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Week One Flashcard

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defining characteristics

defining characteristics
cues/clusters of related assessment data that are signs, symptoms, or indications of an actual or health promoting nursing diagnosis
cues/clusters of related assessment data that are signs, symptoms, or indications of an actual or health promoting nursing diagnosis
health promoting nursing diagnosis
used in situations in which pts express interest in improving their health through a positive change in behavior
used in situations in which pts express interest in improving their health through a positive change in behavior
Accuracy
representing something in a true and correct way
representing something in a true and correct way
inductive reasoning
uses specific facts or details to make conclusions and generalizations (specific to general)
uses specific facts or details to make conclusions and generalizations (specific to general)
traige
form of emergency assessment
form of emergency assessment
short term goals
achievable in less than a week
achievable in less than a week
indirect care
includes nursing interventions that are performed to benefit pts but dont involve face to face contact
includes nursing interventions that are performed to benefit pts but dont involve face to face contact
percussion
tapping the pts skin with short, sharp, strokes that cause a vibration to travel through the skin and to the upperlayers of the underlying structures
tapping the pts skin with short, sharp, strokes that cause a vibration to travel through the skin and to the upperlayers of the underlying structures
clarity
being easily understood in thought and style
being easily understood in thought and style
long term goals
goals that take weeks or months
goals that take weeks or months
secondary data
obtained from pt family, friends, or other healthcare providers
obtained from pt family, friends, or other healthcare providers
diagnosis label
a concise term or phase that represents a pattern of related, clustered data
a concise term or phase that represents a pattern of related, clustered data
taxonomy
an effective unified language classification system
an effective unified language classification system
evaluation
focuses on pts and pt response to nursing interventions and outcome attainment
focuses on pts and pt response to nursing interventions and outcome attainment
deductive reasoning
involves generating facts or details from a major theory, generalization, or premise (general to specific)
involves generating facts or details from a major theory, generalization, or premise (general to specific)
breadth
considering a topic, problem, or issue from every relevant viewpoint
considering a topic, problem, or issue from every relevant viewpoint
direct care
interventions that are carried out by having personal contact with the pt
interventions that are carried out by having personal contact with the pt
risk nursing diagnosis
apply when there is an increased potential or vulnerability for a pt to develop a problem
apply when there is an increased potential or vulnerability for a pt to develop a problem
nursing outcomes classification
standardized vocab used for describing pt outcomes
standardized vocab used for describing pt outcomes
primary data
directly from the pt
directly from the pt
subjective data
spoken infro or symptoms that cant be authenticated
spoken infro or symptoms that cant be authenticated
cue
hint or indication of a potential disease or disorder
hint or indication of a potential disease or disorder
inspection
the use of vision, hearing, and smell to closely scrutinize physical characteristics of a whole person and individual body systems
the use of vision, hearing, and smell to closely scrutinize physical characteristics of a whole person and individual body systems
risk fators
environmental, physical, physiological, or situational concerns that increase a pts vulnerability to a potential problem
environmental, physical, physiological, or situational concerns that increase a pts vulnerability to a potential problem
steps of the nursing process
A: assessment
D: diagnosis
P: planning
I: intervention
E: evaluation
A: assessment <br />D: diagnosis <br />P: planning <br />I: intervention <br />E: evaluation
nursing interventions classification
A comprehensive, research-based, standardized, collection of interventions and associated activites
A comprehensive, research-based, standardized, collection of interventions and associated activites
outcome indicators
criteria by which goal attainment is observed or measured
criteria by which goal attainment is observed or measured
clinical reasoning
uses critical thinking, knowledge, and experience to develop solutions to problems and make decisions in a clinical setting
uses critical thinking, knowledge, and experience to develop solutions to problems and make decisions in a clinical setting
clustering
invlolves organizing pt assessment data into groups with similar underlying causes
invlolves organizing pt assessment data into groups with similar underlying causes
palpation
uses touch to assess body organ, skin, texture, temp, moisture, turgor, tendernes, and thickness
uses touch to assess body organ, skin, texture, temp, moisture, turgor, tendernes, and thickness
auscultation
technique of listening with stethoscope to the organs
technique of listening with stethoscope to the organs
related factors
the underlying cause or etiology of a pts problem
the underlying cause or etiology of a pts problem
actual nursing diagnosis
identify existing problems or concerns of a pt
identify existing problems or concerns of a pt
objective data
can be measured or observed (signs)
can be measured or observed (signs)
bias
an inclination or tendency to favoritism or partiality
an inclination or tendency to favoritism or partiality
independent nursing interventions
doesnt require a Dr order
doesnt require a Dr order
dependent nursing interventions
require Dr order
require Dr order
validation
process of gathering info to determine whether the info or data collected are factual and true
process of gathering info to determine whether the info or data collected are factual and true
inferences
conclusion
conclusion
implementation
consist of performing a task and documentation of each intervention
consist of performing a task and documentation of each intervention
nursing diagnosis
identification of actual or potential health problems or life processes and responses to a problem
identification of actual or potential health problems or life processes and responses to a problem
Flashcard Created By
Cassidy Kennedy
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