5 Nursing Process and Clinical Judgment Free Online FlashCards

What is the nursing process?

A systematic, person-centered way to organize nursing care.

What are the six NCJMM clinical judgment functions?

Recognize cues, analyze cues, prioritize hypotheses, generate solutions, take actions, and evaluate outcomes.

What does recognizing cues involve?

Identify what is new, abnormal, changing, or inconsistent with the patient's baseline, and distinguish important cues from irrelevant details.

How should a nurse analyze cues?

Connect related findings, look for patterns or contradictions, and consider possible meanings before reaching a conclusion.

What does a nursing diagnosis or problem statement describe?

It expresses a nursing judgment about a person's response or need; it is not simply a medical diagnosis.

What factors guide prioritizing plausible problems?

Consider severity, urgency, likelihood of deterioration, time sensitivity, and the patient's goals and context.

What makes an outcome useful for evaluation?

Outcomes should be observable and time-bound enough to evaluate the patient's response.

What should guide the selection of nursing actions?

Choose evidence-informed actions that address the priority problem and desired outcome, considering preferences, risks, resources, and collaboration needs.

What does implementing the plan of care require?

Carry out appropriate interventions, communicate changes promptly, follow applicable orders and protocols, and stay within scope of practice.

What should a nurse do when evaluation shows no improvement?

Compare the patient's response with the expected outcome. If there is no improvement, reassess cues and reconsider the problem, priorities, and plan.

What are the six steps of the nursing process?

Assessment, diagnosis or problem identification, outcomes identification, planning, implementation, and evaluation.

Why is the nursing process cyclical rather than strictly linear?

Because new information or an unexpected response can require reassessment, revised priorities, or a changed plan.