The protection, promotion and optimization of health and abilities, prevention of illness and injury, facilitation of healing, alleviation of suffering though diagnosis and treatment of human response and advocacy in care of individuals, families, groups, communities and populations | Nursing(ANA definition) |
Method by which nurses plan and provide care for patients | Nursing Process |
The 6 dynamic and interrelated nursing phases | Assessment, Diagnosis, Outcome Identification, Planning, Implementation and Evaluation |
A systematic, dynamic way to collect and analyze data about a client | Assessment |
information provided by the patient | Subjective Data |
observable and measurable signs | Objective Data |
Information obtained from the patient | Primary Information |
Information obtained through a secondary source such as family, medical records, significant others, diagnostic procedures or previous nursing notes | Secondary Information |
Method of data collection that assists in identifying patterns to assist with identification of patient problems | Data Clustering |
The difference between medical and nursing diagnosis: | Medical diagnosis is provided by a physician or nurse practitioner and is the actual health condition. Nursing diagnosis are problems indicated through assessment that is within the scope of practice for a nurse to treat |
NANDA | North American Nursing Diagnosis Association |
A clinical judgement concerning a human response to health conditions/life processes or a vulnerability for that response, by and individual, family, group or community | Nursing Diagnosis(NANDA) |
The assessment and development of nursing diagnoses is the responsibility of: | The RN |
The responsibility of the LVN in the nursing process is to: | Actively participate in the patient care planning |
When identifying patient problems the factors that must be considered are: | The patients presenting signs and symptoms, contributing etiology and related factors |
Patient problem statement presented in a three part statement including patient problem, contributing factors and signs and symptoms(specific cues) | Actual patient problem statement |
Patient problem statement presented in a two part statement including patient problem and risk factor | Potential patient problem |
Willingness to Learn Breastfeeding related to delivery of infant AEB mother's interest in meeting with the lactation consultant is an example of what type of patient problem statement? | Health promotion problem |
Provides a description of the specific, measurable outcome criteria that a patient will be able to exhibit in a given time frame after interventions: | Patient goal statement |
A well-written patient goal statement must: | Use the word patient or part of the patient as the subject of the statement, use a measurable verb, is specific to the patient and the patients problem, does not interfere with the medical care plan, is realistic, includes a time frame for patient reevaluation |
The framework most often used to guide the prioritization of patient problem statements is: | Maslows Hierarchy of Needs |
Any action ordered by a physician for a nurse or other health care professional to perform | Physician Prescribed Interventions |
Any actions that a nurse is legally able to order or begin independently | Nurse Prescribed Intervention |
NIC | Nursing Interventions Classification |
A properly written nursing intervention is | Specific to the problem, realistic for the patient, compatible with medical plan of care and based on scientific, evidenced based principles |
Style of care plan format that comprises of four or five columns which break-down the care plan and interventions | Linear Style |
Style of care plan typically represented by different shapes that connect with lines where there is a connection between one or more concepts | Concept Map |
According to ANA, Implementing nursing interventions includes activities such as: | Teaching, monitoring, providing, counseling, delegating and coordinating |
A scholarly and systematic problem-solving paradigm that results in the delivery of high-quality health care | Evidence Based Practice |
Pieces of data that indicate potential or actual problems | Cue |
SMART | Specific, Measurable, Attainable, Relevant, Time Based |
This type of data includes the reason for care, history of present illness, health history and family history | Biographic Data |
This diagnosis identifies the cause and type of health condition of a patient and must be ordered by a physician or nurse practitioner | Medical diagnosis |