A

IMPLEMENTING

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18
Q

collect obj data, determine extent to which goals were achieved, revise plan as needed.

A

EVALUATION

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19
Q

deliberate systemic collection of data to determine client current and past health status

A

ASSESSMENT

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20
Q

what are the two types of assessment?

A

comprehensive assessment

focused assessment

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21
Q

examines the patient’s overall health status

A

comprehensive assessment

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22
Q

frequently performed on an on going basis to monitor and evaluate the patient’s progress, interventions, and response to treatments

A

FOCUSED ASSESSMENT

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23
Q

components of assessment

A
  • collection of data
  • verification of data
  • organization of data
  • recording of data
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24
Q

purposes of assessment

A

-establish database

25
Q

these are client’s perception about their health problem e.g. pain

A

SUBJECTIVE DATA

26
Q

these data are observable and measurable by data collector e.g. vital signs

A

OBJECTIVE DATA

27
Q

source of data is client themself

A

PRIMARY SOURCE

28
Q

source of data is family and significant others, healthcare team members, medical records, other records, literature review, nurses experience

A

SECONDARY SOURCES

29
Q

It is an organized conversation with the client or family member to obtain the current health information regarding patient

A

INTERVIEW TECHNIQUE

30
Q

A ____ is defined as “a clinical judgement about an individual, family, or community response’s to actual and potential health problems/ life processes. ____ provide the basis for selection of nursing intervention to achieve outcomes for which the nurse is accountable.

A

NURSING DIAGNOSIS, (NANDA,2009)

31
Q

AN ACTION: the process of analyzing assessment data

A

nursing diagnosis

32
Q

_____ is a label that describes the patient’s response to an actual potential health problem

A

Nursing diagnosis

33
Q

describes a disease or pathology,

A

medical diagnosis

34
Q

describes patient’s response to a health problem

A

NURSING DIAGNOSIS

35
Q

patient has problem, judgement about the client response to a health problem that is present at a time of nursing assessment

A

actual nursing diagnosis

36
Q

patient is at risk for developing the problem, “risk for or is at risk for”. Clinical judgement that a client is more vulnerable to develop the problem than others in the same or similar situation

A

RISK Nursing Diagnosis

37
Q

CLINICAL JUDGEMENT about an individual, group or community in transition from a specific level of wellness to a higher level of wellness. patient functioning effectively but desires higher level of wellness

A

WELLNESS DIAGNOSES

38
Q

describe a suspected problem for which current and available data are insufficient to validate the problem

A

POSSIBLE NURSING DIAGNOSIS

39
Q

component of nursing diagnosis

A
  • problem statement
  • etiology
  • defining characteristics
40
Q

describe the client health problem or response for which nursing therapy is given clearly and concisely in a few words (impaired, decreased, ineffective are some of the words used)

A

PROBLEM STATEMENT

41
Q

this component identifies one or more probably causes of health problem. It help the nurse to give individualized patient care (uses words like “related to”

A

ETIOLOGY (Related Factors & Risk Factors)

42
Q

these are the clusters of signs and symptoms that indicate the presence of a particular diagnostic label (manifested by…)

A

DEFINING CHARACTERISTICS

43
Q

____ is a category of nursing behavior in which client centered goals and expected outcomes are established and nursing interventions are selected to achieve the goals and outcomes of care

A

PLANNING

44
Q

what are the phases of planning?

A
  • initial
  • ongoing
  • discharge
45
Q

____ is the ordering of nursing diagnosis and patient problem using determinations of urgency and or importance

A

PRIORITY SETTING

46
Q

what are the classification of priorities

A

high, intermediate, low

47
Q

it reflects a patients highest possible level of wellness and independence in function, it can be short term or long term

A

GOAL

48
Q

is a measurable change in a patients status that is expected to occur in response to nursing care

A

EXPECTED OUTCOME

49
Q

What does MACROS stand for in goals

A 
M- measurable and observable
A-achievable and tie limited
C- client centered
R- realistic
O- outcome written
S- short
50
Q

actions initiated by nurse that do not require direction or an order

A

NURSE INITATED INTERVENTION

51
Q

actions implemented in a collaborative manner

A

COLLABORATIVE INTERVENTION

52
Q

actions that require an order

A

PHYSICIAN INITIATED INTERVENTION

53
Q

the judgement of the effectiveness of nursing care to meet client goals; in this phase nurse compare the client behavioral responses with predetermined client goals and outcome

A

EVALUATION

54
Q

hand over information about nursing care of clients to nurses

A

NURSING HANDOVER

55
Q

appreciation that is sometimes offered by clients

A

PATIENT SATISFACTION

56
Q

reflect on own experiences both socially with other friends

A

REFLECTION

57
Q

evaluates the care given against the set goals

A

REVIEWING THE PLAN

58
Q

formal guideline for directing nursing staff to provide client care

A

NURSING CARE PLAN

FUNDALEC103-MID&FIs (10 decks)

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