Term
|
Definition
| provides the data necessary for identifying the clients actual or potential health problems and strengths |
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Term
they identify assessment as a professional responsibility
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Definition
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Term
provides detailed standards regarding what and when to assess
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Definition
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Term
| who has to preform the assessment for the data to be reliable? |
|
Definition
| someone with education and experience |
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Term
| How is assessment related to diagnosis? |
|
Definition
| used to identify the clients health problems and strengths |
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Term
| how is assessment related to planning outcomes and interventions? |
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Definition
| data helps formulate relatistic goals and choose the interventions most likely to be acceptable to and effective for the client |
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Term
| how are data usedby other disciplines, to plan for nursing care, to ensure clients receive the proper care, by qualified individuals, at the time it is needed |
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Definition
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Term
| the clients response to illness |
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Definition
| nursing assessments focus on? |
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Term
| Can you delegate assessments? |
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Definition
| according to the ANA, the nurse determines the appropriate delegation of tasks |
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Term
| this data reveals the perspective of the person giving the data, and includes thoughts, feelings, beliefs and sensations |
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Definition
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Term
|
Definition
| overt data, signs, gathered through physical assessment or from laboratory or diagnostic tests, can be measured or observed. |
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Term
|
Definition
| extensive data collection for clients, families, groups and communities addressing anticipated changes in the clients condition |
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Term
|
Definition
| an appraisal of the clients status and situation at hand, contributing to ongoing data collection and deciding who needs to be informed of the information and when to inform |
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Term
|
Definition
| this is an accrediting agency |
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Term
|
Definition
| subjective and objective data obtained from the client, what client says or what you observe |
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Term
|
Definition
| data obtained second hand, for example from the medical record or from another caregiver |
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Term
|
Definition
| completed when the client first presents to the healthcare agency |
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Term
|
Definition
| performed as needed, at any time after the initial database is completed |
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Term
|
Definition
| this reflects the dynamic state of the client |
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Term
|
Definition
| provides holistic information about the clients overall health status and psychosocial situation. |
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Term
|
Definition
| performed to obtain data about an actual, potential, or possible problem that has been identified, focuses on a particular body part. |
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Term
| initial focused assessment |
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Definition
| used to follow up on client symptoms or unusual findings during the first exam |
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Term
|
Definition
| a type of focused assessment, provides indepth info about a particular area of client functioning and often involves using a specially designed form |
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Term
| fucntional ability assessment |
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Definition
| type of assessment planning important in discharge planning and in home care |
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Term
|
Definition
| consists of nursing history and physical assessment, contains both subjective and objective data |
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Term
|
Definition
| refers to the deliberate use of all five of your senses to gather and interpret patient and environmental data |
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Term
|
Definition
| produces primarily objective data and makes use of inspection, auscultation, palpation, and percussion |
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Term
|
Definition
| a nutirtinal, pain, or cultural assessment would be an example of what type of assessment? |
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Term
| inspect, palpate, percuss, auscultate |
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Definition
| what are the basic physical assessment techniques? |
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Term
| biographical data, cheif complaint, history of preent illness, past medial history, family and social history, medication |
|
Definition
| what are the components of a nursing health history form? |
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Term
|
Definition
| use this type of interviewing to obtain factual, easily categorized info, or in an emergency situation |
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Term
|
Definition
