Term
|
Definition
-Most independently functioning nurse
-Has masters degree
-Fxns as a clinician, consultant, educator, researcher |
|
|
Term
| American Nursing Association |
|
Definition
Association of the nurses
-Provides the standard of practice and a code of ethics to follow |
|
|
Term
|
Definition
| Protect clinets human and legal rights and provide assistance in asserting those rights |
|
|
Term
|
Definition
| Philosophical ideals of right and wrong that define the principles you will use to provide care to your clients |
|
|
Term
|
Definition
| Protection, promotion, and optimization of health and abilities, prevention of illness, and injury, alleviation of suffering, and advocacy of care |
|
|
Term
|
Definition
Knowledge based on research or clinical expertise
Informed clinical thinker |
|
|
Term
|
Definition
1. Identify a problem
2. Collection of data
3. Form a hypothesis
4. Test hypothesis
5. Evaluate results |
|
|
Term
|
Definition
| Process of determining a clients health status after you assign meaning to the behaviors, physical signs, and symptoms presented by the client |
|
|
Term
|
Definition
| Process of drawing conclusions from related pieces of evidence |
|
|
Term
|
Definition
1. Assessment
2. Diagnosis
3. Planning
4.Implementation
5. Evaluation |
|
|
Term
|
Definition
| Process of purposely thinking back or recalling a situation to discover its purpose or meaning |
|
|
Term
|
Definition
-Collection and verification of data from a primary or secondary source
-Forming a database |
|
|
Term
|
Definition
| Clients verbal descriptions of their health problems |
|
|
Term
|
Definition
| observations or measurements of clients health status |
|
|
Term
|
Definition
Review of Systems
Systemic method for collecting data on all body systems |
|
|
Term
|
Definition
| Information obtained through use of senses |
|
|
Term
|
Definition
| Identification of a disease/condition based on a specific evaluation of physical signs, symptoms, medical history, and results of diagnostic testing |
|
|
Term
|
Definition
| Clinical judgement about individual, family, or community, responses to actual and potential health problems or life processes |
|
|
Term
|
Definition
| Nursing diagnosis is always within the domain of nursing practice and a condition that responds to nursing interventions |
|
|
Term
|
Definition
| Nurse sets client centered goals and expected outcomes and plans nursing interventions |
|
|
Term
|
Definition
| enhances the continuity of nursing care by listing specific nursing interventions needed to be achieved the goals of care |
|
|
Term
|
Definition
| Trade name for a card filing system that allows quick reference to the needs of the client for certain aspects of nursing care |
|
|
Term
|
Definition
| Process in which you seek the expertise of a specialist to identify ways to handle problems in client management or planning and implementation of therapies |
|
|
Term
|
Definition
| When the nurse iniates intervention that are most likely to achieve goals expected outcomes needed to support or improve the clients health status |
|
|
Term
|
Definition
-treatments performed through interactions with clients
-medication administration |
|
|
Term
|
Definition
| interventions are treatments performed through interactions with clients but on behalf of client or group of clients |
|
|
Term
|
Definition
-Activites of daily living
- activities usually performed in the course of a normal day |
|
|
Term
|
Definition
-Instrumental Activities of Living
-Shopping, prepping meals, writing checks, and taking medications |
|
|
Term
|
Definition
| Harmful or unintended effect of a medication, diagnostic test, or therapeutic intervention |
|
|
Term
|
Definition
| preprinted document containing orders for the conduct of routine therapies, monitoring guidelines, and/or diagnostic procedures for specific clients with identified clinical problems |
|
|
Term
|
Definition
Final step in nursing process
Cruical to determine whether the clients condition or well being improves |
|
|
Term
|
Definition
| the ability to answer for one's own actions |
|
|
Term
|
Definition
-support of a cause.
-A nurse advocates for health, safety, and rights of a client |
|
|
Term
|
Definition
| commitment to include clients in decisions about all aspects of care |
|
|
Term
|
Definition
Taking posistive actions to help others
-Encourages the urge to do good for others
-Best interest of client more important than self interest |
|
|
Term
|
Definition
HIPAA mandates it
-Everything the patient provides is confidential |
|
|
Term
|
Definition
The value of something is determined by its usefullness
-Emphasis is on the outcome or consequences |
|
|
Term
|
Definition
Ethicial theory by Kant
identifying actions as right or wrong based on their right making characteristics such as fidelity to promises, truthfulness, and justice |
|
|
Term
|
Definition
| Promotes a philosophy that focuses on understanding relationships, especially personal narratives |
|
|
Term
|
Definition
-Study of conduct and character
-Concerned with determining what is good or valuable for individuals groups and society |
|
|
Term
|
Definition
Agreement to keep promises
-Supports reluctance to abandon clients and an obligation to follow through with care to the client |
|
|
Term
|
Definition
|
|
Term
|
Definition
avoidance of harm/hurt
In nursing not only the will to do good but the equal commitment to do no harm |
|
|
Term
|
Definition
| Willingness to respect obligations and to follow through on promises |
|
|
Term
|
Definition
-Study of the final cause (ends)
-The greatest good for the greatest amount of people |
|
|
Term
|
Definition
-Personal belief about the worth of a given idea, attitude, custom, or objext that sets standards that influence behavior
-Values vary among people |
|
|
Term
|
Definition
| needed to determine fact from values you need to tolerate differences |
|
|
Term
|
Definition
| oral, written, or audio taped exchanges of info between caregivers |
|
|
Term
|
Definition
Problem oriented medical record
Method of documentation that emphasizes the clients problems |
|
|
Term
|
Definition
S-subjective
0-Objective data
A- Assessment
P- Plan
|
|
|
Term
|
Definition
P-problem
I-intervation
E- evaluation |
|
|
Term
|
Definition
D-data
A-Action/intervention
R-Response of patient |
|
|
Term
|
Definition
| unexpected outcomes, unmet goals and interventions not specified within critical pathway time frame |
|
|
Term
|
Definition
-forms that allow nurses to quickly and easily enter assessment data about patient
-Uses coding system |
|
|
Term
|
Definition
| offers a way to determine the hours of care and staff required for a given group of patients |
|
|
Term
|
Definition
| Specially that integrates nursing sciences, computer sciences, and information science to mange and communicate data, info, and knowledge in nursing practice |
|
|
