Nursing Process, Maslow, Assessment, and Patient Care (Vocabulary flashcards)

Vocabulary flashcards covering Maslow's hierarchy, the nursing process (APPIE/ADPIE), assessment types, nursing diagnoses, and core nursing concepts.

Maslow's Hierarchy of Needs

A framework that prioritizes patient needs from basic physiological requirements up to self-actualization, guiding nursing assessment and care.

Oxygen (one of Maslow's eight physiological needs)

Vital for cellular respiration; identified as the most important physiological need among Maslow's eight.

Water (Maslow's physiological need)

Essential hydration required for bodily functions and homeostasis.

Food (Maslow's physiological need)

Nutritional intake necessary for energy, growth, and repair.

Elimination (Maslow's physiological need)

Physiological need for bowel and bladder function and waste removal.

Temperature (Maslow's physiological need)

Maintenance of body temperature within a normal range.

Sexuality (Maslow's physiological need)

Sexual health and expression as part of physiological needs.

Physical Activity (Maslow's physiological need)

Movement and exercise necessary for health and energy expenditure.

Rest (Maslow's physiological need)

Sleep and relaxation required for recovery and healing.

Safety and Security (Maslow)

Need for physical safety, security, and protection, including infection control and safe environment in healthcare.

Love and Belonging (Maslow)

Need to feel understood, accepted, and that one belongs to a group or family.

Self-Actualization (Maslow)

The highest level of Maslow's hierarchy; realization of one's potential and personal growth.

APPIE nursing process

Assessment, Problem (nursing diagnosis), Plan, Implementation, Evaluation; a framework for patient care.

ADPIE nursing process

Assessment, Diagnosis, Planning, Implementation, Evaluation; an alternative naming where 'D' stands for Diagnosis (medical context).

Nursing Process

A systematic, dynamic approach to planning and delivering individualized patient care.

Nursing Diagnosis (NANDA) vs Medical Diagnosis

NANDA nursing diagnoses are nursing-specific judgments about patient responses, not medical diagnoses; nursing language used for planning care.

NANDA

North American Nursing Diagnosis Association; standardized nursing diagnoses used in care planning.

Problem-Focused Nursing Diagnosis

A nursing diagnosis that identifies an actual patient problem (e.g., activity intolerance) evidenced by data.

Risk Nursing Diagnosis

Nursing diagnosis that identifies vulnerability to a problem (e.g., dehydration) without current symptoms.

Health Promotion Nursing Diagnosis

Nursing diagnosis focused on motivation and desire to improve well-being and health behaviors.

Assessment (Nursing Process step)

Systematic collection and analysis of data to identify patient needs.

Head-to-Toe Assessment

Initial comprehensive physical assessment covering all body systems.

Focused Assessment

Targeted assessment directed at a specific problem or symptom, rather than the whole head-to-toe exam.

Subjective Data

Information provided by the patient or family about symptoms and experiences.

Objective Data

Measurable, observable data such as vital signs and physical exam findings.

Vital Signs

Measurements of heart rate, blood pressure, respiratory rate, temperature, and oxygen saturation used to assess status and guide care.

Two Identifiers

Two patient identifiers (e.g., name and date of birth) used to verify patient identity before care or medication administration.

Therapeutic Communication

Calm, empathic, patient-centered exchange that reduces anxiety and builds trust.

Empathy

The ability to understand and share the feelings of another, fostering trust and rapport.

Trust in Nurse-Patient Relationship

Confidence that the nurse will act in the patient’s best interest and maintain patient safety and dignity.

Enabling Independence

Encouraging patients to perform as much self-care as possible to promote autonomy rather than dependence.

Infection Control & Hand Hygiene

Practices (handwashing, PPE) to prevent infection and protect patient safety.

Documentation

Accurate, timely recording of data and interventions to ensure continuity of care and safety.

Short-Term vs Long-Term Goals

Short-term goals are set for the current shift; long-term goals are set toward discharge planning and follow-up.

Interventions vs Implementation

Actions taken to meet patient goals (interventions); implementation is the carrying out of those interventions.

Evaluation & Reassessment

Reviewing outcomes after interventions; if goals are not met or are partially met, the plan is revised.