| those questions that can be answered with a yes of no answer |
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Term
|
Definition
| these kinds of questions can be useful for when a patient is anxious or has a communication difficulty |
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Term
|
Definition
| when you want to promost communication, build rapport, or help the patient to express feelings, use this type of interviewing |
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Term
|
Definition
| these kinds of questions specify a topic to be explored, subjective data is best obtained by asking open-ended questions |
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Term
|
Definition
| effiecient, but may cause you to miss topics of importance to the patient |
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|
Term
| gather subjective data for the nursing database |
|
Definition
| what is the purpose of the nursing interview? |
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|
Term
| tell you patient that the info given will be kept confidential and that they have the right to refuse to answer any question |
|
Definition
| what do you need to do to help set the tone for the interview? |
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Term
| non-directive interviewing |
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Definition
| this way of interviewing allows the client to control the subject matter, the nurses role is to clarify and summarize |
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Term
| schedule uninterrupted time, know the purpose of the interview and how the data will be used, read the clients chart, form some goals and opening questions, compose yourself before entering the room |
|
Definition
| What are some ways to prepare for the interview? |
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|
Term
| provide privacy, remove distractions, position yourself at the same level as your client, do not hover |
|
Definition
| how do you prepare the space for an interview? |
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Term
| call the client by name, introduce yourself, tell the client what you will be doing and why, assess readiness to discuss health issues, assess anxiety, provide comfort |
|
Definition
| what are some ways to prepare the client for the interview? |
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|
Term
| individualize your approach, consider generational differences, the need for space etc., use active listening ect. |
|
Definition
| what are some guidelines to conducting an interview? |
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Term
| face client, open relaxed posture, lean toward patient, keep eye contact |
|
Definition
| what does FOLK stand for in active listening? |
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Term
| interferes with eye contact and may inhibit the clients responses |
|
Definition
| why dont you want to get caught up in notetaking? |
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Term
|
Definition
| what kinds of questions do you want to use for a nursing interview? |
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Term
|
Definition
| what do you want to avoid asking? |
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Term
|
Definition
| what do you not want to use in an interveiw? |
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|
Term
|
Definition
| what do you want to do when the clietn goes off topic? |
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|
Term
| advice or voice approval or disapproval |
|
Definition
| what do you not want to give out during the interview? |
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Term
|
Definition
| what do you want to do when the clietn goes off topic? |
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|
Term
| when subj/obj data do not agree or make sense, clients statments differ at times in interview, data is outside normal range |
|
Definition
| when do you want to validate data? |
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Term
|
Definition
| when do you want to document the data? |
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Term
|
Definition
| when do you want to use the clients words? |
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|
Term
| record only pertinent, imp, and relevant data, just the facts |
|
Definition
| what is important to remember about documenting? |
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Term
| body systems (medical) framework |
|
Definition
| this model of organizing data is usefl for identifying medical problems, but it needs to be combined with other models |
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Term
| physiological, safety and security, love and belonging, esteem, self-actualization |
|
Definition
| state maslows heirarchy of needs |
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Term
| NANDA nursing diagnosis Taxonomy II |
|
Definition
| thie assessment model consists of functional patterns and is modified version of the Gordon model |
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Term
| Gordon's functional health patterns |
|
Definition
| this model describes common patterns of behavior and describes them as functional or dysfunctional |
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Term
|
Definition
| conceptualizes health as the ability to perform self care |
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Term
|
Definition
| conepetualizes patients as adapting constatly to interneal and external demands within a biological and psychosocial context. |
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|
Term
| NANDA/NOC/NIC The taxonomy of nursing practice |
|
Definition
| intended as a model for categorizing nursing diagnoses, client outcomes and nursing interventions |
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Term
|
Definition
| uses critical thinking skills to identify patterns in the data and draw conclusions about the client's health status |
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Term
|
Definition
| this contains both the problem and the etiology |
