Term
| What is the purpose of the nursing process? |
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Definition
| The purpose is to focus on the human response to the disease state of pathophysiology. (fear, body image, disturbance, pain) |
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Term
| What is the purpose of the assessment and how is it done? |
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Definition
| To gather info about the client that can be used in diagnosing, identifying outcomes, planning, and implementing care. Collect, validate, and organize data from patient and family. |
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Term
| What is the nursing diagnosis and what is it's function? |
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Definition
| A clinical judgement about indvidual, family, or community responses to actual or potential health problems. Provides a basis for selection of interventions to achieve outcomes for which the nurse is responsible. |
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Term
| What are the types of nursing diagnosis? |
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Definition
| actual(problems identified , risk (problems that may occur), health promotion ( motivation and desire to increase well-being ex. dieting), wellness (for transition from a specific level of wellness to a higher level ex. cancer survivorship) |
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Term
| What is the purpose in planning for a patient? |
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Definition
| to direct patient care, promoting continuity, documenting, and allowing for delegation. |
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Term
| What is the purpose in implementing the care plan? |
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Definition
| To fulfill patients needs which results in health promotion, illness prevention, illness management, or health restoration. |
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Term
| What are the activities of nursing implementation? |
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Definition
| reassessing, set priorities, perform nursing actions, record nursing actions |
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Term
| What is the purpose of evaluating a care plan? |
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Definition
| To determing client's progress or lack of toward achievement of expected outcomes. |
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Term
| what is objective data and give an example. |
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Definition
| Data that is measurable. ex. vital signs, x-rays. |
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Term
| what is subjective data and give an example. |
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Definition
| any data that is stated by the patient or patient's family. ex. pain levels, pt. states medical history. |
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Term
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Definition
| Overall direction or end result of care. must be realistic, patient focused, and measurable. broad statement. ex. ventilation adequate to allow functional lifestyle. |
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Term
| what is an expected outcome? |
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Definition
| Measurable steps to achieve goals of treatment. very specific statement. ex. client will maintain clear breath sounds during hospitalization. |
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Term
| What are the sources of error in assessment of a patient? |
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Definition
| Assessment data is wrong or incomplete, failure to validate, misinterpretation of data, incorrect nursing diagnosis statement. |
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Term
What are the priority settings of a patient refering to maslow's hierarchy?
(5) |
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Definition
| Basic needs, safety needs, love and belonging, self-esteem, self-actualization. |
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Term
| What is the purpose of outcome identification? |
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Definition
| To assist in planning client care that is individualized, realistic, measurable, and promotes patient participation and involvement of support people. |
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Term
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Definition
| An order that can be written by a nurse and practiced by a nurse or a delegated assistant. |
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Term
| What is a physician's order? |
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Definition
| An order written by a doctor that can only be practiced by a doctor or specialty. (ex. CAT scan) |
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Term
| What is a collaborative order? |
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Definition
| An order written by a doctor but followed out by a nurse. |
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Term
| What are methods of evaluation? |
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Definition
| Reassess and collect data on: appropriateness and effectiveness of diagnosis, nursing actions. Determine goal achievement. Modify care plan. |
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