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Flashcards: The Nursing Process

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Definition Of Nursing	Nursing is the diagnosis and treatment of human responses to health and illness (ANA,1995)
The Nursing Process	1. Assessment 2. Problen /Need Indentification(Nursing Diagnosis) 3. Planning 4. Implementation 5. Evaluation
Practice Advantages of the Nursing Process	organizing framework human response, focus strectured decision making, patient involvement, common language ,economic contributuions,
Assessment	the nurse collects client health data
Diagnosis	the nurse analyzes the assessment data in determining diagnoses

PLANNING	a two -part process 1. Indetification of goals and the patient's desired outcomes, or 2. Need the selection of appropriate nursing interventions to assist the patient in attaining the outcomes.
Implementation	putting the plan of care into action
Evaluation	determining the patient's progress toward attainnig the identified outcome and the patient's response to and effectiveness of the selected nursing interventions then changing the plan if indicated
Patient Database	the copilation of data collected about a patient it consists of the nursing history, physical examination , and results of diagnostic studies
Subjective Data	what the patient reports, believes ,or feels

Objective Data	what can be observed, ex. vital signs , behaviors, diagnostic studies
Active Listening	A restatement of the other person's total communication , including the words and the feelings
Medical Diagnosis	illness/ condition for which treatment is directed by a licensed physician
Validation	the process of assuring that data are factual
ANA Standard II (diagnosis)	the nurse analyzes the assessment data in determining diagnoses

Nursing Diagnoses !Noun!	Alabel approved by NANDA
NANDA- Noun	the means of describing health problems amenable to treatment by nurses may be physical, sociological ,or psychological
NANDA- Verb	the proces of identifying specific patient problems /needs; used by some as the Title of the Second Step ( II ) of the Nursing Process
Medical Diagnoses	are illness /conditions reflecting alteration of the structure of function of organs/systems