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Term
|
Definition
| factors contributing to the problem |
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Term
|
Definition
| any condition that requires intervention to promote wellness or to prevent or resolve disease or illness |
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Term
|
Definition
| statement of client health status that nurses can identify prevent or treat independently |
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Term
|
Definition
| describes a disease, illness, or injury |
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|
Term
| bc nursing diagnoses are human responses, which are unique to each person |
|
Definition
| why can you not predeict a patients nursing diagnoses just by knowing his medical diagnosis or pathology? |
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|
Term
|
Definition
| a statment fo client health status that nurses can identify, prevent, or treat independently. |
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|
Term
| it provides the basis of selection of nursing interventions to achieve outcomes for which the nurse is accountable. |
|
Definition
| how is the nurse held accountable with a nursing diagnosis? |
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Term
|
Definition
| certain physiologic complications of disesases, medical txs, or diagnostic studies that nurses monitor to detect onset or changes in status |
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Term
|
Definition
| problem response that exists at the time of the assessment |
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Term
|
Definition
| this is identified by the signs and symptoms that are present |
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Term
|
Definition
| collaborative problems are always |
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|
Term
| when it becomes actual and it is a medical diagnosis |
|
Definition
| when is a collaborative problem no longer a potential problem? |
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Term
|
Definition
| describes a problem response that is likely to develop in a vulnerable patient if the nurse does not intervene to prevent it |
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|
Term
| possible nursing diagnosis |
|
Definition
| exists when your intution and expeirnce direct you to suspect that a diagnosis is present, but you do not have enough data to support the diagnosis. |
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|
Term
| syndrome nursing diagnosis |
|
Definition
| represents a collection of nursing diagnosis that usually occur together |
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Term
|
Definition
| used when an individual, group, or community is in transition from one level of wellness to a higher level of wellness, not a health problem but a health status. |
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Term
|
Definition
| the thinking process that enables you to make sense of it |
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|
Term
| identify significant data |
|
Definition
| what is the first thing you do in analyzing and interpreting data? |
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Term
|
Definition
| this is usually an unhealhty response |
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Term
|
Definition
| problem response that exists at the time of the assessment |
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|
Term
|
Definition
| gourp of cues that are related to each other in some way |
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Term
|
Definition
| you should always derive a nursing diagnosis from..... |
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|
Term
| marital status, family involement, employment status |
|
Definition
| what would be examples of strengths in a patient? |
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Term
|
Definition
| t/f you should give high priority to problems that the patient thinds are most important, provided that this does not conflict with basic survival needs or medical treatment. |
|
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Term
|
Definition
| these are high priority problems |
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|
Term
|
Definition
| these are not a direct threat to life but may cause destructive physical or emotional changes |
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Term
|
Definition
| requires minimal supportive nuursing interventions |
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|
Term
| diagnostic label, definition, defining characteristics, related factors, risk factors. |
|
Definition
| what are the NANDA components? |
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|
Term
|
Definition
| a word or phrase that represents a pattern of related cues and describes a problem or wellness response |
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Term
|
Definition
| explains the meaning of the label and distinguishes it from similar nursing diagnoses |
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|
Term
|
Definition
| cues (signs and symptoms) that allow you to identify a problem or wellness diagnosis |
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Term
|
Definition
| cues, conditions, or circumstances that cause, precede, influence, contribute to, or are in some way associated with the problem. |
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Term
|
Definition
| events, circumstances, or conditions that increase the vulnerability of a person or group to a health problem |
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|
Term
|
Definition
| for a potential (risk) nursing diagnosis, what funcitons as the defining characteristics? |
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Term
|
Definition
| similar signs and symptoms |
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|
Term
| identify the broad topic that seems to fit the cue cluster |
|
Definition
| what is the first step in choosing a nanda label? |
