Nursing Process and Thinking Like a Nurse

These flashcards cover key concepts and terms related to the Nursing Process and critical thinking in nursing.

Nursing Process

A systematic problem-solving method used in nursing for safe, client-centered clinical decision-making.

Assessment

The first step of the Nursing Process involving gathering information and collecting data.

Analysis

The step in the Nursing Process where assessment data is analyzed to identify the client's problems.

Interventions

Actions taken by nurses based on clinical judgment to help clients achieve desired outcomes.

Planning

The step in the Nursing Process where a nursing care plan is organized based on identified problems.

Evaluation

The step in the Nursing Process that assesses the effectiveness of nursing interventions and outcomes.

Critical Thinking

The mental process of active and skillful analysis, synthesis, and evaluation of information for decision-making.

Client-Centered Care

Care that reflects the highest possible level of wellness and independence for the client.

SMART Goals

Criteria for setting goals: Specific, Measurable, Attainable, Relevant, Time-Bound.

Subjective Data

Information reported by the client, such as symptoms described in their own words.

Objective Data

Observable data that can be measured or observed, such as vital signs.

Prioritizing Problems

The skill of determining which client issues need immediate attention in nursing.

High Priority

Problems that are life-threatening and require immediate action, often related to airway, circulation, or safety.

Intermediate Priority

Non-emergent problems that do not pose an immediate threat to life.

Low Priority

Issues that may not directly relate to the current medical condition but could affect future well-being.

Outcomes

The desired results or goals of nursing interventions that measure the success of care.

Individualized Care

Nursing care tailored to meet the specific needs and preferences of each client.

Rationales for Interventions

Scientific reasons supporting why specific nursing actions are chosen.

Implementation

The phase of the Nursing Process where planned interventions are carried out.

Inferences

Logical conclusions drawn from assessment data to identify client issues.

Continuity of Care

The consistent and seamless delivery of care over time, enhancing communication among caregivers.