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12.6: Key Terms

  • Page ID
    110260
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    ABC framework
    a system that uses letters as reminders to establish three fundamental priorities during a nursing assessment: airway, breathing, and circulation
    actual problem
    current health issues that are identifiable through symptoms or clinical evidence
    analyzing
    the systematic examination and evaluation of information, data, or evidence to derive meaning, identify patterns, and draw conclusions
    applying
    the practical implementation of knowledge, skills, and strategies to address clinical challenges, solve problems, and make informed decisions in healthcare settings
    assessment
    the systematic and dynamic process of collecting and analyzing data about a patient’s health
    auscultation
    the technique of listening to the sounds produced within the body, typically using a stethoscope
    Beck Depression Inventory
    a widely used self-report questionnaire designed to assess the severity of depression symptoms experienced by an individual
    clinical judgment
    utilizing nursing knowledge, critical thinking, and clinical reasoning, drawing from evidence, theories, and interdisciplinary insights to make informed and patient-centered decisions
    Clinical Judgment Measurement Model (CJMM)
    the latest framework developed by the National Council of State Boards of Nursing (NCSBN) to aid in identifying nursing-focused clinical problems
    clinical reasoning
    the process by which a healthcare provider combines their own knowledge and experience with data obtained through various patient assessments to diagnose a medical problem and determine an appropriate response
    conceptualizing
    forming an initial understanding of the patient’s situation based on the data collected
    critical thinking
    the disciplined, systematic process of applying skillful reasoning as a guide to belief or action
    data
    information that nurses gather about a patient’s health status
    deductive reasoning
    the process of applying general principles to draw conclusions about specific cases
    emergency assessment
    an assessment conducted when a patient presents with life-threatening or potentially life-threatening conditions
    Faith, Importance and Influence, Community, and Address (FICA) tool
    a tool used by healthcare professionals to assess patients’ spiritual and religious beliefs and practices
    Holmes-Rahe Life Stress Inventory
    a tool used to measure the stress level experienced by an individual based on the occurrence of certain life events within a specified period
    inductive reasoning
    the process of making generalizations based on specific observations
    initial assessment
    the first extensive evaluation of a patient’s overall health status, including their physical condition, medical history, and current symptoms; typically conducted on a patient's admission to a healthcare facility
    inspection
    a fundamental nursing skill by which the nurse visually examines the patient’s body for normal and abnormal findings
    objective data
    measurable and observable information collected by the healthcare provider
    ongoing assessment
    assessment conducted continuously, often in response to changes in the patient’s condition
    percussion
    the technique of assessing the body’s underlying structures based on the sound they make when tapped
    physiological crisis
    a critical situation where the patient’s physiological functions are severely compromised, posing an immediate threat to life or health
    potential problem
    risk or condition that a patient is susceptible to but not currently manifesting symptoms of
    primary data
    information provided directly by the patient
    problem-focused assessment
    a targeted examination conducted to assess a specific health issue or symptom identified in a patient
    psychological crisis
    a state of acute emotional or mental distress that significantly impairs an individual’s ability to cope with their current circumstances
    secondary data
    information collected from a family member, chart, or other source
    subjective data
    descriptions provided by the patient or family members of the patient’s symptoms, feelings, and perceptions
    synthesizing
    the process of integrating, combining, or organizing diverse pieces of information, data, or evidence to develop a coherent understanding, formulate hypotheses, or generate solutions
    time-lapsed assessment
    an assessment conducted when several months have passed since the previous assessment to evaluate the progress of a patient’s health over time

    This page titled 12.6: Key Terms is shared under a CC BY 4.0 license and was authored, remixed, and/or curated by OpenStax via source content that was edited to the style and standards of the LibreTexts platform.

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