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|
Term
|
Definition
| What is the second step of choosing a nanda label? |
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|
Term
| use a nursing diagnosis handbook, compare definitions and defining characteristics of the diagnostic labels with your cue cluster |
|
Definition
| what is the third step of choosing a nanda label? |
|
|
Term
| you are choosing your label based on RESPONSES to the pathology, not the pathology itself |
|
Definition
| when choosing a nanda label, remember |
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Term
|
Definition
| what does a diagnostic statement consist of? |
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|
Term
| clients health status, and identifies a response that needs to be changed--identifies a goal |
|
Definition
| the problem in the diagnostic statement describes the |
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|
Term
| the factors that cause, contribute to, or create a risk for the problem (it suggests interventions) |
|
Definition
| the etiology in the diagnostic statement contains |
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|
Term
| F-bc you cannot write nursing orders to change it. |
|
Definition
| T/F it is appropriate to use a medical diagnosis or a medical treatment as an etiology |
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Term
|
Definition
| in the diagnostic statement, you need state the problem as a |
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|
Term
| actual, risk and possible |
|
Definition
| a basic two part statment is used for what diagnosis? |
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Term
|
Definition
| for an actual diagnosis, the etiology consists of |
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Term
|
Definition
| for a risk diagnosis, the etiology contains |
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|
Term
| problem, etiology, symptom |
|
Definition
| what does a basic three part statement include? |
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Term
|
Definition
| this format adds the patient signs or symptoms that led you to make the diagnosis |
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Term
|
Definition
| this diagnosis does not need an etiology |
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|
Term
| syndrome diagnosis, wellness diagnosis, very specific labels |
|
Definition
| you can omit the etiology from certain kinds of diagnostic statements, which are... |
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|
Term
| because the wellness label does not represent a problem |
|
Definition
| why does the wellness diagnosis not need an etiology? |
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|
Term
| they either imply the etiology or the etiology is the medical diagnosis (e.g. death anxiety, latex allergy response) |
|
Definition
| why do no specific NANDA labels not need an etiology? |
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|
Term
| the label is useful only if you describe the problem more specifically |
|
Definition
| if you see the word specify in NANDA labels, what does this mean? |
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|
Term
| add a second part to the etiology following the words secondar to (2*), this second part is usually a pathophysiology or disease process. |
|
Definition
| when defnining characteristics are vague, you may need to... |
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|
Term
| replace the etiology with the phrase "complex factors" |
|
Definition
| if there are too many etiological factors to list, or the etiology is to complex to explain in a brief diagnostic statment, what do you do? |
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|
Term
| collaborative-bc the focus of your interventions is monitoring for and preventing the complication |
|
Definition
| you do not write an etiology for ___________ problems also. |
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|
Term
| make mental notes or plans |
|
Definition
| an example of informal planning would be to |
|
|
Term
|
Definition
| a conscious, deliberate activity involving decision making, critical thinking and creativity |
|
|
Term
|
Definition
| beings with the first patient contact, refers to the development of the initial comprehensive care plan |
|
|
Term
| because that nurse has the best info about the patient |
|
Definition
| why should the nurse who performs the admission be the one to initiate the care plan? |
|
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Term
|
Definition
| T/F you may need to sometimes begin care planning even though the initial database is incomplete |
|
|
Term
|
Definition
| refers to the chagnes made in the plan as you evaluate the patients responses to care or as you obtain new data and made new diagnoses |
|
|
Term
|
Definition
| this begins with the first client contact |
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|
Term
|
Definition
| planning for self care and continuity of care after client leaves health care setting |
|
|
Term
|
Definition
| this planning begins with initial assessment |
|
|
Term
| guide holistic, goal oriented care, and address each clients unique needs |
|
Definition
| The comprehensive nursing care plan is the central source of information |
|
|
Term
|
Definition
| this specifies dependent and interdependent nursing function |
|
|
Term
| physical condition and functional and self-care limitations, emotional stability and ability to learn, family or caregivers available |
|
Definition
| what is some data that the discharge planning should include? |
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|
Term
| difficulty learning or memory deficit, terminal illness, complicated major surgery, no family or significant others, complex tx regimen to continue at home |
|
Definition
| you will need a comprehensive, formal discharge plan if the patient has complex needs or one or more of the following: |
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|
Term
| comprehensive nursing care plan |
|
Definition
