The Nursing Process and Pharmacology

These flashcards cover key concepts related to the nursing process and pharmacology from the lecture.

Nursing Process

A systematic series of actions that includes assessment, nursing diagnosis, planning, implementation, and evaluation.

Assessment

The first step in the nursing process that involves comprehensive data collection, including physical examination, nursing history, and medication history.

Nursing Diagnosis

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

Four Types of Nursing Diagnosis

1. Actual: Based on human responses; 2. Risk/high-risk: Patient is more susceptible to a problem; 3. Health promotion and wellness: One-part label; 4. Syndrome: Clusters signs and symptoms.

Collaborative Problems

Different from nursing diagnoses, these involve interventions to prevent or treat a problem and are worded with potential complications.

Evidence-Based Practice

Applying scientific research data to make clinical decisions to improve patient outcomes.

Measurable Goal Statement

A goal that starts with an action word and outlines behaviors to be performed by the patient or family within a specific timeframe.

Nursing Intervention or Implementation

The process of executing a plan of care through dependent, interdependent, or independent actions.

Dependent Nursing Actions

Actions performed by a nurse based on healthcare provider’s orders.

Independent Nursing Actions

Actions not prescribed by a healthcare provider that a nurse can perform based on education and licensure.

Therapeutic Outcomes

Statements developed to evaluate the effectiveness of the care provided.

Evaluation

The final phase of the nursing process where the nurse determines if expected outcomes were met.

Primary Source

Information obtained directly from the patient.

Risk Diagnosis

A clinical judgment that a person is more susceptible to a particular problem than others in the same situation.

Health Promotion Diagnosis

A one-part nursing diagnosis focused on patients' readiness to improve their health.

Maslow's Hierarchy of Needs

A framework for prioritizing patient care needs starting with physiological needs up to self-actualization.

Gordon’s Functional Health Patterns Model

A method used to aid in nursing diagnosis through a structured assessment.