This occurs when a nurse gathers data about a newly diagnosed case of hypertension in a 52-year-old African American man
What is a focused assessment?
100
When the nurse groups patient cues that point to the existence of a patient health problem, the cues form this
What is a data cluster?
100
This is any treatment based on clinical judgment and knowledge that a nurse performs to enhance patient outcomes
What is a nursing intervention?
100
This is an intervention that is performed jointly by nurses and other members of the health care team
What is a collaborative intervention?
100
This is the most important act of evaluation performed by nurses
What is evaluating outcome achievement?
200
This is the act of confirming or verifying data
What is validation?
200
This occurs when a maternity nurse notices that a newborn's skin tone is different from other babies', and checks the baby for jaundice
What is recognizing significant data?
200
An example is: "Goal partially met; patient ate one third of food offered at dinner"
What is an evaluative statement?
200
When a nurse administers the prescribed medication at the prescribed dosage for a patient with postoperative pain
What is a physician-initiated dependent intervention?
200
"Upon completion of the ECG course, the nurse will correctly identify 3 common arrhythmias on a heart monitor" is one example
What is a standard?
300
"Redness and swelling are evident at the incision line" is an example of this type of data
What is objective data?
300
This is a generally accepted rule, measure, pattern, or model that can be used to compare data in the same category
What is a standard or norm?
300
This type of plan for a patient leaving the institution is generally written by his primary nurse
What is a discharge care plan?
300
These are 3 duties that the nurse performs when acting as coordinator of the health care team
What are: Prepare patients to participate in the plan of care; Interpret specialists' findings for patients; Serve as a liaison among members of the health care team
300
This is an evaluation of nursing care and patient goals while the patient is receiving the care
What is a concurrent evaluation?
400
This is the gathering of data about a specific problem that has already been identified
What is focused assessment?
400
When the nurse realizes that there is a problem when his patient cries at night, refuses to eat, and sleeps all day
What is recognizing patterns or clusters?
400
Its primary purpose of this type of planning is to keep the plan up to date
What is an ongoing, problem-solving care plan?
400
This occurs when a nurse meets with a physician to describe a patient's lack of response to treatment
What is collaborative interdependent intervention?
400
"The patient will be able to walk the length of the hallway by 10/9/15" is an example
What is criteria?
500
"The patient is nauseated at the sight of food" is this type of data
What is subjective data?
500
When a nurse determines that a patient with a history of diabetes is motivated to develop a healthy pattern of nutrition
What is identifying strengths and problems?
500
"By May 7, the patient will show concern for his well-being and participate in group meetings" is an example of this type of goal.
What is an affective goal?
500
This type of intervention is performed away from the patient, but on the patient's behalf
What is indirect care?
500
This type of evaluation focuses on the nature and sequence of activities by the nurse implementing the nursing process