| several documents that is the central source of infomation needed to guide holistic, goal oriented care to address each patients unique needs. |
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|
Term
| ensures care is omplete, provides continuity of care, promotes efficent use of nursing efforts, provides a guide for assessing and charting, meets requirements of accrediting agencies |
|
Definition
| why is a written nursing care plan important (5 reasons) |
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|
Term
| basic needs and ADLs, medical/multidisciplanarty tx, nursing dx and collaborative problems, special discharge needs or teaching needs |
|
Definition
| what info is contained in a comprehensive nursing care plan? |
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|
Term
| preprinted standardized plans: unit standards of care |
|
Definition
| these are general guides that describe the care that nurses are expected to provide for ALL clients in defined situations |
|
|
Term
| standardized nursing care plans |
|
Definition
| detail nursing care for a particular nursing diagnosis, for all nursing diagnoses that commonly occur with a certain medical condition |
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|
Term
| critical pathways (type of standardized plan) |
|
Definition
| outcome based, interdisciplinary plans that sequence client care based on case type |
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|
Term
| integrated plans of care (standardized, preprinted) |
|
Definition
| standardized plans designed to be both care plans and documentation form |
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|
Term
| individualized nursing care plan |
|
Definition
| these are used to address nursing diagnoses unique to a particular client |
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|
Term
| special discharge or teaching plan |
|
Definition
| may use standardized plan for discharge or include as teaching in a nursing diagnosis care plan |
|
|
Term
1) make a problem list
2)decide which problems can be with standardized care plans or critical pathways
3) individualize the standardized plan as needed
4) transcribe medical orders to appropriate documents |
|
Definition
| what is the process for writing individualized nursing care plans? |
|
|
Term
|
Definition
| describes the changes in client health status you hope to achieve |
|
|
Term
| nursing sensitive outcomes |
|
Definition
| those outcomes that can be influenced by nursing interventions |
|
|
Term
|
Definition
| cover specific therpeutic actions usually required for a clinical problem unique to a subgroup of patients |
|
|
Term
1. appropirate for nursing diagnosis
2. derived from only one nursing diagnosis
3. descriptive of only one client response/behavior
4. stated as a client behavior, not a nurse activity? |
|
Definition
| what do you want to look at for each expected outcome for each diagnosis? |
|
|
Term
is each expected outcome:
1. stated in positive terms?
2. measurable or observable?
3. given specific and concrete performance criteria?
4. does each outcome/goal include all the necessary parts?
5. is each outcome/goal realistic and achieveable?
6. does it not conflict with the medical or other collaborative treatment plan? |
|
Definition
| what questions do you want to ask yourself when reflecting critically about expected outcomes/goals? (6 things) |
|
|
Term
| that it does not conflict with any religious or cultural values. |
|
Definition
| In terms of culture, what do you want to ensure about a nursing goal/outcome? |
|
|
Term
|
Definition
| In terms of the client, family, or community, to make help ensure that the client will do his/her part to follow through with the plan, you must make sure that they.... |
|
|
Term
|
Definition
| when a nurse evaluates the care he has given a client, the client's response to care is compared with the what? |
|
|
Term
| to achieve client outcomes |
|
Definition
| What is the purpose of nursing interventions? |
|
|
Term
| nursing action, measures, strategies, activies |
|
Definition
| what are nursing interventions also called? |
|
|
Term
| clinical judgement and nursing knowledge |
|
Definition
| what are nursing interventions based on? |
|
|
Term
|
Definition
| what do nursing interventions reflect? |
|
|
Term
| independent interventions, dependent interventions, interdependent interventions |
|
Definition
| what are the three types of nursing interventions? |
|
|
Term
| professional standards, theories, nursing research |
|
Definition
| what are three things you use when choosing nursing interventions? |
|
|
Term
| actual nursing diagnoses, potential nursing diagnoses, possible nursing diagnoses, collaborative problems, wellness diagnoses |
|
Definition
| observation/assessment interventions are used for (5) |
|
|
Term
| actual nursing diagnoses, potential nursing diagnoses, collaborative problems, wellness diagnoses |
|
Definition
| prevention interventions are used for (4) |
|
|
Term
| actual nursing diagnoses, collaborative problems |
|
Definition
| treatment interventions are used for (2) |
|
|
Term
|
Definition
| Health promotion interventions are used for? |
|
|
Term
1. review nursing diagnosis
2. review the desired client outcomes
3. identify several interventions/actions
4. choose the best interventions for this client
5. individualize the standardized interventions |
|
Definition
| what are the five steps in the process used for generating and selecting interventions? |
|
|
Term
| label, definition, list of specific activities |
|
Definition
| what does the NIC consist of? |
|
|
Term
|
Definition
| these are linked to NANDA diagnoses and NOC outcome labels |
|
|
Term
|
Definition
| this includes interventions applicable to all settings |
|
|
Term
|
Definition
| These include interventions to address health promotion and cultural spiritual needs |
|
|
Term
|
Definition
| these are instructions that describe how and when nursing interventions are to be implemented |
|
|
Term
| date, subject, action verb, times and limits, signature |
|
Definition
| what does a nursing order contain (5) |
|
|
Term
1. is it complete?
