Chapter 5: Nursing Process and Critical Thinking
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Chapter 5: Nursing Process and Critical Thinking - Marcador
Chapter 5: Nursing Process and Critical Thinking - Detalles
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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 |
This type of data assessment includes: | Physiological, psychological, sociocultural, Spiritual, economic and lifestyle factors |
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 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 |
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 |
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 |
SMART | Specific, Measurable, Attainable, Relevant, Time Based |