STUDY GUIDE FOR UNDERSTANDING MEDICAL SURGICAL NURSING, 6th Edition.pdf
CHAPTER 1
CRITICAL THINKING AND
THE NURSING PROCESS
AUDIO CASE
... [Show More] STUDY
Jane and the Nursing Process
1. Assessment/data collection, diagnosis, planning, imple- mentation, and evaluation.
2. Jane was exhausted, failed a test, and was pulled in too many directions.
3. Jane’s resources included a good friend, sick time from work, and wasted time between classes that she could better utilize. Your resources will be different, but they’re there!
VOCABULARY
Nursing Process
Definition: An organizing framework that links thinking with nursing actions. Steps include assessment/data collection, nursing diagnosis, planning, implementation, and evaluation.
Critical Thinking
Definition: The use of those cognitive (knowledge) skills or strategies that increase the probability of a desirable outcome. Also involves reflection, problem-solving, and related think- ing skills.
Assessment
Definition: Gathering subjective and objective data to plan care.
Objective Data
Definition: Factual information obtained through physical as- sessment and diagnostic tests. Objective data are observable or knowable through the health care worker’s five senses. Referred to as signs.
Subjective Data
Definition: Information that is provided verbally by the patient and referred to as symptoms.
Nursing Diagnosis
Definition: Per NANDA International, a nursing diagnosis is a “clinical judgment concerning a human response to health conditions/life processes, or a vulnerability for that response, by an individual, family, group or community. A nursing diag- nosis provides the basis for selection of nursing interventions to achieve outcomes for which the nurse has accountability” (from www.nanda.org/glossary-of-terms).
Evaluation
Definition: Examination of outcomes and interventions to de- termine progress toward desired outcomes and effectiveness of interventions.
Vigilance
Definition: The act of being attentive, alert, and watchful.
SUBJECTIVE AND OBJECTIVE DATA
1. Subjective (symptom)
2. Subjective (symptom)
3. Objective (sign)
4. Objective (sign)
5. Subjective (symptom)
6. Objective (sign)
7. Subjective (symptom)
8. Objective (sign)
9. Subjective (symptom)
10. Subjective (symptom)
11. Objective (sign)
12. Objective (sign)
13. Subjective (symptom)
14. Objective (sign)
15. Objective (sign) [Show Less]