2. is each order technically complete?
3. are the orders clear, specific, and precise?
4. is the order individualized for this client?
5. are the orders concise?
6. which order have priority? |
|
Definition
| when reflecting critically about nursing orders, what three six things must you consider? |
|
|
Term
|
Definition
| nursing interventions are things you can do as a..... and are not dependent on.... |
|
|
Term
|
Definition
| this is the doing or delegating phase |
|
|
Term
| check your knowledge and abilities |
|
Definition
| what is the first thing you want to do when implementing? |
|
|
Term
| establish feedback points, prepare supplies and equiptment |
|
Definition
| what are two ways to organize your work when impletmenting? |
|
|
Term
|
Definition
| what is the last think you want to do before implementing? |
|
|
Term
| promote client participtation |
|
Definition
| when implementing the plan, what is important in regards to the client |
|
|
Term
|
Definition
| when transferring responsibility, you want to retain... |
|
|
Term
| any intervention that requires individualize, specialized knowledge, skill, or judgement |
|
Definition
| what can you not delegate? |
|
|
Term
|
Definition
| LVN can do IVs but cannot do? |
|
|
Term
|
Definition
|
|
Term
| right task, right circumstance, right person, right direction/communication, right supervision |
|
Definition
| what are the five rights of delegation? |
|
|
Term
|
Definition
| this is the final step of implementation |
|
|
Term
| nursing activities, response |
|
Definition
| documentation records both the...and the client's....... |
|
|
Term
|
Definition
| This is the final step of the nursing process... |
|
|
Term
| clients progress toward goals, effectivness of nursing care plan, quality of care in the health care setting |
|
Definition
| what are three things you are evaluating? |
|
|
Term
| measurable characteristics, properties, attributes, or qualities |
|
Definition
| what are the criteria used in an evaluation? |
|
|
Term
|
Definition
| what you are evaluating must be both....and... |
|
|
Term
|
Definition
| what does it mean when you are looking at whether something measured what it intended to measure? |
|
|
Term
| structure, process, outcomes |
|
Definition
| what are the three things being evaluated? |
|
|
Term
| ongoing, intermittent, terminal |
|
Definition
| what are the three types of evaluation in regards to frequency and time? |
|
|
Term
| review outcomes, collect reassessment data, judge goal achievement, record the evaluative statement, evaluate collaborative problems |
|
Definition
| how do you evaluate client progress? (5) |
|
|
Term
| relate outcomes to interventions, draw conclusions about problem status, revise the care plan |
|
Definition
| what are three things you do when evaluating and revising the care plan? |
|
|
Term
| review all.... assessment, diagnosis, planning outcomes, interventions, implementation |
|
Definition
| what is the checklist for evaluating care plans? |
|
|
Term
| failing to evaluate systematically, failing to record results, failing to use reassessment data to examine and modify the care plan |
|
Definition
| what are three common errors of evaluation? |
|
|
Term
|
Definition
| the goals of this are to evaluate and improve care provided in the health care setting |
|
|
Term
| structure, outcomes, processes |
|
Definition
| QA involves evaluation of: |
|
|
Term
| judge whether or not the client outcomes have been met |
|
Definition
| in evaluation, the nurse must gather info about the client to: |
|
|
Term
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Definition
| technique fore showing relatioships among ideas and concepts in a graphical or pictorial way |
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Definition
| these state the scientific rationales or research basis you used to select a nursing intervention. |
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Term
| helps demonstrate that you understand the reasons for the interventions |
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Definition
| why do we write rationales? |
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Definition
| these flow from the problem side of the nursing diagnosis because the problem side describes the unhealthy response that you intend to change |
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Term
| all goals on a nursing care plan should be nursing-sensitive goals |
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Definition
| when writing goals for a collaborative problem, what should you remember? |
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Definition
| measured along a continuum in response to nursing interventions |
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Term
| clinical care classification CCC |
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Definition
| system established for use in home health nursing |
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Definition
| developed specifically for community health nursing |
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| in special teaching plans |
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Definition
| teaching objectives are written where? |
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Definition
| these describe what the patient is to learn and the observable behaviors that will demonstrate learning |
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Definition
| actions based on clinical jusgement and nursing knowledge that nurses perform to achieve client outcomes |
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Definition
| interventions performed through interaction with the clients |
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Term
| indirect nursing intervention |
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Definition
| an activity performed away from the client but on behalf of a client or group of clients |
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Definition
| intervention that nurses are licensed to prescribe, perform, or delegate based on their knowledge and skills. |
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Term
| independent interventions |
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Definition
| these interventions do not require a physicians order |
