Nursing Process
Compliance - ANSImplementation or fulfillment of a prescriber's or caregiver's prescribed course
of treatment or therapeutic plan by a patient
Medication Error - ANSAny preventable adverse drug event involving inappropriate medication
use by a patient or health care professional; it may or may not cause the patient harm
Noncompliance - ANSAn informed decision on the part of the patient not to adhere to or follow a
therapeutic plan or suggestion
Nursing Process - ANSAn organizational framework for the practice of nursing. It encompasses
all steps taken by the nurse in caring for a patient:
Assessment
nursing diagnoses
planning (with goals and outcome criteria)
implementation of the plan (with patient teaching)
evaluation
Outcomes - ANSDescriptions of specific patient behaviors or responses that demonstrate
meeting of or achievement of behaviors related to each nursing diagnosis. These statements
are specific while framed in behavioral terms and are measurable
Prescriber - ANSAny health care professional licensed by the appropriate regulatory board to
prescribe medications
Assessment Components - ANSObjective data: Include information available through the
senses, such as what is seen, felt, heard and smelled. Among the sources of data are the chart,
laboratory test results, reports of diagnostic procedures, physical assessment and examination
findings (age, height, weight, allergies, medication profile and health history
Subjective data: Include all spoken information shared by the patient, such as complaints,
problems or stated needs
Nursing Diagnosis - ANSAre developed by professional nurses and are used as a means of
communicating and sharing information about the patient and patient experience.
Planning (outcome identification) - ANSThe planning phase includes the identification of
outcomes that are patient oriented and provide time frames