Nursing Process P1

These flashcards cover the key concepts and definitions related to the nursing process, diagnostic reasoning, and critical thinking essential for nursing practice.

Nursing Process (NP)

A systematic and rational method of planning and providing patient care organized around a series of phases that facilitates evidence-informed, and ethical nursing practice.

Five Steps of the Nursing Process

Assessment, Diagnosis, Planning, Implementation, Evaluation.

Assessment

The step where the nurse gathers and analyzes information to understand the client’s health status.

Diagnosis

Identifies the client’s response to health problems within the domain of nursing.

Planning

Prioritizing proposed strategies and interventions and creating a client-centered care plan.

Implementation

The step where the nurse carries out the care plan.

Evaluation

The step where the nurse assesses the achievement of outcomes to determine the effectiveness of interventions.

Diagnostic Reasoning

The process of using assessment data about a client to logically explain a clinical judgment.

Nursing Diagnosis

A clinical judgment about individual, family or community responses to actual and potential health problems.

Collaborative Problems

Actual or potential physiological complications that nurses monitor to detect the onset of changes in a client’s status.

Critical Thinking in Nursing

A process that influences observations made and focuses on client needs using general and specific competencies.

NANDA

North American Nursing Diagnosis Association, which provides a taxonomy of nursing diagnosis.

Risk Nursing Diagnosis

Human responses to health conditions or life processes that will possibly develop in a vulnerable individual.

Wellness Nursing Diagnosis

A clinical judgment that can be enhanced from a specific level of wellness to a higher level of wellness.

Two-part Diagnostic Statement

A format consisting of a diagnostic label related to related factors.

Types of Diagnostic Errors

Errors in data collection, interpretation, analysis, clustering, and diagnostic statements.