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Definition
| this is an intervention that is by a physician or advanced practice nurse but carried out by the bedside nurse |
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Term
| interdependent intervention |
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Definition
| this is an intervention that is carried out in collaboration with other health team members |
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Definition
| preparing and administering medications prescribed by a MD would be an example of what kind of intervention? |
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Definition
| making a diagnosis of anxiety related to deficit knowledge about barium enema, and writing a nursing order to teach patient what to expect from the upcoming diagnostic test is an example of what intervention? |
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Definition
| giving physical care, emtional support and patient teaching are all what kinds of interventions |
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Term
| indirect-care intervention |
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Definition
| advocacy, managing the environment, consulting with other members of the healthcare team, and making referrals are all examples of what interventions? |
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Term
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Definition
| the goal of this kind of practice is to identify the most effective and cost efficient treatments for a particular disease or condition |
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Definition
| standardized plans of care for frequently occuring conditions |
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Term
| clinical practice guidelines |
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Definition
| if a practictioner needed assistance in making decisions about appropirate health care for a particular disease or procedure, they might consult their what? |
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Term
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Definition
| state of the art systematic reviews on clinical topics for the purpose of providing evidence for guidelines, quality improvement, quality measures, and insurance coverage decisions |
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Term
| measures to relieve the pain |
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Definition
| if the cause of pain is a surgical incision, your nursing actions should focus on... |
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Term
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Definition
| as a rule, standardized interentions flow from the ____________ side of the nursing diagnosis, while individualized interventions flow from the ____________. |
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Term
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Definition
| this is a versatile intervention calssification system, appropriate for use in all areas, including home health and community nursing |
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Term
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Definition
| instructions usually written on a nursing care plan, that describe how and when nursing interventions are to be implemented |
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Term
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Definition
| instructions usually written on a nursing care plan, that describe how and when nursing interventions are to be implemented |
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Term
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Definition
| this phase of the nursing process produces patient responses |
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Term
| existing goals, written in the the planning outcomes phase. |
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Definition
| you will compare the responses you observe during implementation to what? |
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Definition
| if something yields consistent results then it is |
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Term
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Definition
| this evaluation type focuses on the setting in which care is provided |
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Definition
| "at least one registered nurse is present on each unit at all times" is an example of what type of evaluation? |
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Term
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Definition
| this type of evaluation focuses on demonstrable changes in the patients health status that result from the care given |
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Term
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Definition
| this type of evaluation focuses on the manner in which care is given, that activities performed by nurses |
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Term
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Definition
| "protects privacy when performing procedures" is an example of what type of eval? |
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Definition
| "pt will walk, assisted, to the end of the hall by day 5 post-op" and "pt reports pain less than 4 on a 1-10 scale" is an example of what type of eval |
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Term
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Definition
| this type of eval is done while implementing, immediately after and intervention, or at each patient contact |
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Definition
| this type of eval is performed at specified times |
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Term
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Definition
| this type of eval describes the clients health status and progress toward goals at the time of discharge |
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Term
| no complication will occur |
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Definition
| what is the desired outcome for all collaborative problems? |
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