Nursing Process, Clinical Judgment, and Pharmacology Basics

Vocabulary flashcards covering the core concepts of the nursing process, clinical judgment model, medication administration rights, domain evaluation, and drug safety guidelines.

Clinical Judgment Model

A framework that mirrors the nursing process but focuses specifically on cognitive aspects of care and clinical decision making.

Assessment

The first step of the nursing process involving the systematic collection of data about a patient to recognize cues in their history and illness.

HPI

History of Present Illness; a component of the patient history collected during the assessment phase.

Nursing Diagnosis

A statement describing actual or potential alterations in patient function from the nursing perspective, distinct from a medical diagnosis.

Rights of Medication Administration

A set of guidelines listed in box 4.2 on page 55 that includes right patient, right drug, right storage, right route, right dose, right preparation, right time, and right documentation.

Implementation

The nursing process step involving interventions to meet desired outcomes, categorized into drug administration, comfort measures, and patient/family education.

Evaluation

A continuous component of the nursing process that reviews patient response, adverse effects, drug interactions, and intervention efficiency.

.com Domain

A commercial website domain primarily used for advertising and selling.

.org Domain

A website domain sponsored by an organization.

.edu Domain

A website domain affiliated with an educational institution or college.

.gov Domain

A website domain managed by the government.

.net Domain

A website domain that is part of a linked network, which can include schools, education, or government sites.

Accidental Overdose from OTC Products

An occurrence where a patient takes multiple over-the-counter formulations (such as cold and flu products) concurrently, unknowingly combining identical active ingredients like acetaminophen or dextromethorphan.

Beers List

Also called the Beers Criteria, a compilation of high-risk medications for older adults that pose safety concerns such as increased risk for falls or central nervous system effects.

Illicit Drugs

Nonprescription drugs with no medicinal use, classified as Schedule I drugs, such as heroin or LSD.

Prescription Drug Disposal Guidelines

Instructions (page 80, box 6.2) to flush medications if specifically stated, utilize pharmacy take-back programs, or mix unused meds in an undesirable substance like coffee grounds or cat litter after removing personal information.