Card Set Information
nursing process ccc nurs210 exam4
Fiddly bits from the CCC NURS210 Nursing Process topic
What is the definition of a nursing diagnosis?
A clinical judgment about individual, family, or community responses to actual and potential health problems or life processes.
What are the 4 types of nursing diagnoses?
Actual nursing diagnoses
"risk for" nursing diagnoses
wellness nursing diagnoses (pt healthy, want to keep that way)
What are the five components in writing a nursing diagnoses?
What are some example nursing diagnoses?
•Constipation related to inadequate fluid intake
•Ineffective individual coping related to fear of medical diagnosis
•Risk for impaired skin integrity related to immobility
What are the two high-level steps in the planning process?
1. establish priorities
- threats to physiological integrity
- the health care setting
- client's perception of need
- client's self-care ability
2. establish outcomes
- defining outcomes
: measurable and realistic
- types of outcomes
: nursing-sensitive client outcome
- nursing outcomes classification (NOC) system
What are the 7 features of a proper goal and expected outcome?
singular goal or outcome
What are the nursing skills of intervention?
managing (you can delegate activity, but not accountability)
What are the four types of interventions?
direct care nursing intervention
indirect care nursing intervention
What are the 6 elements of an intervention?
who (provides the care)
what (the care required to meet the need)
where (home, hospital, or clinic)
when (time delivered/sequence of events)
how (method; individualizes a client's care(
What are common core interventions found in the Nursing Intervention Classification (NIC) system?
infection control and protection
vital signs monitoring
Name 3 nursing implementation skills
What are the three possible evaluations of nursing outcomes?
goals partially met
goals not met