NANDA - ANS-North American Nursing Diagnosis Association- Nursing diagnosis
HIPAA - ANS-Health care insurance portability and accountability act
informed consent - ANS-client informed by physician procedure/treatment, surgery and risks.
RN gives written consent to be signed. example: shared decision making
critical thinking - ANS-process of information: knowledge, experiences, competencies, attitudes,
and standards.*helps to form nursing diagnosis, *using evidenced based rationale
clinical reasoning - ANS-worst possible scenario, be prepared
health perception - ANS-verifies client understanding of conditions and maintaining health
*appearance
3 levels of health promotion - ANS-*primary prevent disease and promote healthy lifestyles
*secondary screening for early detection
*tertiary minimize disability from acute/chronic to maximum health
performing visual assessment - ANS-*appearance
*grooming, dress, hygiene
*mobility
*LOC
*facial expressions
* head to toe assessment
clinical reasoning and inferences - ANS-most important competencies-critical thinking-like a
nurse
clinical judgment-done after data collection - ANS-conclusion about a patient through noticing,
interpreting, responding, and reflecting
data organization - ANS-Gordon's Functional health problems and NANDA
First row on care plan - ANS-*Nursing diagnosis
*definition
*defining characteristics(observations)
*risk factors
*related factors
actual nursing diagnosis - ANS-presence of defining characteristics, term, definition,
characteristics, related factors(etiology)
Risk nursing diagnosis - ANS-client more vulnerable to develop problem, risk for problem, focus
on prevention
health promotion diagnosis - ANS-desire to increase wellness and human potential, readiness
for enhancement
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