Collaborative problems - CORRECT ANSWER-Health related problems that the
nurse anticipates based on the condition or diagnosis of a patient
medical diagnosis - CORRECT ANSWER-the identification of a disease or
condition with evaluation of physical signs, symptoms, patient interview,
laboratory tests, diagnostic procedures, review of medical records, and patient
history
Goal - CORRECT ANSWER-Well-written & patient centered
Planning - CORRECT ANSWER-Priorities of care are established & nursing
interventions are chosen to best address the patient problem statement
Nursing interventions - CORRECT ANSWER-Activities that promote the
achievement of the desired patient goal.
Implementation - CORRECT ANSWER-The nurse & other members of the team
put the established plan into action to promote goal achievement
Evaluation - CORRECT ANSWER-Determination made about the extent to which
the established goals have been achieved
Standardized language - CORRECT ANSWER-Terms are carefully defined and
mean the same thing to all who use them
Nursing-sensitive patient outcome - CORRECT ANSWER-Identification of
outcomes that are responsive to nursing care is important work for nursing, esp
in connection w efforts to contain costs & establish best practices
Managed care - CORRECT ANSWER-Healthcare systems that have control over
primary health care services & attempt to trim down health care costs by
reducing unnecessary or overlapping services
Nursing Process - CORRECT ANSWER-Systemic method by which nurses plan &
provide care for patients.
Assessment - CORRECT ANSWER-A systematic, dynamic way to collect &
analyze data about a client, the 1st step in delivering nursing care. Includes
psychological, sociocultural, spiritual, economic, & life-style factors.
, Cue - CORRECT ANSWER-Piece or pieces of data that often indicate that an
actual or potential problem has occurred or will occur
Subjective data - CORRECT ANSWER-Info provided by patient
Objective data - CORRECT ANSWER-Observable & measurable signs
Biographical data - CORRECT ANSWER-Provide info about the facts or events in
a person's life
Database - CORRECT ANSWER-Large store or bank of information, as in forming
the patient's nursing diagnosis
Diagnose - CORRECT ANSWER-To identify the type & cause of a health
condition.
Nursing diagnosis/patient problem statement - CORRECT ANSWER-Is a type of
health problem that can be identified by the nurse
NANDA-I - CORRECT ANSWER-North American Nursing Diagnosis Association
International..reflects nursing diagnosis terminology used around the world
Potential patient problems - CORRECT ANSWER-Are written as 2 part statements
1) the patient problem statement w the adjective 'potential' in front of it and 2) the
risk factors
case management - CORRECT ANSWER-encompasses planning, coordination of
care, and patient advocacy in providing quality, cost-effective outcomes for the
patient
clinical pathway - CORRECT ANSWER-multidisciplinary plan that incorporates
evidence-based practice guidelines for high-risk, high-volume, high-cost types of
cases while providing for optimal patient outcomes and maximized clinical
efficiency
Variance - CORRECT ANSWER-If a patient does not achieve the projected
outcome, it is considered this
chart (health care record) - CORRECT ANSWER-Legal record that is used to meet
many demands of the health accreditation, medical insurance, and legal systems.
charting, recording, or documenting - CORRECT ANSWER-The process of adding
information to the chart