nsg concepts 1 prt 2
Terms
undefined, object
copy deck
-
open ended or closed question?
"what brought you to the hospital" - open ended
- best position when talking with patient?
- two chairs placed at right angles / patient in bed chair placed at 45 degree angle
- group chair setting?
- horseshoe or circular chair arrangement
- acceptable personal space
- 18" in US / 24" in Britian / 36" in Japan
- Validation
- the act of dbl checking or verifying data to confirm that it is accurate and factual
- what are Cues?
- sub or obj data that can be directly observed by the nurse ; hear, feel smell or measure, or seen
- Inferences?
- R.N. interpretation or conclusion made based on cues (nurse observes the cues that incision is red, hot and swollen)
- nursing assessment must be complete and
- accurate because nursing diagnoses and interventions are based on this information
- data must recorded in factual manner w/o ?
- interpretation or inferences
- Diagnosing
- analyze data, identify health problems, risks and strengths, formulate diagnostic statements
- taxonomy?
- system or set of categories arranged on the basis of a single principle or set of priciples
- diagnosing refers to ?
- the reasoning process
- diagnosis?
- a statement or conclusion regarding the nature of phenomenom
- what are the five types of nursing diagnosis?
- accutal, wellness, risk, possible and syndrome.
- risk diagnosis?
- problem does not exist, but risk factors are present
- wellness diagnosis?
- human response to levels of wellness in person, family or community that have readiness for enhancement
- possible nursing diagnosis
- evidence about a health problem is incomplete or unclear
- syndrome diagnosis
- diagnosis associated with acluster of diagnoses
- what three components of NANDA nursing diag?
-
1. problem and definition
2. etiology
3. defining characteristics - what are qualifiers?
- words added to NANDA labels to give additional meaning
- independent functions?
- areas of healthcare unique to nursing and seperate from medical management
- dependent functions
- nurse is obligated to carry out therapies and tx written by MD
- three steps of diagnosing process
-
analyzing data
identifying health problems, risks and strengths
formulating diagnostic statements - two parts of nursing diagnosis are joined by?
- related to / why? due to implies that one part causes or is responsible for the other
- basic format of nursing diagnosis
- problem related to etiology
- planning
-
prioritze problems/diagnosis/
formulate goals/desired outcomes/select nursing interventions/write nursing orders. - nursing intervention
- any treatment based on clinical judgement and knowledge a nurse performs to enhance client outcomes
- when does effective discharge planning begin?
- at first client contact / involves comprehensive and ongoing assessment to obtain information
- formal nursing care plan
- written or computerized guide that organizes information about the client's care
- standardized care plan
- formal plan that specifies nursing care for groups of clients with common needs (ie...MI)
- individulized care plan
- tailed to meet unique needs of a specific client
- rationale
- scientific principle given as the reason for selecting a particular nursing intervention
- multidisciplinary care plan
- standardized plan outlining care required for common predictable medical conditions
- indicator
- is concrete observable patient state, behavior, or self reported perception or evaluation